FRCA Curriculum – Trauma

Competence Source Curriculum Description
MT_BK_01 Basic Explains the principles of the primary and secondary survey in trauma patients
MT_BK_02 Basic Recalls/describes the related anatomy, physiology and pharmacology [cross reference Basic anatomy, physiology and pharmacology sections]
MT_BK_03 Basic Recalls/describes the pathophysiological changes occurring in the trauma patient
MT_BK_04 Basic Explains the importance of early recognition of and the potential for airway compromise
MT_BK_05 Basic Explains the importance of correct airway management in the trauma patient
MT_BK_06 Basic Describes how to recognise and correctly manage hypovolaemia and other causes of shock
MT_BK_07 Basic Recalls/describes the indications for invasive cardiovascular monitoring, the relevant anatomy, principles of placement, associated complications and principles of their management
MT_BK_08 Basic Recalls/discusses the effects of hypothermia, the reasons for its prevention and methods available in trauma patients
MT_BK_09 Basic Explains the importance of correct pain relief in the trauma patient and methods used [from Emergency Dept to post-operatively]
MT_BK_10 Basic Discusses the options available for intravenous access in trauma patients including the intraosseous route
MT_BK_11 Basic Understands the importance of preventing hypothermia and acidosis in the trauma patient
MT_BK_12 Basic Describes the correct initial investigations required in the trauma patient
MT_BK_13 Basic Describes the imaging requirements in the emergency room [Cross Ref; non-theatre]
MT_BK_14 Basic Recalls/explains the principles of assessment and management of patients with brain injury [including the use of the Glasgow Coma Scale [GCS] ]
MT_BK_15 Basic Describes the causes and mechanisms for the prevention of secondary brain injury
MT_BK_16 Basic Outlines the particular problems associated with patients presenting with actual or potential cervical spine injuries particularly airway management
MT_BK_17 Basic Describes the principles of the perioperative management of the trauma patient
MT_BK_18 Basic Describes how to manage intra-hospital transfer of trauma patients [Cross Ref: transfer medicine ]
MT_IK_01 Intermediate Recalls/describes the complex pathophysiological changes that occur in all patients [including children] with multiple injuries
MT_IK_02 Intermediate Describes the perioperative anaesthetic management of patients with multiple injuries including head, facial, neck/spinal, thoracic, abdominal, pelvic and peripheral trauma
MT_IK_03 Intermediate Explains the reasons for, and benefits of, the hospital triage of trauma patients and the scoring systems used
MT_IK_04 Intermediate Describes strategies for minimising secondary brain injury in patients with multiple injures
MT_IK_05 Intermediate Describes the initial assessment, management and resuscitation of patients with:
Severe burns
Electrical injuries
Drowning and near drowning
Hypothermia
MT_IK_06 Intermediate Recalls/explains the management of massive blood loss including the use of rapid infusion devices
MT_IK_07 Intermediate Explains the implications, prevention and management of coagulopathy, hypothermia and acidosis in multiply injured patients
MT_IK_08 Intermediate Describes the management of children with multiple injuries, comparing and contrasting with that of adults [cross reference paediatric anaesthesia]
MT_IK_09 Intermediate Describes the specific ethical and ethnic issues associated with managing the multiply injured patient, including issues that relate to brain stem death and organ donation
MT_IK_10 Intermediate Discusses the indications and contraindications of regional anaesthesia and peripheral nerve blocks in multiply injured patients for the provision of analgesia, both initially and perioperatively
MT_IK_11 Intermediate Discusses the principles of clinical management for stabilisation of patients with multiple injuries requiring inter-hospital transfer strategies used, how safe transfer is undertaken, monitoring requirements and the options for modes of transfer [cross ref Transfer]
MT_IS_04 Intermediate Demonstrates safe perioperative anaesthetic management of patients with multiple injuries requiring early surgery, including the management of major blood loss and associated coagulopathy, hypothermia and acidosis
MT_IS_05 Intermediate Demonstrates correct preparation of patients for safe transfer including ensuring adequate resuscitation, appropriate accompanying personnel and the use of checklists
MT_IS_06 Intermediate Demonstrates safe inter-hospital transfer of stable trauma patient[s], including those with brain injury, whilst also ensuring the safety of accompanying personnel
MT_IS_07 Intermediate Demonstrates the ability to interpret imaging relevant to the primary survey