Neurosurgery is a specialised field of medicine restricted to major metropolitan tertiary hospitals.  A number of neurosurgical conditions are high acuity medical problems which may require rapid diagnosis and treatment.  Peripheral hospitals need to convey not only clinical, but also radiological information rapidly and accurately to the receiving neurosurgical unit. We describe a case report of the use of video MMS to aid in the referral of a 60 year old man with an acute on chronic subdural haemorrhage to a neurosurgical unit, expediting the transfer and definitive management of this patient.

Case Report
Standardised operational procedures are important in randomised controlled trials as these help to minimize unwanted sources of variability.  Standardisation procedures may be used to orient and train participants as well as research staff with respect to study protocols.  In interventional trials involving task performance, use of a standardisation procedure helps ensure that participants have an adequate understanding of the intervention and are able to perform this correctly and consistently prior to formal assessment. This report describes the use of a video displayed on a tablet device to enhance the standardisation procedures of a recently conducted randomised controlled trial. Participants received uniform exposure to instructions. The process was successful and was found to be acceptable.