New Manchester rating appendix F

Emergency Care 3: Range of situations

Main Scale

The doctor's ability is incomplete: he/she cannot make or execute initial plans for some common important emergencies. The doctor can cope, to the extent of preserving life, and making and executing an initial plan for the common emergencies encountered in general practice .
1 2 3 4 5 6 7 8 9 10
Has little understanding of this. Attempts to do this but is not yet skilful and sometimes runs into difficulty. Attempts to do this and is usually successful but recognises his/her limitations. Perfect

Subscales

  Poor under-
standing		 Clear under-
standing		 Coped poorly when
seen		 Coped
well
when
seen
CARDIORESPIRATORY EMERGENCIES
 Myocardial infarction

Acute asthma

L ventricular failure 

Pneumothorax 

Pulmonary embolus 

Croup

Bronchiolitis 

Cardiopulmonary arrest

NEUROLOGICAL
Unconscious patient

Epilepsy

ACUTE ABDOMEN
Appendicitis

Perforation 

Choleycystitis

Renal colic 

Pancreatitis

ACUTE HAEMORRHAGE 
Haematemesis and melaena

PREGNANCY 
Bleeding

Abdominal pain 

PSYCHIATRIC
Acute psychosis

Depression 

Panic attacks

 Overdose 

TRAUMA
Fractures

Head injury 

RTA

METABOLIC
Ill diabetic

SUDDEN DEATH
Sudden death

Notes for raters

This area of behaviour is best assessed in tutorials: 'What would you do if called to a patient who...?" Some of the above situations can be discussed after the trainee has had direct experience.

Comments: