Critical incidents





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

CEACCP 2003: DECEMBER
Su Mallory, Jennifer Weller, Mark Bloch, and Mervyn Maze
The individual, the system, and medical error

CEACCP 2006: DECEMBER: M D Bould, D Hunter, and E J Haxby
Clinical risk management in anaesthesia

CEACCP 2002: APRIL
S Webber, J Andrzejowski, and G Francis
Gas embolism in anaesthesia

CEACCP 2004: AUGUST
Sally-Ann Ryder and Carl Waldmann
Anaphylaxis

CEACCP 2005: DECEMBER
Jonathan G Hardman and Alan R Aitkenhead
Awareness during anaesthesia

CEACCP 2002: AUGUST
R.M. Powell
Basic and advanced life support in adults

CEACCP 2002: AUGUST
Sunita Sanghavi and Juergen Rayner-Klein
Management of peri-arrest arrhythmia

CEACCP 2002: AUGUST
Ralph J. MacKinnon and Russell Perkins
Basic and advanced life support in children

CEACCP 2002: AUGUST
Suzanne Kite, Mike Bennett, and Karen H. Simpson
An ethical framework for cardiopulmonary resuscitation (CPR) decision making