Supporting the Emergency Patient; Respiratory Tract Emergencies
There are many different emergencies that can present to us in practice but each and every one of these patients needs triage and stabilisation to enable us to safely manage their underlying disease. This module aims to help practitioners to develop a measured approach to fluid therapy and management of circulatory shock. Specific techniques for venous access, including central line placement, will also be discussed. Blood gas analysis can be a daunting and bewildering task but our discussion surrounding acid-base disturbance will focus on providing a simplified approach to enable you to rapidly assess cases without over-complicating matters. Finally we will consider how to spot patients in need of nutritional support and how to provide this in the different clinical situations we might face.
Key learning objectives Day One:
- Assess, recognise and treat shock
- Appreciate the indications for the different types of fluid therapy with their advantages and disadvantages and the need for electrolyte supplementation.
- Review techniques for venous access : sites, catheter placement, preparations and complications including advanced techniques and intraosseous techniques
- Have a general understanding of acid-base balance and its treatment
- Explain the need to monitor for complications during treatment and to record central venous pressure
- Appreciate the importance of acute malnutrition
- Formulate a plan to provide enteral, total parenteral and partial parenteral nutrition
Key learning objectives Day Two:
- Understand the general approach to dyspnoea
- Utilise and interpret a range of diagnostic techniques for respiratory patients including auscultation, radiography, endoscopy and arterial blood gas analysis to localise the underlying cause
- Appreciate the methods of oxygen delivery and be able to monitor the efficacy of treatment
- Understand the problems associated with oxygen delivery
- Explain the techniques available for drainage of the pleural cavity