2021 Curriculum learning syllabus: stage 3 special interest areas

• Group 2: 3 to 6 months

Learning outcomes

• Provides safe and effective multi-disciplinary care to multiply-injured patients as Trauma Team Leader
• Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

 Key capabilities

Examples of evidence

Experience and logbook:

• logbook demonstrating experience managing a wide range of trauma patients in both the pre-hospital and in-hospital settings
• logbook evidence for major interventions related to trauma (some of which can be achieved through simulation).

Supervised Learning Events (SLEs) can be used to demonstrate:

• understanding of trauma triage tools and appropriate triage of patients in the pre-hospital environment
• leadership qualities when managing multi-casualty scenarios
• clinical management of the trapped patient and interagency team working to support extrication
• ability to provide safe sedation and pre-hospital emergency anaesthesia to major trauma patients
• ability to recognise and treat the hypovolemic patient including initiation of massive transfusion protocols
• systematic approach to the management of polytrauma patients ensuring effective prioritisation, communication and shared decision making occurs
• safe and effective pharmacological and non-pharmacological management of pain in trauma patients of all age groups
• understanding of the key principles relating to emergency preparedness and initial decontamination and management relating to chemical, biological and radiological (CBR) emergencies. This may be achieved through the use of table top or major incident exercises.
• ability to provide safe clinical assessment, stabilisation and resuscitation of paediatric, obstetric and elderly major trauma patients.

Personal Activities and Personal Reflections may include:

• national and international courses or conferences related to trauma
• leadership of QI projects related to trauma
• attendance at pre-hospital governance days / major trauma meetings
• attendance at pre-hospital conferences, study days or lectures
• presentations at relevant meetings eg abstract or free paper
• involvement in teaching opportunities relating to trauma
• attendance at local Emergency Preparedness / Major Incident exercises
• development of guidelines and policies
• leadership training.

Other evidence:

• satisfactory MSF
• suggested (optional) further qualifications:
  • Diploma in Immediate Medical Care from the Royal College of Surgeons of Edinburgh
  • Fellowship in Immediate Medical Care from the Royal College of Surgeons of Edinburgh.

Supervision level

• 4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).

Cross links with other domains and capabilities

• all generic professional domains of learning
• General Anaesthesia
• Resuscitation and Transfer
• Procedural Sedation
• Pain
• Intensive Care