LO3

Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop

Resuscitate and stabilise critically ill adults, lead resuscitation teams, know when resuscitation is inappropriate or should be stopped and care for ED patients at the end of their life.

At completion of LO3 a trainee will be able to: 

  • Recognise and manage the initial phases of any acute life-threatening presentation including cardiac arrest and peri-arrest situations .

  • Be able to provide definitive airway, respiratory and circulatory support to critically ill patients .

  • Be able to establish the most appropriate level of care for critically unwell patients - including end-of life decisions - and support their needs as well as those of their loved ones.

Key LO3 Descriptors

At completion of Intermediate training a trainee will be able to:

  • Manage all life-threatening conditions including peri-arrest & arrest situations in the ED.

  • Care for ED patients and their relatives and loved ones at the end of the patient’s life.

  • Effectively lead resuscitation teams.

All with a supervisor ‘on call’ from home for queries, able to provide directions via phone and able to attend the bedside if required to provide direct supervision.

At completion of higher training a trainee will: 

  • Provide airway management & ventilatory support to critically ill patients.

  • Be expert in fluid management and circulatory support in critically ill patients.

  • Manage all life-threatening conditions including peri-arrest & arrest situations in the ED.

  • Be expert in caring for ED patients and their relatives and loved ones at the end of the patient’s life.

  • Effectively lead and support resuscitation teams.

  • Be able to manage with no supervisor involvement.

All following ACCS descriptors apply in Intermediate and Higher training

  • Respects patient autonomy and understands when and how they should use advance directives & living wills .

  • Can make judgements about junior colleagues’ competence in this domain.

  • Can offer constructive, useful feedback in this domain.

  • Whilst assessing and treating a patient the doctor must maintain optimum safety for the patient by recognising the limitations of the environment, the available equipment and personnel and employing best practice guidelines where these exist.

  • Be able to effectively lead the multi-disciplinary team with authority in resuscitation through to disposition regardless of complexity.

Page Contributors

Dr Sunny Jutla
Consultant in Emergency Medicine, Lead for EM3

Tom Brown
Website Designer

Jess Speller

Clinical Research FY2, Leicester Royal Infirmary