![[Pasted image 20230414162116.png]] # 1. RESUSCITATION ## 1.1 Airway - [ ] Basic airway maintenance techniques P ==Expert== - [ ] Oxygen delivery systems Eq ==Expert== - [ ] Bag mask ventilation P ==Expert== - [ ] Intubation and rapid sequence induction P ==Expert== - [ ] Alternative/different airway techniques P ==Expert== - [ ] laryngeal mask - [ ] other - [ ] Needle/surgical cricothyroidotomy P ==Expert== - [ ] Tracheostomy P *High Knowledge* - [ ] Tracheal suctioning P ==Expert== ## 1.2 Airway Management - [ ] Elective intubation P ==Expert== - [ ] Confirming endotracheal tube position P ==Expert== - [ ] Laryngeal mask airway P ==Expert== - [ ] Capnography I ==Expert== - [ ] Pulse oximetry I ==Expert== - [ ] Extubation P ==Expert== - [ ] Ventilators - [ ] Used in EDs Eq ==Expert== - [ ] Other Eq *High Knowledge* - [ ] Non-invasive ventilation Eq ==Expert== ## 1.3 Life Support - [ ] Cardiac arrest DIS ==Expert== - [ ] Basic life support P ==Expert== - [ ] ACLS drugs and algorithms M ==Expert== - [ ] Defibrillation P ==Expert== - [ ] Special arrest situations - [ ] Paediatric M ==Expert== - [ ] Trauma M ==Expert== - [ ] Hypothermia M ==Expert== - [ ] Out-of-hospital M ==Expert== ## 1.4 Vital sign measurement - [ ] Clinical vital signs (BP, pulse, RR, temp) I ==Expert== - [ ] Non-invasive electronic monitoring I/P ==Expert== - [ ] Invasive monitoring P *High Knowledge* ## 1.5 Shock - [ ] Intravenous fluid composition and therapy M ==Expert== - [ ] High volume intravenous infusion techniques P ==Expert== - [ ] Autotransfusion P **General Knowledge** - [ ] Peripheral venous access P ==Expert== - [ ] Accessing indwelling vascular devices P ==Expert== - [ ] Vascular access techniques in infants & children P ==Expert== - [ ] Central venous access - [ ] Subclavian P ==Expert== - [ ] Internal jugular P ==Expert== - [ ] Femoral P ==Expert== - [ ] Cubital P ==Expert== - [ ] Central venous pressure measurement I ==Expert== - [ ] Alternative venous access - [ ] Intraosseus P ==Expert== - [ ] Peripheral venous cutdown P *High Knowledge* - [ ] Inotropes D ==Expert== - [ ] Pressors D ==Expert== - [ ] Arterial puncture and cannulation P ==Expert== - [ ] Endotracheal drug delivery M ==Expert== - [ ] MAST suit P **General Knowledge** ## 1.6 Coma - [ ] Care of the comatose patient M/I ==Expert== - [ ] Brain death DIS *High Knowledge* ## 1.7 Age-specific differences Be able to describe the anatomical and physiological differences that might affect resuscitation in the following groups - [ ] Neonatal T ==Expert== - [ ] Infant T ==Expert== - [ ] Paediatric T ==Expert== - [ ] Elderly T ==Expert== # 2. ANAESTHETICS ## 2.1 General Anaesthetic Techniques - [ ] Intravenous induction and maintenance agents D ==Expert== - [ ] Muscle relaxants D ==Expert== - [ ] Depolarising - [ ] Non-depolarising - [ ] Inhalational anaesthetic agents (including nitrous oxide) D *High Knowledge* - [ ] Drugs for conscious sedation D ==Expert== ## 2.2 Local Anaesthetic Techniques - [ ] Local anaesthetic pharmacology and toxicity D ==Expert== - [ ] Regional nerve blocks P *High Knowledge* - [ ] Digital - [ ] Wrist - [ ] Brachial plexus - [ ] Femoral - [ ] Facial - [ ] Foot - [ ] Intravenous regional anaesthesia P ==Expert== - [ ] Local anaesthetic adjuncts and alternatives D *High Knowledge* ## 2.3 Pain Management - [ ] Acute pain management M/I ==Expert== - [ ] Drugs - [ ] Methods of delivery - [ ] Adjucts - [ ] Chronic pain management T **General Knowledge** - [ ] Pain scores T ==Expert== ## 2.4 Procedural Analgesia and Sedation P ==Expert== # 3. MEDICINE ## 3.1 Cardiovascular - [ ] Clinical examination of the cardiovascular system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the cardiovascular system E ==Expert== - [ ] Acute coronary syndromes (ACS) - [ ] Approach to the patient with chest pain DIS ==Expert== - [ ] Prehospital management S *High Knowledge* - [ ] Low-risk chest pain I/S *High Knowledge* - [ ] Stable angina DIS *High Knowledge* - [ ] Unstable angina DIS *High Knowledge* - [ ] Myocardial infarction DIS ==Expert== - [ ] Right ventricular myocardial infarction DIS *High Knowledge* - [ ] Thrombolysis in myocardial infarction M ==Expert== - [ ] Left ventricular failure and cardiogenic shock in the setting of myocardial infarction DIS *High Knowledge* - [ ] Interventional cardiology in acute coronary syndromes M/P **General Knowledge** - [ ] Pharmacological agents used in acute coronary syndromes D *High Knowledge* - [ ] Interpreting the ECG in the setting of acute coronary syndromes I ==Expert== - [ ] ST elevation in the absence of myocardial infarction I ==Expert== - [ ] An understanding of the major trials in acute coronary syndromes T *High Knowledge* - [ ] Current research in ACS T *High Knowledge* - [ ] Chest pain pathways M/S *High Knowledge* - [ ] Chest pain units M/S *High Knowledge* - [ ] Syncope DIS *High Knowledge* - [ ] Differential diagnosis - [ ] Identification of at-risk groups - [ ] Management and disposition - [ ] Congestive cardiac failure DIS *High Knowledge* - [ ] Valvular disorders - [ ] Aortic DIS *High Knowledge* - [ ] Mitral DIS *High Knowledge* - [ ] Tricuspid DIS **General Knowledge** - [ ] Pulmonary DIS **General Knowledge** - [ ] Conditions that are associated with valvular disorders DIS **General Knowledge** - [ ] Disorders of the myocardium - [ ] Cardiomyopathy DIS **General Knowledge** - [ ] Aneurysm DIS **General Knowledge** - [ ] Atrial septal defect DIS **General Knowledge** - [ ] Ventricular septal defect DIS **General Knowledge** - [ ] Dextrocardia DIS **General Knowledge** - [ ] Disorders of the pericardium - [ ] Acute pericarditis DIS *High Knowledge* - [ ] Constrictive pericarditis DIS **General Knowledge** - [ ] Pericardial effusion DIS **General Knowledge** - [ ] Pericardial tamponade DIS *High Knowledge* - [ ] Pericardiocentesis P *High Knowledge* - [ ] Cardiogenic shock DIS *High Knowledge* - [ ] Hypertension - [ ] Urgencies DIS *High Knowledge* - [ ] Emergencies DIS ==Expert== - [ ] Pharmacological agents used to treat hypertension D *High Knowledge* - [ ] Disturbances of cardiac rhythm - [ ] Mechanisms of arrhythmias T *High Knowledge* - [ ] Bradycardias - [ ] sinus bradycardia DIS ==Expert== - [ ] heart block DIS ==Expert== - [ ] other bradycardias DIS ==Expert== - [ ] Tachycardias DIS ==Expert== - [ ] narrow complex regular DIS ==Expert== - [ ] narrow complex irregular DIS ==Expert== - [ ] wide complex regular DIS ==Expert== - [ ] wide complex irregular DIS ==Expert== - [ ] torsade des pointes DIS ==Expert== - [ ] ventricular fibrillation DIS ==Expert== - [ ] Ectopy - [ ] narrow complex DIS ==Expert== - [ ] wide complex DIS ==Expert== - [ ] Accessory pathways - [ ] Wolff-Parkinson-White syndrome DIS ==Expert== - [ ] other DIS *High Knowledge* - [ ] Electrophysiological testing I **General Knowledge** - [ ] Drugs associated with cardiac arrhythmias D ==Expert== - [ ] Pharmacological agents used to treat arrhythmias D ==Expert== - [ ] International guidelines for the management of arrhythmias D ==Expert== - [ ] Implantable cardiac devices (ICDs) - [ ] Implantable pacemakers Eq **General