CCT in Anaesthetics - Stage 2 Training
Resuscitation and Transfer (RT)
2_RT_A: Leads a multidisciplinary resuscitation team from the initial assessment and management of a critically ill patient, through to handover to Critical Care or another specialist team
| 2_RT_A_1 | Recognition and management of a patient with an unstable cervical spine |
| 2_RT_A_2 | Recognises the deteriorating perioperative patient |
2_RT_B: Maintains contemporary knowledge and skills required for the delivery of successful resuscitation
| 2_RT_B_1 | Interpretation of arrhythmias seen in the peri-arrest period, including but not limited to: • Narrow complex tachycardias • Broad complex tachycardias • Atrial fibrillation • SVT • Bradycardia • 1st 2nd and 3rd degree heart block |
| 2_RT_B_2 |
The pharmacology of drugs used to treat common arrhythmias, including but not limited to: •Adenosine |
| 2_RT_B_3 | Indications/management of cardioversion and defibrillation |
| 2_RT_B_4 | The indication for, and principles of, pacing including percussion, external and transvenous |
| 2_RT_B_5 | Indications/management of thrombolysis |
| 2_RT_B_6 | Recognition/management of anaphylaxis and allergy |
| 2_RT_B_7 | Indications/management of therapeutic hypothermia after cardiac arrest |
| 2_RT_B_8 | Indications/management of: • Open chest cardiac compressions • Resuscitative thoracotomy |
| 2_RT_B_9 | The principles of managing cardiac arrest in the prone position |
| 2_RT_B_10 | Institutes appropriate measures to stabilise the deteriorating patient |
2_RT_C: Demonstrates resuscitation skills in neonates and children
| 2_RT_C_1 | Management of children with multiple injuries, comparing and contrasting with that of adults |
| 2_RT_C_2 | The differences in aetiology of cardiac arrest between adults and children |
| 2_RT_C_3 | Indications for, and use of, cuffed and uncuffed tubes in the critically ill child requiring tracheal intubation |
| 2_RT_C_4 | Obstetric and anaesthetic management of a premature delivery |
2_RT_D: Undertakes discussions with patients, families and colleagues to aid decision making on resuscitation, including DNACPR ‘do not attempt cardiopulmonary resuscitation’ orders
| 2_RT_D_1 | The specific ethical and ethnic issues associated with managing the multiply injured patient, including issues that relate to brain stem death and organ donation |
| 2_RT_D_2 | The ethical issues related to patient transfer, including the need to brief patients and their relatives |
2_RT_E: Demonstrates knowledge and skills in resuscitation of the patient with major trauma
| 2_RT_E_1 |
Role of the anaesthetist within the multi-disciplinary trauma team and structured approach to care
|
| 2_RT_E_2 | Assessment and management of chest trauma |
| 2_RT_E_3 | Assessment and management of abdominal trauma |
| 2_RT_E_4 | Assessment and management of head and neck trauma |
| 2_RT_E_5 | Assessment and management of spinal cord injury |
| 2_RT_E_6 | Assessment and management of major limb and pelvic trauma |
| 2_RT_E_7 | The reasons for, and benefits of, the hospital triage of trauma patients, and scoring systems used |
| 2_RT_E_8 | Hormonal and metabolic response to trauma |
| 2_RT_E_9 | The complex pathophysiological changes that occur in all patients (including children) with multiple injuries |
2_RT_F: Manages inter–hospital transfers of adults and children by land, including time-critical transfers, in line with local and regional policy
| 2_RT_F_1 | Organisation/management of safe transfer of patients with a brain injury |
| 2_RT_F_2 |
Organisation/management of safe transfer of patients to minimise risk, including but not limited to:
|
| 2_RT_F_3 |
Outlines the hazards associated with Interhospital transfer, including the causes/management of patient instability
|
| 2_RT_F_4 | Explains how critical illness affects the risk of transfer |
| 2_RT_F_5 | Explains how time-critical elements may influence risks to the patient and transfer personnel and how these should be managed to reduce them |
| 2_RT_F_6 | Explains the critical care equipment used during transfer including but not exclusively: •Ventilators • Infusion pumps •Monitoring |
| 2_RT_F_7 | Understand the safety implications of electrical and hydraulic equipment that may be used during patient transfer |
| 2_RT_F_8 | The management of patients who develop sudden airway difficulties whilst in transit (both in the intubated and un-intubated patient) |
| 2_RT_F_9 | Awareness of the laws relating to deaths in transit |
| 2_RT_F_10 | Outlines the regional protocols for organising transfers between units |
| 2_RT_F_11 | Outlines the roles and responsibilities of all staff accompanying the patient during transfer including ambulance technicians and paramedics |
| 2_RT_F_12 | Discusses the Importance of audit, critical incident reporting and appropriate research |
| 2_RT_F_13 |
Outlines the specific considerations for transfer of patients with specific clinical conditions, including but not limited to: o Critically ill medical patients |
2_RT_G: Manages the resuscitation, stabilisation, and transfer of patients with acute neurological deterioration
| 2_RT_G_1 | Principles of management of acute spinal cord injury |
| 2_RT_G_2 | The anaesthetic implications of previous spinal cord trauma |
| 2_RT_G_3 | Demonstrates understanding of the neurocritical care management of traumatic brain injury including: • Indications for ventilation • Recognition and management of raised ICP • Cerebral protection strategies • Fluid and electrolyte balance in the head injured patient • Systemic effects of traumatic brain injury • CNS monitoring including ICP, jugular bulb saturation |
| 2_RT_G_4 | Describes the control of status epilepticus |