Syllabus – MD Emergency Medicine
Clinical skills for MD - Emergency Medicine
- Clinical history taking and examination; ability to analyze different clinical symptoms and signs; interpret their significance
- Interpretation of laboratory data
- Interpretation of pulmonary function tests, ECG, ECHO and other investigations
- Interpretation of chest roentgenography
- Oxygen therapy
- Nebulisation therapy
- Mechanical ventilation – indications and applications
SYLLABUS - ACCIDENT AND EMERGENCY MEDICINE
The orientation of training in Accident & Emergency Medicine shall encompass the following:
APrinciples of Emergency Care – Patient centred
- Organisational issues and quality standards
- Resuscitation, recognition of threats to life/limb
- Triage of the emergency department patient
- Understanding of "timeliness" and documentation
- Therapeutics and pain control
- Patient dignity and privacy
- Ethical issues and confidentiality
Training is based on the acquisition of knowledge, skills and professional attributes and can be broadly outlined as follows:
ICardiovascular Diseases
ACardiopulmonary Resuscitation
- One and two-rescuer CPR
- Choking victim
- Adult/Child/Infant CPR
BAdvanced Cardiac Life Support (certification is expected)
- Recognition of ventricular fibrillation/ventricular tachycardia/asystole / pulseless electrical activity/bradyarrhythmias
- Protocols drugs and pacing
- Resuscitation team leadership
CCardiac Chest pain
- Acute coronary syndromes (Angina pectoris, myocardial infarction)
- Thrombolysis, glycoprotein inhibitors, angioplasty
- Pulmonary embolism
- Aortic dissection
DHeart failure and pulmonary oedema
ENarrow/Broad complex tachycardias
FHypertensive emergencies
GCardiac pacemaker function/failure
HPeripheral vascular disease
IITrauma
AAdvanced Trauma Life Support (certification is expected)
- Primary survey/resuscitation
- Secondary survey
- Definitive care
- Transfer arrangements
BHead and facial trauma
CChest and cardiac trauma
- Blunt/penetrating
- Tension pneumothorax
- Cardiac tamponade
- Massive haemothorax
- Open chest wound
- Ruptured aorta
- Blast injury
- Flail chest/lung contusion
DAbdominal trauma
- Blunt/penetrating
- Special investigations (DPL, US, CT)
EGenito-urinary trauma
FExtremity trauma
- Hand injuries
- Skeletal trauma
- Vascular trauma
- Soft tissue injury
GSpinal trauma - Immobilisation/Extrication/Logrolling techniques
HPaediatric trauma
ITrauma in pregnancy
JTrauma in the elderly
IIIAnaesthesia
APrinciples of airway management
BRapid sequence induction
CPain relief
DGeneral, regional, local anaesthesia
EInterface with Intensive Care
IVShock
AClinical findings and differential diagnosis
BFluid resuscitation
CBlood/blood products
VPulmonary Emergencies
A AAcute respiratory failure
BAsthma
CChronic obstructive airways disease
DForeign body
EPneumothorax
FChest infection
GThermal/chemical injury
HEvaluation of dyspnoea
IHaemoptysis
VIGastrointestinal Conditions
AAcute GI bleed
BVomiting, diarrhoea, dehydration
CAbdominal pain evaluation
DForeign body ingestion
VIIOphthalmology
AThe red eye
Conjunctivitis
Acute glaucoma
Uveitis
BTrauma
- Foreign Body/corneal abrasion
- Chemical burns
- Hyphaema and blow-out fracture
CCauses of visual impairment
DOrbital cellulitis
VIIIMetabolic Emergencies
AHypoglycaemia
BKetoacidosis / Hyperosmolar coma
CElectrolyte abnormalities
DAcid-base abnormalities
IXGynaecology & Obstetrics
AEctopic pregnancy
BPelvic inflammatory disease/lower abdominal pain
CAntenatal bleeding/Miscarriage
D Pre-eclampsia / Eclampsia
XGenito-urinary Medicine
ASexually transmitted diseases
BEpididymitis / Orchitis / Prostatitis
CTesticular torsion
DSexual assault
ENephrolithiasis
FUrinary Tract Infections
GHaematuria
XIInfectious Diseases
AHepatitis
BHIV/AIDS
CTuberculosis
DMalaria
EChildhood illnesses
FPyrexia of undetermined origin
GHerpes
HNeedlestick injury
XIIToxicological emergencies
ARecognition of clinical syndromes
BInitial treatment of poisoning
CAgent-specific therapy
DRole of poison centres/databases
EDecontamination facilities/procedures (including radio-activity)
XIIIChildhood Emergencies
AAdvanced Paediatric Life Support (certification is expected)
BDevelopmental paediatrics
CCroup/epiglottitis
DAsthma
EFever
FDehydration/gastrointestinal disorders
GMeningitis/septicaemia
HSeizures
ICongenital/inherited illness
JPain relief
KParasuicide in adolescents
LNon-accidental injury and child sexual abuse
MCommon injuries
NSurgical emergencies
OUrinary tract infections
