Appendix F – Emergency care

Emergency Care 3: Range of situations

Main Scale

The doctor’s ability is incomplete: he/she cannot make or execute initial plans for some common important emergencies.					The doctor can cope, to the extent of preserving life, and making and executing an initial plan for the common emergencies encountered in general practice .
1	2	3	4	5	6	7	8	9	10
Has little understanding of this.		Attempts to do this but is not yet skilful and sometimes runs into difficulty.				Attempts to do this and is usually successful but recognises his/her limitations.			Perfect

Subscales

Poor under-
standing

Clear under-
standing

Coped poorly when
seen

Coped
well
when
seen

CARDIORESPIRATORY EMERGENCIES

Myocardial infarction

Acute asthma

L ventricular failure

Pneumothorax

Pulmonary embolus

Croup

Bronchiolitis

Cardiopulmonary arrest

NEUROLOGICAL

Unconscious patient

Epilepsy

ACUTE ABDOMEN

Appendicitis

Perforation

Choleycystitis

Renal colic

Pancreatitis

ACUTE HAEMORRHAGE

Haematemesis and melaena

PREGNANCY

Bleeding

Abdominal pain

PSYCHIATRIC

Acute psychosis

Depression

Panic attacks

Overdose

TRAUMA

Fractures

Head injury

RTA

METABOLIC

Ill diabetic

SUDDEN DEATH

Sudden death

Notes for raters

This area of behaviour is best assessed in tutorials: ‘What would you do if called to a patient who…?” Some of the above situations can be discussed after the trainee has had direct experience.