|The doctor tends to be slow to make decisions, and/or makes poor decisions, which may relate to incomplete knowledge of the resources available.||The doctor will make rapid and correct management decisions which reflect an accurate knowledge of the resources available to deal with the emergency.|
|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|
The doctor at the scene of the emergency
|(a)||:Is ready to accept the appropriate responsibility, where necessary taking control.(1)|
|(b)||Makes an accurate assessment of the problem using observation, history from the patient, evidence from witnesses, and appropriate diagnostic tests.|
|(c)||Uses equipment and drugs properly.|
|(d)||Handles his/her own emotions (anxiety, shock, revulsion) well enough to remain calm and controlled throughout.|
|(e)||Can therefore meet the needs of the patient, relatives, witnesses and other helpers for comfort and reassurance.|
(1) It should not be assumed that the doctor will or always should take control, especially when involved with highly professional and very experienced emergency services!
Notes for raters
This is best assessed by direct observation, but feedback from the patient and relatives will be very helpful, together with case discussion (b), (c) andd).
For a checklist covering a range of situations see Appendix F.