WTP8.11 The Implications of a Dedicated Virtual Emergency Surgery Radiology MDT and Impact on Outcomes

Aims This paper explores the benefits of daily virtual Emergency General Surgery Radiology Multi-Disciplinary Team (MDT), focusing on its ability to improve patient outcomes and foster learning for resident doctors. Methods We implemented a pilot (trial) of this MDT pathway in our local unit. The CEPOD consultant conducted virtual MDT meetings with the lead GI radiologist to review CT scans of complex cases, primarily from the acute general surgery take overnight. This approach has significantly impacted management decisions in several cases. Although limited resources previously restricted MDTs, our virtual MDT model has proven to be highly effective. Results The virtual emergency MDT model has proven to be both effective and flexible. For instance, we previously identified a case of gas in the IMV in a hypotensive patient with diverticulitis and minimal clinical signs. This finding, initially unreported, was recognised during a virtual MDT discussion and led to the decision to proceed with an emergency Hartmann’s procedure.1 Numerous other examples highlight how these discussions facilitated more accurate diagnoses and timely interventions. Resident doctors found these MDTs to be an excellent opportunity for learning, particularly in radiological interpretation and collaborative decision-making. Conclusions This single-centre observational study demonstrates that structured virtual MDT meetings improve patient care and resident education. Implementing daily emergency general surgery-radiology MDTs could optimise clinical outcomes and enhance training in emergency surgery. 1 Kumar A, Bath M, Hussein H, Nair M. EP376-Portal Pyaemia and Fungal Septicaemia Associated with Mesenteric Venous Pneumatosis-Improving Patient Outcomes. British Journal of Surgery. 2024 Sep;111 (Supplement_8): znae197-486.