Critical incidents

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Management of the listed specific incidents including:

1. Following through a critical incident with warning flags, presentation at morbidity, meetings, proper reporting etc
2. Critical Incident Reporting:
   1. Purpose and value
   2. Methods – local / national
   3. Anonymity – pros and cons
3. Information to patient and where necessary, counselling and advice

Specifically listed events

1. Failed Intubation
   1. Failed intubation drill
2. Pulmonary aspiration
   1. Prevention
   2. Management
3. Aspiration of vomit
4. Laryngospasm
5. Bronchospasm
6. Diagnosis and treatment of pneumothorax
7. Tension Pneumothorax
8. Gas / Fat / Pulmonary embolus
9. Difficulty with IPPV and sudden or progressive loss of minute volume
10. Arrhythmias
    1. ST segment changes
    2. Sudden tachydysrhythmia
    3. Sudden bradycardia
    4. Ventricular Ectopics
    5. Ventricular tachycardia
    6. Ventricular Fibrillation
11. Adverse drug reactions:
12. Abnormal response to muscle relaxants
13. Local anaesthetic toxicity: Avoidance, presentation, treatment
14. Management of malignant hyperthermia
15. Anaphylaxis and anaphylactoid reactions
16. Management of intra-arterial injection of harmful substances (e.g. antibiotics, thiopentone)
17. High spinal block
18. Transfusion of miss-matched blood or blood products
19. Detection and prevention of awareness
20. Convulsions

Respiratory and cardiac arrest

1. Patient assessment: diagnosis of causes of cardio-respiratory arrest
2. Causes of cardio-respiratory arrest during induction, maintenance and recovery from
3. anaesthesia
4. Importance of considering non-cardiac causes of cardio-respiratory arrest
5. Methods of airway management (mouth-mouth/nose, bag-mask, LMA, intubation)
6. Recognition and management of life-threatening arrhythmias including defibrillation
7. and drug therapy
8. Recognition and management of non-cardiac causes of cardio-respiratory arrest
9. Knowledge of specific problems of paediatric resuscitation
10. Ethical aspects of resuscitation
11. Current Resuscutation guidelines
12. Arrhythmia recognition and management (drugs/ defibrillators/ pacemakers)
13. Defibrillation and defibrillator settings
14. Deciding when further resuscitation is futile
15. Diagnosis of death