Knowledge** - [ ] Implantable defibrillators Eq **General Knowledge** - [ ] Complications of ICDs Eq/T **General Knowledge** - [ ] External and internal emergent cardiac pacing Eq/P *High Knowledge* - [ ] Disorders of the peripheral vasculature - [ ] Deep venous thrombosis DIS *High Knowledge* - [ ] Pulmonary embolism DIS *High Knowledge* - [ ] Mesenteric ischaemia DIS *High Knowledge* - [ ] Cardiac transplantation DIS **General Knowledge** - [ ] Endocarditis DIS *High Knowledge* - [ ] Tumours DIS **General Knowledge** - [ ] Congential heart disease DIS **General Knowledge** - [ ] Cyanotic heart disease DIS *High Knowledge* - [ ] Rheumatic fever DIS *High Knowledge* ## 3.2 Respiratory - [ ] Clinical examination of the respiratory system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the signs of the respiratory system E ==Expert== - [ ] Respiratory failure DIS *High Knowledge* - [ ] Upper airway obstruction DIS ==Expert== - [ ] Infectious diseases - [ ] Croup DIS *High Knowledge* - [ ] Bronchitis DIS *High Knowledge* - [ ] Pneumonia DIS *High Knowledge* - [ ] Empyema DIS *High Knowledge* - [ ] Aspiration DIS *High Knowledge* - [ ] Acute lung injury/respiratory distress syndrome DIS *High Knowledge* - [ ] Asthma DIS ==Expert== - [ ] Pneumothorax DIS ==Expert== - [ ] Intercostal catheter insertion P ==Expert== - [ ] Pneumomediastinum DIS *High Knowledge* - [ ] Chronic obstructive pulmonary disease DIS *High Knowledge* - [ ] Pleural effusions DIS *High Knowledge* - [ ] Needle thoracocentesis P *High Knowledge* - [ ] Haemoptysis DIS *High Knowledge* - [ ] Cavitating lung lesions DIS **General Knowledge** - [ ] Isolated “coin” lesions on chest x-ray DIS **General Knowledge** - [ ] Disorders of the chest wall DIS **General Knowledge** - [ ] Disorders of the mediastinum DIS **General Knowledge** - [ ] The respiratory effects of obesity DIS **General Knowledge** - [ ] Sleep apnoea DIS **General Knowledge** - [ ] Lung transplants DIS **General Knowledge** - [ ] Neoplastic disorders DIS **General Knowledge** - [ ] Congenital/neonatal - [ ] Bronchopulmonary dysplasia DIS **General Knowledge** - [ ] Cystic fibrosis DIS **General Knowledge** ## 3.3 Gastrointestinal - [ ] Clinical examination of the gastrointestinal system E *High Knowledge* - [ ] Interpretation of the symptoms and clinical signs of the gastrointestinal system E *High Knowledge* - [ ] Gastrointestinal bleeding DIS *High Knowledge* - [ ] Indications for urgent gastroscopy M ==Expert== - [ ] Techniques used with gastroscopy to control haemorrhage P **General Knowledge** - [ ] Pharmacological agents used in management toxicological agents D *High Knowledge* - [ ] Oesophageal varices DIS *High Knowledge* - [ ] Balloon tamponade of gastro-oesophageal varices P **General Knowledge** - [ ] Peptic ulceration DIS *High Knowledge* - [ ] Angiodysplasia of the colon DIS **General Knowledge** - [ ] Oesophageal disorders - [ ] Infectious disorders DIS **General Knowledge** - [ ] Oesophagitis DIS **General Knowledge** - [ ] Gastroesophageal reflux DIS **General Knowledge** - [ ] Motor abnormalities DIS **General Knowledge** - [ ] Mallory-Weiss syndrome DIS *High Knowledge* - [ ] Stricture and stenosis DIS **General Knowledge** - [ ] Tracheo-oesophageal fistula DIS **General Knowledge** - [ ] Neoplastic disorders DIS **General Knowledge** - [ ] Peptic ulcer disease and gastritis DIS *High Knowledge* - [ ] Feeding tube management DIS *High Knowledge* - [ ] Inflammatory bowel disease DIS **General Knowledge** - [ ] Irritable bowel syndrome DIS **General Knowledge** - [ ] Infectious disorders and gastroenteritis DIS **General Knowledge** - [ ] Hepatic disorders - [ ] Jaundice DIS **General Knowledge** - [ ] Interpretation of liver function tests I *High Knowledge* - [ ] Hepatic failure DIS **General Knowledge** - [ ] Hepatitis DIS **General Knowledge** - [ ] Other infectious disorders of the liver DIS **General Knowledge** - [ ] Vascular disorders DIS **General Knowledge** - [ ] Liver transplant patient DIS **General Knowledge** - [ ] Alcoholic liver disease DIS **General Knowledge** - [ ] Hepato-renal syndrome DIS **General Knowledge** - [ ] Portal hypertension DIS **General Knowledge** - [ ] Abdominal paracentesis P *High Knowledge* ## 3.4 Neurological - [ ] Clinical examination of the neurological system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the neurological system E *High Knowledge* - [ ] Disorders of the cranial nerves - [ ] Facial nerve paralysis DIS *High Knowledge* - [ ] Other DIS **General Knowledge** - [ ] Headache and facial pain - [ ] Pharmacological agents DIS *High Knowledge* - [ ] Indications for imaging (CT, MR - [ ] I *High Knowledge* - [ ] Migraine DIS *High Knowledge* - [ ] Cluster headache DIS *High Knowledge* - [ ] Tension headache DIS *High Knowledge* - [ ] Raised intracranial pressure DIS *High Knowledge* - [ ] Temporal arteritis DIS *High Knowledge* - [ ] Neuralgia DIS **General Knowledge** - [ ] TMJ syndrome DIS **General Knowledge** - [ ] Cerebrovascular accident (CVA) - [ ] Transient ischaemic attacks DIS *High Knowledge* - [ ] RINDS DIS *High Knowledge* - [ ] Thrombotic CVA DIS *High Knowledge* - [ ] Embolic CVA DIS *High Knowledge* - [ ] Haemorrhagic CVA DIS *High Knowledge* - [ ] Cerebellar CVA DIS *High Knowledge* - [ ] Thombolysis in CVA M *High Knowledge* - [ ] CVA and hypertension DIS **General Knowledge** - [ ] Syndromes of CVA DIS **General Knowledge** - [ ] Anterior cerebral artery DIS **General Knowledge** - [ ] Middle cerebral artery DIS **General Knowledge** - [ ] Posterior inferior cerebellar artery syndrome DIS **General Knowledge** - [ ] Lacunar syndrome DIS **General Knowledge** - [ ] Midbrain, pontine and brainstem syndromes DIS **General Knowledge** - [ ] Stroke units S **General Knowledge** - [ ] Altered mental state - [ ] Coma DIS ==Expert== - [ ] Acute brain syndrome DIS *High Knowledge* - [ ] Dementia DIS **General Knowledge** - [ ] Memory disorders DIS **General Knowledge** - [ ] Approach to ataxia and gait disturbances DIS **General Knowledge** - [ ] Seizures DIS *High Knowledge* - [ ] Status epilepticus DIS ==Expert== - [ ] Dystonic reactions DIS *High Knowledge* - [ ] Lumbar puncture P ==Expert== - [ ] Interpretation of CSF fluid biochemistry, cell count and microbiology I *High Knowledge* - [ ] Infectious disorders of the CNS and PNS - [ ] Meningitis DIS *High Knowledge* - [ ] Encephalitis DIS *High Knowledge* - [ ] Abscess DIS *High Knowledge* - [ ] Tuberculosis DIS **General Knowledge** - [ ] Toxoplasmosis DIS **General Knowledge** - [ ] Cryptococcal infection DIS **General Knowledge** - [ ] *High Knowledge*IV DIS **General Knowledge** - [ ] Guillain-Barré syndrome DIS **General Knowledge** - [ ] Multiple sclerosis DIS *High Knowledge* - [ ] Myasthenia gravis & Eaton-Lambert syndrome DIS **General Knowledge** - [ ] Botulism DIS **General Knowledge** - [ ] Diphtheria DIS **General Knowledge** - [ ] Tetanus DIS *High Knowledge* - [ ] Motor neurone disease DIS *High Knowledge* - [ ] Peripheral neuropathy DIS **General Knowledge** - [ ] Disorders of the peripheral nervous system - [ ] Peripheral nerve lesions