Osama Ahmed Hussein Ahmed

• Managed paediatric presentations across A&E, general paediatrics, and postnatal care: febrile convulsions, asthma exacerbations, viral gastroenteritis, neonatal jaundice, and sepsis

• Performed neonatal assessments, newborn physical exams (NIPE), lumbar punctures under supervision, and paediatric venepuncture

• Participated in daily SCBU ward rounds, assisted with CPAP setup, NG tube placements, and fluid balance monitoring

• Gained confidence in safeguarding reporting, developmental screening (Ages & Stages), and mental health presentations in adolescents

• Prescribed weight-adjusted medications including IV antibiotics, fluid boluses, antipyretics, and bronchodilators

• Participated in paediatric simulation scenarios and child protection MDT meetings

• Independently assessed and triaged a high volume of undifferentiated presentations: major trauma, sepsis, chest pain, abdominal pain, overdose, stroke, and psychiatric crises

• Performed procedural skills including: venous cutdowns, joint dislocations, urethral catheterisation (male/female/SPC), wound debridement and suturing, abscess drainage, and backslab application

• Worked in resuscitation bays managing peri-arrest patients using ALS principles; performed A→E assessments and collaborated with anaesthetics for airway control and intubation

• Interpreted trauma X-rays, chest X-rays, FAST scans under supervision, and completed eReferrals for admissions and specialty input

• Completed DNACPR discussions, safety netting, and risk documentation using SBAR and eCARE

• Liaised with ED consultants for risk stratification and rapid discharge vs admission decisions

• Managed CCU and step-down patients with NSTEMI, STEMI, decompensated heart failure, arrhythmias, and post-PCI complications

• Interpreted serial ECGs, cardiac enzymes, and echocardiograms under supervision

• Gained experience managing AF (rate/rhythm control), bradycardia, and cardiac syncope, escalating to pacing where indicated

• Prescribed heart failure medications, anti-platelets, statins, anticoagulants, and monitored for adverse effects

• Supported the acute chest pain unit in risk stratification of troponin-negative ACS and myocarditis

• Participated in DC cardioversion lists, telemetry reviews, and MDT rounds involving echo technicians and interventional cardiologists

• Rotated between high-dependency and acute medical wards, managing patients with respiratory failure, septic shock, DKA, upper GI bleeds, and ACS

• Assisted in escalation protocols for NEWS ≥7 including MET responses, initiating 15L O2 via NRB, fluid boluses, and empirical IV antibiotics within the Sepsis 6 framework

• Observed arterial line placement and central venous catheter insertion; assisted with sedation and bag-valve-mask ventilation

• Gained experience in acid-base interpretation, insulin sliding scale management, IV diuretic regimes, and initiating CPAP for type 2 respiratory failure

• Attended post-take rounds, supported by acute physicians, implementing management plans and liaising with specialist services for complex patients

• Involved in advanced discharge documentation, TEP/CPR discussions, and escalation of deteriorating patients to ICU

• Delivered comprehensive care for complex, multimorbid elderly patients presenting with delirium, falls, frailty syndromes, and polypharmacy-related issues.

• Regularly contributed to consultant-led ward rounds, optimising antihypertensives, anticoagulants, insulin, and psychotropics in the context of renal and cognitive decline

• Led the clerking of new admissions with acute confusion, dehydration, and functional deterioration

• Performed and interpreted ECGs, ABGs, venepuncture, IV cannulation, and bladder catheterisation

• Initiated and titrated IV fluids, antibiotics, LMWHs, and anticipatory medications for EOL care

• Coordinated multidisciplinary discharge planning involving physio, OT, SALT, and community geriatrics

• Developed a ward-based QIP on structured frailty scoring and falls documentation compliance