Cara S Swain

Cara S Swain
Karolinska Institutet | KI · Department of Learning, Informatics, Management and Ethics

MBChB PgDip MRCS
Surgical registrar; PhD student

About

20
Publications
354
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
11
Citations
Introduction
I am a surgical registrar interested in trauma and emergency general surgery, medical education and improving patient care. My current research interests relate to the use and development of surgical simulation. My PhD at Karolinska Institutet aims to explore from an educationalist's view, how live tissue training (use of anaesthetised animals as models) is used to develop competence in complex surgical trauma management.
Education
April 2014 - August 2018
University of Plymouth
Field of study
  • Global & Remote Healthcare
October 2007 - July 2012
University of Bristol
Field of study
  • Medicine & Surgery

Publications

Publications (20)
Article
Introduction. The acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill sustainment have reduced due to the cessation of combat operations in Iraq and Afghanistan and lack of military-relevant trauma in UK civilian practice. M...
Article
During the pandemic, several wards in our surgical wing became re-purposed for COVID patients. This resulted in patients who would usually be nursed in those wards being placed elsewhere. There were also many nurses and medical staff being redeployed to wards in unfamiliar specialities which required caring for patients outside their usual clinical...
Poster
Full-text available
Development of a surgical task trainer using the Military Operational Specialist Team Training (MOSTT) course to obtain end-user feedback and drive iterative improvements.
Article
Full-text available
Aim Surgical Site Infection (SSI) is common after abdominal surgery. A care bundle was introduced to sustainably reduce SSI after elective colorectal surgery. This study aimed to implement an expanded care bundle after emergency laparotomy. Methods Quality improvement methodology was used. SSI was measured by direct assessment of the wound in pati...
Poster
Full-text available
Background: Patients with trauma chest drains inserted are not a common occurrence in our hospital. Prior to the COVID-19 pandemic, these patients were co-located on a single ward. During the pandemic there has been increased bed occupancy and nursing staff have worked away from their usual specialty or ward; it has not always been possible to nurs...
Poster
Full-text available
Incidence of Surgical Site Infection after Emergency Laparotomy
Article
Full-text available
Why is it important to initiate advanced care planning before crisis strikes?
Poster
Full-text available
Summary of audit findings. Main objective: to assess compliance with TEP completion across surgical specialties.Secondary objectives: to identify potential barriers to timely, appropriate completion and suggest interventions to improve compliance.
Article
Full-text available
Traumatic injury results in significant physiological changes that place patients at elevated risk for venous thromboembolism (VTE). Percutaneous catheter-directed thrombolysis has been recommended as a first-line therapy for treatment of VTE but is relatively contraindicated in trauma cases due to increased risk of bleeding. The authors present a...
Article
The management of focal radiation burns after prolonged exposure to ionising radiation remains a relatively rare but significant therapeutic challenge. This narrative aims to highlight certain aspects of management that can be overlooked and mitigation strategies in the management of these potentially fatal injuries.
Article
Peripheral arterial disease is traditionally considered a condition that affects an elderly population. Although rare in personnel in the Royal Navy, it has the potential to have a significant impact on individual operational capability. This review article addresses the clinical picture of peripheral arterial disease including examination, the dif...
Article
The enclosed environment of a warship amplifies many recognised issues within medical practice, such as medical confidentiality, the conflicts within the doctor-patient relationship, and the impact of social interaction with patients, reflection on which can lead to adaptations in personal working practices within the military setting. Initial conc...
Article
Peripheral venous disease includes a spectrum of conditions which can be considered in two categories, corresponding to venous anatomy: superficial, and deep. Superficial diseases, including varicose veins and superficial thrombophlebitis, are relatively common conditions which present in the primary care setting and require appropriate management....
Article
Rectal bleeding continues to be a common ailment, with the clear majority associated with benign conditions. The deployed environment provides both a diagnostic and in some cases, therapeutic challenge. This paper aims to highlight the key differences between benign and sinister pathologies, and their management in the Role 1 environment.
Article
Full-text available
Des Spence’s article regarding clinical examination,1 in my opinion, described a poorly considered viewpoint. In fact, in the same edition, a letter was published2 that reflected my own view that clinical examination is paramount, especially in the isolated setting. Working in the military environment, resources and investigative tests …
Article
Full-text available
The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general surgical procedures are performed, yet surgical training prioritisation and organisation of NHS institutions is predicated upon elective care. T...

Network

Cited By

Projects

Projects (4)
Project
This project is owned and run by Professor Ian Pallister.
Archived project
The aim was to review how Treatment Escalation Plans (TEP - including DNAR) were being used for surgical patients across all surgical specialties within one tertiary centre.
Archived project
To design and deliver a simulation workshop to improve the confidence of medical professionals in managing patients with traumatic injuries treated with chest drains.