Resuscitation Medicine

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ME 2.3.1.1

Consistently use an ABDCE approach to the initial assessment of a patient requiring resuscitation.

ME 2.3.1.2

Commence and follow appropriate resuscitation protocols and algorithms, with the understanding that resuscitation has a defined endpoint.

ME 2.3.1.3

Assess and support airway and ventilation.

ME 2.3.1.4

Recognise shock and pre-shock states in patients and initiate basic circulatory resuscitation.

ME 2.3.1.5

Perform a brief neurological assessment, with a focus on level of consciousness, pupillary activity and peripheral nervous system assessment.

ME 2.3.1.6

Initiate simple interventions to optimise and support the patient's neurological function.

ME 2.3.1.7

Initiate appropriate non-invasive temperature control measures.

ME 2.3.1.8

Identify patients that may require decontamination.

ME 2.3.1.9(a)

Independently perform the following procedures: Basic airway manoeuvres in an adult or a child, including chin lift, jaw thrust, head tilt and positioning

ME 2.3.1.9(b)

Independently perform the following procedures: Insertion of oropharyngeal or nasopharyngeal airway

ME 2.3.1.9(c)

Independently perform the following procedures: Use of oxygen delivery devices

ME 2.3.1.9(d)

Independently perform the following procedures: Use of self-inflating bag for ventilation

ME 2.3.1.9(e)

Independently perform the following procedures: Adult, child and infant external chest compressions

ME 2.3.1.9(f)

Independently perform the following procedures: Defibrillation

ME 2.3.1.9(g)

Independently perform the following procedures: Venepuncture

ME 2.3.1.9(h)

Independently perform the following procedures: Adult peripheral intravenous access, including large bore (16G)

ME 2.3.1.9(i)

Independently perform the following procedures: Arterial puncture or blood sampling

ME 2.3.1.9(j)

Independently perform the following procedures: Preparation of an intravenous fluid or blood product line

ME 2.3.1.9(k)

Independently perform the following procedures: Insertion of a nasogastric tube or orogastric tube

ME 2.3.1.9(l)

Independently perform the following procedures: Insertion of an adult urinary catheter

ME 2.3.1.9(m)

Independently perform the following procedures: Sizing and application of a rigid cervical collar

ME 2.3.1.9(n)

Independently perform the following procedures: In-line cervical spine immobilisation

ME 2.3.1.9(o)

Independently perform the following procedures: Full spinal immobilisation, log roll and transfer

ME 2.3.1.9(p)

Independently perform the following procedures: Interpret pulse oximetry

ME 2.3.1.9(q)

Independently perform the following procedures: Interpret end-tidal CO2

ME 2.3.2.1

Apply understanding of basic sciences and common resuscitative treatments to the performance of a systematic concurrent assessment and resuscitation using first line therapeutic interventions.

ME 2.3.2.2

Institute targeted first line circulatory resuscitation.

ME 2.3.2.3(a)

Demonstrate an approach to the management of: Abnormalities in airway and/or ventilation

ME 2.3.2.3(b)

Demonstrate an approach to the management of: Severe abnormalities in circulation

ME 2.3.2.3(c)
ME 2.3.2.4

Assess the airway of a critically ill patient prior to performing definitive treatment.

ME 2.3.2.5

Perform a focused neurological assessment specifically aimed at detecting or ruling out specific pathologies.

ME 2.3.2.6

Initiate basic invasive temperature control measures targeted at a defined treatment goal.

ME 2.3.2.7(a)

Independently perform the following procedures: Insertion of a laryngeal mask airway

ME 2.3.2.7(b)

Independently perform the following procedures: Spirometry and peak flow measurement

ME 2.3.2.7(c)

Independently perform the following procedures: Use adult non-invasive inflation device

ME 2.3.2.7(d)

Independently perform the following procedures: Paediatric peripheral intravenous access

ME 2.3.2.7(e)

Independently perform the following procedures: Insertion of a rapid infusion catheter

ME 2.3.2.7(f)

Independently perform the following procedures: Intraosseous access

ME 2.3.2.7(g)

Independently perform the following procedures: Preparation and operation of transport monitoring equipment

ME 2.3.2.7(h)

Independently perform the following procedures: Replacement of suprapubic catheter

ME 2.3.2.7(i)

Independently perform the following procedures: Abdominal paracentesis and insertion of drain

ME 2.3.2.7(j)

Independently perform the following procedures: Emergent fracture/dislocation reduction

ME 2.3.2.7(k)

Independently perform the following procedures: Application of pelvic binding device

ME 2.3.2.7(l)

Independently perform the following procedures: Application of traction splinting device

ME 2.3.2.7(m)

Independently perform the following procedures: Administration of chemical restraint

ME 2.3.3.1

Indirect laryngoscopy (use of dental mirror to examine for foreign body).

ME 2.3.3.2

Complete a systematic concurrent assessment and resuscitation using a broader range of therapeutic interventions.

ME 2.3.3.3

Synthesise clinical information found on initial assessment to form both a provisional diagnosis and a differential diagnosis.

