CCT in Anaesthetics - Stage 1 Training
Resuscitation and Transfer (RT)
1_RT_A: Explains the pathophysiology of respiratory and cardiac arrest
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1_RT_A_1 |
Explains the physiology underpinning cardiopulmonary resuscitation |
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1_RT_A_2 |
Causes of respiratory arrest including but not limited to: drugs, toxins, trauma, infection, neurological disorders, muscular disorders |
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1_RT_A_3 |
Causes of cardiac arrest including but not limited to: ischaemic heart disease, valvular heart disease, drugs, hereditary heart disease, cardiac conduction abnormalities, electrolyte abnormalities, electrocution, trauma, thromboembolism |
1_RT_B: Initiates resuscitation appropriately in all patient groups in accordance with the latest guidance
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1_RT_B_1 |
Describes the basic principles of the ECG and recognises arrhythmias including ventricular fibrillation, ventricular tachycardia, asystole, rhythms associated with pulseless electrical activity |
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1_RT_B_2 |
Mode of action of drugs used in the management of respiratory and cardiac arrest in adults and children including: adrenaline, atropine, amiodarone, magnesium, naloxone, intralipid |
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1_RT_B_3 |
Doses of drugs, routes given (including indications for intraosseous access and sites that can be used) and frequency during resuscitation from a respiratory or cardiac arrest |
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1_RT_B_4 |
Explains the need for supplementary oxygen during resuscitation from a respiratory or cardiac arrest in adults and children |
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1_RT_B_5 |
Advantages and disadvantages of different techniques for airway management during the resuscitation including: oro and nasopharyngeal airways, supraglottic airways, tracheal intubation |
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1_RT_B_6 |
Explains the reasons for avoiding hyperventilation during resuscitation |
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1_RT_B_7 |
Compares the methods by which ventilation can be maintained in a patient suffering a respiratory or cardiac arrest using mouth to mask, self inflating bag, anaesthetic circuit and mechanical ventilator |
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1_RT_B_8 |
Mechanisms of defibrillation and the factors influencing the success of defibrillation |
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1_RT_B_9 |
Monophasic and biphasic defibrillators |
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1_RT_B_10 |
Principles of safely and effectively delivering a shock using both manual and automated defibrillators |
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1_RT_B_11 |
Explains the need for continuous chest compressions during resuscitation from cardiac arrest once the trachea is intubated |
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1_RT_B_12 |
Explains the need for minimising interruptions to chest compressions |
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1_RT_B_13 |
Reversible causes of cardiac arrest ant their treatment including hypoxia, hypovolaemia, hyper/hypokalaemia, hypothermia, tension pneumothorax, tamponade, toxins, thromboembolism |
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1_RT_B_14 |
Describes the current adult and paediatric advanced life support algorithms |
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1_RT_B_15 |
Discusses the specific actions required when managing a cardiac arrest due to: poisoning, electrolyte disturbance, hypo/hyperthermia, drowning, anaphylaxis, asthma, trauma, pregnancy (including peri-mortem Caesarean section) and electrocution |
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1_RT_B_16 |
Signs of the return of a spontaneous circulation |
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1_RT_B_17 |
The importance of capnography in resuscitation |
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1_RT_B_18 |
Investigations needed after recovery from a respiratory or cardiac arrest |
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1_RT_B_19 |
Principles of care after successful resuscitation from a respiratory or cardiac arrest |
1_RT_C: Describes ethical and legal issues associated with resuscitation including advance directives
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1_RT_C_1 |
Discusses the importance of respecting the wishes of relatives to be present during a resuscitation attempt |
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1_RT_C_2 |
Treatment escalation plans, DNAR and stopping resuscitation |
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1_RT_C_3 |
Importance of respecting the wishes of patients regarding end of life decisions |
1_RT_D: Participates in debrief sessions for staff and relatives in a sensitive, compassionate and constructive manner
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1_RT_D_1 |
Appropriate communication skills for debrief sessions following resuscitation episodes |
1_RT_E: Demonstrates the safe management of the inter-hospital transfer of the critically ill but stable patient by road
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1_RT_E_1 |
Clinical requirements for safe transfer |
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1_RT_E_2 |
Minimal monitoring requirements for transfer |
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1_RT_E_3 |
Principles of transfer ventilators |
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1_RT_E_4 |
Consent for transfer |
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1_RT_E_5 |
Use of controlled drugs during transfer including records |
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1_RT_E_6 |
Documentation during transfer |
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1_RT_E_7 |
Protocols governing transfer of patients between departments |
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1_RT_E_8 |
Communication with the patient and members of the transfer team |
1_RT_F: Assesses the clinical risks associated with transfer for individual patients
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1_RT_F_1 |
Risks/benefits of intra-hospital transfer |
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1_RT_F_2 |
Physical hazards associated with intra-hospital transfer |
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1_RT_F_3 |
Potential complications arising during transfer and preventative measures |
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1_RT_F_4 |
Explains how to assess and manage an uncooperative and aggressive patient during transfer |
1_RT_G: Safely performs intra-hospital transfer of patients including retrieval of patients newly referred to critical care
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1_RT_G_1 |
Equipment (including back-up equipment) and personnel required for intrahospital transfer |
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1_RT_G_2 |
Intra-hospital transfer of trauma patients |
1_RT_H: Explains scoring systems in the management of deteriorating patients and responds appropriately
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1_RT_H_1 |
Relevance of changing parameters in early warning scoring systems eg NEWS |
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1_RT_H_2 |
Knowledge of critical illness scoring systems such as SOFA, APACHE |