CCT in Anaesthetics - Core Level Training
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 |