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This list of competencies is extracted from the list of competencies ranked
as important or very important by the
ACUTE project
Airway and oxygenation
- Describes the signs of airway obstruction
- Demonstrates safe use of
simple airway manoeuvres / adjuncts (head-tilt, chin lift, suction, Guedel,
naso-pharangeal airway)
- Describes the indications and rationale for safe
oxygen therapy in the critically ill patient
- Describes the principles of
controlled oxygen therapy in the patient with COPD(emphasising the
importance of alleviating life threatening hypoxia)
- Demonstrates basic
treatment for simulated choking
Breathing and ventilation
- Demonstrates a systematic clinical assessment of breathing and
oxygenation
- Describes the common causes of breathlessness
- Describes the clinical signs and treatment of a tension pneumothorax
- Demonstrates effective bag-valve-mask ventilation
- Demonstrates effective mouth-mask-ventilation
- Demonstrates effective expired air ventilation without adjuncts
Circulation
- Describes the clinical features of shock
- Describes potentially reversible causes of a cardiac arrest
- Describes the indications and dosages of drugs used in the management of
a cardiac arrest
- Describes how to recognise and treat common peri-arrest arrhythmias
- Demonstrates peripheral venous cannulation including attention to
patient comfort
and infection control
- Describes effective fluid resuscitation
- Describes alternatives to peripheral venous access
- Describes the indications, risks and safe administration of blood
products
Neurological
- Describes the common causes of altered consciousness
- Demonstrates a systematic approach to the assessment of the acutely ill
patient
with altered consciousness
Renal and metabolic
- Describes the causes, presentations and treatment of oliguria
- Describes the common causes and treatment of life threatening hypo /
hyper natraemia
and kalaemia
Clinical examination, monitoring and investigations
- Describes normal physiological ranges for basic vital signs including
pulse, blood pressure,
SpO2, respiratory rate, urine output and body temperature
- Demonstrates a systematic approach to the clinical assessment and timely
management of the critically ill patient
- Demonstrates safe handling and disposal of sharps and clinical waste
- Demonstrates a systematic approach to 3 and 12 lead ECG interpretation,
recognising common and important abnormalities
- Demonstrates a systematic approach to chest X ray interpretation
recognising common and life threatening abnormalities
- Describes the importance of repeated and timely reassessment of the
acutely ill patient
- Demonstrates / describes how to obtain an arterial blood gas
- Describes a systematic approach to arterial blood gas analysis
- Describes the principles and limitations of pulse oximetry
- Demonstrates the rational use of common laboratory tests and
investigations in the critically ill patient
Specific conditions
- Describes how to recognise and initiate treatment for:
- status epilepticus
- acute attack of asthma
- diabetic emergencies
- acute heart failure
- an anaphylactic reaction
- meningococcal septicaemia
- pneumonia
- common drug overdoses
- acute coronary syndromes
- acute exacerbation of COPD
- Describes how to recognise and initiate resuscitation of a patient with
an acute abdomen
Team-working, organization and communication
- Describes / demonstrates how to recognise one's own limitations and when
to call for help
- Describes / demonstrates the principles of breaking bad news
- Describes how to deal with the personal emotional issues surrounding
critical incidents,
breaking bad news, post incident stress etc
- Describes / demonstrates the principles of good communication skills
- Demonstrates the ability to work as part of a multi-professional team
- Demonstrates the ability to extract and critically appraise literature
Patient and societal needs
- Describes the importance of and methods for achieving adequate pain
control
- Demonstrates respect for patient dignity
- Describes the ethical and legal implications of attempting / not
attempting resuscitation
- Describes the principles of consent in the acutely ill patient
Trauma
- Describes the principles of recognition and initial management of
patients with suspected spinal injuries
- Describes or demonstrates a systematic approach to the assessment and
immediate treatment of the victim of trauma
Equipment
- Demonstrates how to correctly set up an intravenous infusion
- Demonstrates how to correctly prepare and give an intravenous drug
- Demonstrates how to correctly set up and administer high flow and
controlled oxygen therapy
Infection and inflammation
- Adheres to the basic principles of infection control measures including
handwashing
- Describes the recognition and immediate resuscitation of a patient with
sepsis
- Describes a rational approach to antibiotic prescribing in the patient
with sepsis
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