CCT in Anaesthetics - Core Level Training

Published: 15/08/2019

Trauma and stabilisation

It is anticipated that this unit of training will not be delivered as a dedicated block; the learning outcomes will be gained throughout Core Level training and  that this level should be achievable in most general hospitals. 

Learning outcomes:

  • To understand the basic principles of how to manage patients presenting with trauma
  • To recognise immediate life threatening conditions and prioritise their management

Core clinical learning outcome:

  • Understands the principles of prioritizing the care of patients with multi-trauma including airway management

NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Primary examination identified in the FRCA examination blueprint on page B-99 or in the Final examination identified in the Final FRCA blueprint on page C72 of Annex C.

Knowledge

Competence

Description

Assessment

Methods

GMP

MT_BK_01

Explains the principles of the primary and secondary survey in trauma patients 

A,C,E

1,2,3

MT_BK_02

Recalls/describes the related anatomy, physiology and pharmacology [cross reference Basic anatomy, physiology and pharmacology sections]

A,C,E

1

MT_BK_03

Recalls/describes the pathophysiological changes occurring in the trauma patient

A,C,E

1

MT_BK_04

Explains the importance of early recognition of and the potential for airway compromise

A,C,E

1,2

MT_BK_05

Explains the importance of correct airway management in the trauma patient

A,C,E

1,2

MT_BK_06

Describes how to recognise and correctly manage hypovolaemia and other causes of shock 

A,C,E

1

MT_BK_07

Recalls/describes the indications for invasive cardiovascular monitoring, the relevant anatomy, principles of placement, associated complications and principles of their management

A,C,E

1,2

MT_BK_08

Recalls/discusses the effects of hypothermia, the reasons for its prevention and methods available in trauma patients

A,C,E

1,2

MT_BK_09

Explains the importance of correct pain relief in the trauma patient and methods used [from Emergency Dept to postoperatively]

A,C,E

1,2,3

MT_BK_10

Discusses the options available for intravenous access in trauma patients including the intraosseous route

A,C,E

1

MT_BK_11

Understands the importance of preventing hypothermia and acidosis in the trauma patient

A, C, E

1,2,3

MT_BK_12

Describes the correct initial investigations required in the trauma patient

A,C,E

1

MT_BK_13

Describes the imaging requirements in the emergency room [Cross Ref; non-theatre]

A,C,E

1,2

MT_BK_14

Recalls/explains the principles of assessment and management of patients with brain injury [including the use of the Glasgow

Coma Scale [GCS] ] 

A,C,E

1,2

MT_BK_15

Describes the causes and mechanisms for the prevention of secondary brain injury

A,C,E

1

MT_BK_16

Outlines the particular problems associated with patients presenting with actual or potential cervical spine injuries particularly airway management

A,C,E

1,2

MT_BK_17

Describes the principles of the perioperative management of the trauma patient

A,C,E

1,2,3,4

MT_BK_18

Describes how to manage intra-hospital transfer of trauma patients [Cross Ref: transfer medicine ]

A,C,E

1,2,3,4

Skills

Competence

Description

Assessment

Methods

GMP

MT_BS_01

Demonstrates how to perform the Primary survey in a trauma patient [S]

A,D,S

1,2

MT_BS_02

Demonstrates correct emergency airway management in the trauma patient including those with actual or potential cervical spine damage [S]

A,D,S

1,2

MT_BS_03

Demonstrates how to manage a tension pneumothorax [Cross Ref: critical incidents] [S]

A,D,S

1

MT_BS_04

Demonstrates how to insert a chest drain [S]

D,S

1

MT_BS_05

Demonstrates assessment of patients with brain injury including the use of the GCS [cross ref Neuroanaesthesia] [S]

A,D,S

1,2

MT_BS_06

Demonstrates the initial resuscitation of patients with trauma  and preparation for further interventions including, emergency surgery 

A,D

1,2,3,4

MT_BS_07

Demonstrates provision of safe perioperative anaesthetic management of ASA 1 and  2 patients with multiple trauma  

A,C,D

1,2,3,4

MT_BS_08

Demonstrates how to perform a secondary survey in a trauma patient

A, D, S

1,2

MT_BS_09

Demonstrates the ability to undertake intra-hospital transfer of patients from the Emergency Dept for further management

[e.g. to imaging suite, theatre and/or intensive care] [Cross Ref; transfer medicine]

A,D

1,2,3,4