Appendix F – Emergency care

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.

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