EM Essential Training Day

Category: Training - Emergency Medicine Teaching Days

Date: July 8th 2014 9:00am until 5:00pm

Location: Frenchay, Bristol BS16 1LE

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Emergency Medicine Essential Training Day: Shock

Facilitator - Steve Meek

Shock

4 x 55 mins sessions          4 x 30 mins session           2 x 15 mins coffee, 1 x 45-60 mins lunch

Suggested start 9.00am

Topic/Time

Notes

Introduction to Shock

55 mins – 1 ½ hrs

Pathophysiology of 4 categories of shock: obstructive, hypovolaemic, distributive, cardiogenic

Specific treatments: vasopressors and indications.

Coffee break  15 mins

 

Sepsis

55 mins

Definitions: SIRS, sepsis, severe sepsis, septic shock.

Surviving sepsis/bundles and early goal directed therapy.

Could possibly touch on immunocompromised/ atypical presentations, i.e. elderly, chemotherapy, steroids, HIV

The use of invasive monitoring in Shock

55 mins

Overview

Examples of traces

Skills: Central venous access, Arterial lines (IO to be covered in Paediatric days)

Need manikins and kit

Lunch  45-60 mins

 

Anaphylaxis

30 mins

Physiology: brief

Management: ALS, include APLS algorithm and paediatric doses

Investigations: tryptase, C1 esterase etc.

Scenarios

55 mins

2-3 scenarios, approx 20 mins each

Need sim-man

Coffee break 15 mins

 

Ultrasound location of vessels

30 mins

For use in central venous access (IJV, SubC, Fem)

Techniques to improve views.

Need ultrasound machine and possible volunteer models

Please consult CEM Curriculum: Major presentations CMP1, CMP4, CMP5

 

 

 

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