PLinks with community care (GP, HV, social services)
XIVEnvironmental Emergencies
ABurns
- Grading/resuscitation
- Smoke inhalation
- Outpatient treatment
BHeat illness
CHypothermia
DNear drowning
EElectrical injury (including lightning)
FBites
- Snake/dog/cat/human/arthropod
- Rabies/tetanus prophylaxis
GAnaphylaxis
XVENT Conditions
AUpper airway obstruction
BEpistaxis / septal haematoma
CForeign bodies
DInfections
XVINeurological Emergencies
AComa
BHeadache / Subarachnoid haemorrhage
CMeningitis
DSeizures
EStroke
F Collapse
XVIIMusculo-Skeletal Conditions
AOrthopaedic & neurovascular extremity examination
BStrains/sprains/fractures
CDislocations
DSeptic joint
ESoft tissue injury/infection
FCompartment syndrome
GBack pain
HRheumatological disorders
XVIII Behavioural Emergencies
AMental state examination
BOrganic illness manifest as behavioural disorders
CAcute psychosis
DDeliberate Self-Harm
Suicidal and homicidal evaluation
FDrug and alcohol misuse
XIXGeriatric Emergencies
APsycho-social assessment
BMental state examination
CMobility assessment
DMulti-system pathology
XXMaxillo-facial conditions
ADental emergencies
BFacial fractures/dislocations
XXIDermatology
ACommon rashes
BAtopy
XXIISocial Emergencies
AOverall care of the patient
BFrequent attenders
CHomelessness
DHospital hopper / Munchausen’s
XXIHaematological Emergencies
AHaemoglobinopathies
BHaemophilia
XXIILegislation/Statutory Circulars
AConsent, competence and confidentiality
BChildren Act
CMental Health Act
DHealth and Safety at Work Act
ERoad Traffic Act
FData Protection Act
GAccess to Health Records Act
HPatients' Charter
INHS and Community Care Act
JRole of the Coroner
KOrgan/Tissue Donation
LHospital Complaint Procedure Act
MEqual Opportunities
NHuman Rights Act
OGood Medical Practice
CLINICAL SKILLS
IWound Management
ATypes of wounds/extremity examination
BWound preparation
CWound closure techniques
DForeign bodies
EExtensor tendon repair
FIncision of abscesses and pulp space infections
GFlexor tendon sheath infections (including palmar spaces)
HFinger tip injuries
IDressing techniques
JPlaster and immobilisation techniques
KJoint aspiration, soft tissue injection
LAnaesthetic techniques
IICardiopulmonary Resuscitation Training
ACardioversion/Carotid sinus massage
BECG interpretation
IIIMajor Trauma Management and team leader function
IVAirway (C-spine control)
ABasic airway management
BAdvanced airway management (tracheal intubation/alternatives)
CSurgical airway
VBreathing
ANeedle/tube thoracostomy
BVentilation techniques (including noninvasive)
VICirculation
ACentral venous access
BArterial access
CCut down techniques
DFemoral vessel cannulation
EPericardiocentesis
FIntra-osseous access
GCVP monitoring
VIISplinting/Immobilisation
ASpinal immobilisation
BLimb splinting/Traction splints
CLogrolling
VIIIENT
AIndirect laryngoscopy
BNasal packing
IXMaxillo-facial
ADental anaesthesia
BDental socket suture
CPlastic surgery techniques
XReduction of Fractures/Dislocations (Local and regional anaesthetic Techniques/pain relief)
XIGastric Lavage/Activated charcoal
XIISlit Lamp
XIIIInterpretation of laboratory investigations
XIVImaging interpretation (Ultrasound/CT/MRI included)
XVTransportation of Patients
COMMUNICATION SKILLS
IProfessional Relationships
APatients and relatives
BColleagues/team working
COther staff
II Consultation Skills
IIRecord keeping
IIIBereavement Care
ABreaking bad news
BReferral for counselling
MANAGERIAL SKILLS
IPolicies/procedures ( Hospital, Departmental)
IIStaff management (planning, recruitment, appraisal)
IIIEquipment (choosing to ordering, medical physics)
IVResource management/clinical budgeting
VContracting/standards setting, quality monitoring
VIInformation technology/Health informatics
VIIClinical governance/audit, risk management
VIIICompliments/complaints
IXMedico-legal statements/Woolfe reforms
XCommittee Work
XILiaising with other agencies (e.g. police, coroner)
XIIPublic Relations/media
XIIIMajor Incident planning/exercises
TEACHING SKILLS
ILecture preparation
IISmall Group techniques
IIIPresentation techniques
IVTeaching critique
VDepartmental teaching programme
VIProfessional Development (self-directed learning)
VIITeaching certificate expected
RESEARCH SKILLS
ILiterature survey
IIScientific study design
IIIData evaluation/Statistics
IVPreparing publications
PROFESSIONAL ATTRIBUTES
ILeadership
IIReliability
IIITeamwork
IVSelf-motivation (prioritisation, project completion)
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