Definitions

Question 1

Assessment

Answer 1

1 history,
2 performing a physical examination
3 prioritised investigations.

Question 2

Disposition

Answer 2

• Discharge from ED inc discharge planning
• Patient transfer/retrieval to another hospital
• Admission to hospital/ICU
• Home/NH/correctional facilities

Question 3

Disposition

Answer 3

• Discharge from ED inc discharge planning
• Patient transfer/retrieval to another hospital
• Admission to hospital/ICU
• Home/NH/correctional facilities

Question 4

Initial assessment

Answer 4

1 Rapid history and examination leading to differential dx
2 Choice investigation
3 initial intervention

Question 5

Initial intervention

Answer 5

Highest priority specific treatments, required during or immediately after the initial assessment of a patient.

Question 6

Management

Answer 6

1 Interventions including resuscitation and treatment (including procedures)
2 disposition.

Question 7

Patient safety

Answer 7

A list of factors which may contribute to error, or prevention of error, in patient care.

Question 8

Risk stratification

Answer 8

The process of predicting which patients have the greatest likelihood of a specific outcome.

Question 9

Risk stratification

Answer 9

The process of predicting which patients have the greatest likelihood of a specific outcome.

Question 10

Outline

Answer 10

Provide a logical framework in which all key decisions/topics are covered

Question 11

State

Answer 11

Provide the requested number of answers, where each answer should be no more than a phrase or short sentence.

Question 12

Prepare

Answer 12

Place
Staff
Drugs
Equipement

Question 13

Discuss

Answer 13

Define
Pros
Cons
Controversies
Practice Statement

Question 14

Key features

Answer 14

what are the overarching points?
example: UGIB. key features of history and exam are:
determine risk – severity, complications and life threats
determine implications for acute management
determine implications for resource utilisation

Question 15

Investigation

Answer 15

Bedside: ECG, BSL/VBG
Laboratory: FBC, Troponin
Imaging: CXR

Question 16

Management

Answer 16

Resuscitation

Sometimes not needed, but must take precedence when vitals are given, or a situation clearly indicates the need for it. This domain includes measures such as IV normal saline 20mL/kg bolus stat, or defibrillation, for example.

Specific

Management pertaining to the case, such as reversal agents, antidotes, interventions. For example: hyperkalaemia’s specific management includes 10-30mL Calcium Gluconate 10% solution IV, whereas an aortic dissection’s specific management includes rate control to HR ~60 and SBP control to 100-110mmHg with IV beta blockade (esmolol, metoprolol, etc)

General

This means supportive care, such as fluids, analgesia, positioning, antiemetics, etc.

Complications & Communication

Management to avoid potential complications might go here, as well as communication with relevant specialties for particular interventions. Communication with the patient’s family might not go astray here either

Disposition

Management always includes a disposition. This may be cath lab, theatre or ICU, but make sure it’s there.