ME 2.3.3.4

Secure a definitive airway and successfully ventilate the patient.

ME 2.3.3.5

Anticipate and act to prevent complications in the management of airway and/or ventilation.

ME 2.3.3.6

Initiate advanced circulatory resuscitation targeted at defined treatment goals.

ME 2.3.3.7

Arrange appropriate ongoing supportive management during and after resuscitation.

ME 2.3.3.8

Proactively search for life threatening conditions and perform lifesaving interventions, as required.

ME 2.3.3.9

Recognise scenarios where ongoing resuscitation may be non- beneficial.

ME 2.3.3.10

Demonstrate an approach to the “can't intubate, can't oxygenate” scenario.

ME 2.3.3.11

Establish the likely aetiology of the shocked state.

ME 2.3.3.12

Anticipate and prevent complications from shock and its treatment.

ME 2.3.3.13

Initiate treatments specific to neurological pathologies.

ME 2.3.3.14

Anticipate and act to prevent secondary neurological injury.

ME 2.3.3.15

Anticipate and act to prevent the potential complications of body temperature control and management.

ME 2.3.3.16(a)

Independently perform the following procedures: Video laryngoscopy and other rescue/difficult airway devices

ME 2.3.3.16(b)

Independently perform the following procedures: Extubation

ME 2.3.3.16(c)

Independently perform the following procedures: Set up a transport ventilator

ME 2.3.3.16(d)

Independently perform the following procedures: Decompression needle/finger thoracostomy

ME 2.3.3.16(e)

Independently perform the following procedures: Pleurocentesis

ME 2.3.3.16(f)

Independently perform the following procedures: Tube thoracostomy

ME 2.3.3.16(g)

Independently perform the following procedures: DC cardioversion

ME 2.3.3.16(h)

Independently perform the following procedures: External pacing

ME 2.3.3.16(i)

Independently perform the following procedures: Arterial line insertion

ME 2.3.3.16(j)

Independently perform the following procedures: Insertion of a central venous line

ME 2.3.3.16(k)

Independently perform the following procedures: Emergency pericardiocentesis

ME 2.3.3.16(l)

Independently perform the following procedures: Insertion of an infant urinary catheter

ME 2.3.3.16(m)

Independently perform the following procedures: Suprapubic aspiration of urine in an infant

ME 2.3.3.16(n)

Independently perform the following procedures: Insertion of a suprapubic catheter

ME 2.3.3.16(o)

Independently perform the following procedures: Insertion of oesophageal and gastric balloon devices

ME 2.3.3.16(p)

Independently perform the following procedures: Emergency replacement of a dislodged gastrostomy tube

ME 2.3.3.16(q)

Independently perform the following procedures: Interpret capnography

ME 2.3.3.16(r)

Independently perform the following procedures: Administer procedural sedation

ME 2.3.3.16(s)

Independently perform the following procedures: Regional anaesthesia, including Biers Block

ME 2.3.3.16(t)

Independently perform the following procedures: Direct laryngoscopy, insertion of oral ETT, use of RSI technique (including drugs, stylet, bougie)

ME 2.3.3.16(u)

Independently perform the following procedures: Secure and care for ETT, including during transport

ME 2.3.3.16(v)

Independently perform the following procedures: Haemorrhage control, including facial packing/tamponade, pressure dressing, tourniquet application, haemostatic suturing of lacerations, wound stapling

ME 2.3.4.1

Principles of resuscitative thoracotomy, including indications and contraindications.

ME 2.3.4.2

Principles of resuscitative hysterotomy, including indications and contraindications.

ME 2.3.4.3

Principles of other types of endo-tracheal tubes, including nasal and double lumen including indications and contraindications.

ME 2.3.4.4

Adapt resuscitation skills to any patient presentation of any complexity.

ME 2.3.4.5

Define the treatment goals for resuscitation.

ME 2.3.4.6

Recognise and expedite any specific intervention essential to resuscitation.

ME 2.3.4.7

Cease resuscitation when a defined endpoint is reached.

ME 2.3.4.8

Apply knowledge of clinical injury and illness outcomes when counselling and debriefing after resuscitation.

ME 2.3.4.9

Definitively manage the “can't intubate, can't oxygenate” scenario.

ME 2.3.4.10

Adapt management of any circulatory emergency.

ME 2.3.4.11

Incorporate definitive neurological interventions within a resuscitative management plan.

ME 2.3.4.12

Initiate advanced invasive temperature control measures.

ME 2.3.4.13(a)

Independently perform the following procedures under simulation: Insertion of cricothyroid needle and jet insufflation of oxygen

ME 2.3.4.13(b)

Independently perform the following procedures under simulation: Cricothyroidotomy in an adult

ME 2.3.4.13(c)

Independently perform the following procedures under simulation: Emergency replacement of blocked or dislodged tracheostomy tube

ME 2.3.4.13(d)

Independently perform the following procedures under simulation: Use non-self-inflating bag for ventilation

ME 2.3.4.13(e)

Independently perform the following procedures under simulation: Use paediatric device