Approach to the Emergency Patient
A six week online tutored CPD course with Elle Haskey and Katie Gray
Week 1
Patient Assessment and Triage
- The concept of triage
- Preparedness
- Primary survey
- Secondary survey
- Emergency history
Learning objectives:
By the end of this week, delegates should be able to:
- Understand the triage process and how it can be utilised to prioritise emergency care
- Describe how to make their team and environment prepared for when the emergency patient arrives
- List how to carry out a primary survey during the initial assessment of the patient
- Explain how to carry out a secondary survey assessment in order to list their concerns with the patient
- Discuss how to communicate with the client including telephone advice, informed consent and emergency history
Week 2
Shock
- Classify shock
- Emergency database
- Blood pressure
- Oxygen therapy
- The use of multi-parameter monitors
Learning objectives:
By the end of this week, delegates should be able to:
- Identify a patient with shock and classify which type of shock they have
- Explain which parameters may be tested during an emergency database and how these can help to identify shock in the emergency room
- Understand the physiology of perfusion and ways in which blood pressure can be monitored in the emergency patient
- List the different ways that oxygen therapy can be delivered to the emergency patient
- Understand the uses and limitations of multiparameter monitors and their role in monitoring perfusion trends
Week 3
Fluid Therapy
- Patient assessment
- Identifying a fluid deficit or change in volume
- What fluids are available
- Managing a change in content
- Identifying a change in fluid distribution
Learning objectives:
By the end of this week, delegates should be able to:
- Explain how to assess the patient’s fluid status using clinical exam and blood work
- Discuss how to create a fluid plan to treat a fluid deficit such as hypovolaemia or dehydration
- List what fluid options are available and which fluid might be preferred in which situation
- Understand how fluid selection or the fluid plan can be altered to account for an electrolyte abnormality
- Describe how to manage the patient with fluid overload or peripheral oedema
Week 4
Neurological Emergencies
- Neurological assessment
- Coma scoring
- Raised intracranial pressure
- Seizures
Learning objectives:
By the end of this week, delegates should be able to:
- Describe how to perform a neurological assessment of an emergency patient
- Describe how to perform a coma score and understand how these may be used in neurological patients
- Understand methods of identifying raised intracranial pressure and the physiology behind this
- Recognise a seizuring patient and understand their management, from initial presentation and stabilisation of mild seizures through to the management of a patient in status epilepticus
Week 5
Approach to the Trauma Patient
- Assessment of wounds
- Wound management
- Management of fractures
- Other injuries associated with trauma
- Analgesia
Learning objectives:
By the end of this week, delegates should be able to:
- Identify different wounds based on the patient history and appearance of the wound
- Understand the principles of wound management and common techniques used to flush and debride wounds
- Describe how to identify and manage fractures in the trauma patient
- List other common injuries associated with trauma and how these should be managed
- Implement an analgesia plan for the trauma patient based on pain assessment
Week 6
Common Toxicities
- Common toxins seen in emergency practice
- Renal toxins
- Hepatotoxins
- Anticoagulants
- Neurotoxins
Learning objectives:
By the end of this week, delegates should be able to:
- Describe the different ways toxins can enter the body
- List the most common renal toxins and understand the treatment of these patients
- List the most common hepatotoxins and understand the different treatments for each of these
- Understand the physiological effects of anticoagulant ingestion and the treatment of these patients
- Identify the most common neurotoxins seen in practice and understand the treatment of these patients
CPD Course Content
Modules
Status
1
Welcome
2
Week 1 - Patient Assessment and Triage Available on: 12/08/2024 12:00 am
3
Week 2 - Shock Available on: 19/08/2024 12:00 am
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Week 3 - Fluid Therapy Available on: 26/08/2024 12:00 am
5
Week 4 - Neurological Emergencies Available on: 02/09/2024 12:00 am
6
Week 5 - Approach to the Trauma Patient Available on: 09/09/2024 12:00 am
7
Week 6 - Common Toxicities Available on: 16/09/2024 12:00 am
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