DIS *High Knowledge* - [ ] Brachial plexus syndrome DIS **General Knowledge** - [ ] Myopathy DIS **General Knowledge** - [ ] Periodic paralysis DIS *High Knowledge* - [ ] Parkinson’s disease DIS **General Knowledge** - [ ] Hydrocephalus DIS *High Knowledge* - [ ] Complications of the central nervous system devices DIS **General Knowledge** - [ ] Disorders of the spinal cord DIS **General Knowledge** - [ ] Medical problems in the spinally-injured patient DIS *High Knowledge* - [ ] Paraneoplastic disorders of the CNS and PNS DIS **General Knowledge** ## 3.5 Endocrine - [ ] Clinical examination of the endocrine system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the endocrine system E *High Knowledge* - [ ] Hypoglycaemia DIS ==Expert== - [ ] Diabetic ketoacidosis DIS ==Expert== - [ ] Diabetic with unstable blood glucose DIS *High Knowledge* - [ ] Alcoholic ketoacidosis DIS *High Knowledge* - [ ] Hyperosmolar hyperglycaemic nonketotic syndrome DIS ==Expert== - [ ] Adrenal disorders - [ ] Acute adrenal insufficiency (adrenal crisis) DIS *High Knowledge* - [ ] Congenital adrenal insufficiency DIS **General Knowledge** - [ ] Cushing’s disease DIS **General Knowledge** - [ ] Conn’s syndrome DIS **General Knowledge** - [ ] Phaeochromocytoma DIS **General Knowledge** - [ ] Thyroid disorders - [ ] Urgencies associated with thyroid disorders DIS *High Knowledge* - [ ] Thyroid storm DIS *High Knowledge* - [ ] Hypothyroid crisis DIS *High Knowledge* - [ ] Pituitary disorders DIS **General Knowledge** - [ ] Panhypopituitarism DIS **General Knowledge** - [ ] Parathyroid disorders DIS **General Knowledge** ## 3.6 Haematological - [ ] Clinical examination of the haematological system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the haematological system E *High Knowledge* - [ ] Interpretation of haematological investigations I *High Knowledge* - [ ] Anaemia DIS *High Knowledge* - [ ] Abnormal haemoglobins DIS **General Knowledge** - [ ] Disorders of haemostasis and coagulation DIS *High Knowledge* - [ ] Anticoagulant agents D *High Knowledge* - [ ] Antiplatelet agents D *High Knowledge* - [ ] Neutropenia DIS *High Knowledge* - [ ] Thrombocytopenia DIS *High Knowledge* - [ ] Thrombocytosis DIS **General Knowledge** - [ ] Disorders of white cells DIS **General Knowledge** - [ ] Myelodysplastic disorders DIS **General Knowledge** - [ ] Paraproteinaemia DIS **General Knowledge** - [ ] Blood transfusion and component therapy D/S ==Expert== - [ ] Transfusion reactions DIS *High Knowledge* ## 3.7 Oncology - [ ] Clinical examination in patients suspected of having a malignancy E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs associated with malignancy E *High Knowledge* - [ ] Complications of chemotherapeutic agents D **General Knowledge** - [ ] Complications related to local tumour involvement - [ ] Acute spinal cord compression DIS *High Knowledge* - [ ] Upper airway obstruction DIS *High Knowledge* - [ ] Malignant pericardial effusion DIS **General Knowledge** - [ ] Superior vena cava syndrome DIS **General Knowledge** - [ ] Pancoast’s syndrome DIS **General Knowledge** - [ ] Hyperviscosity syndrome DIS **General Knowledge** - [ ] Complications related to myelosuppression DIS **General Knowledge** - [ ] Febrile neutropenia DIS **General Knowledge** - [ ] Immunosuppression and opportunistic infections DIS **General Knowledge** - [ ] Thrombocytopaenia and haemorrhage DIS **General Knowledge** - [ ] Malignancies specific to organ systems DIS **General Knowledge** - [ ] Paraneoplastic syndromes DIS **General Knowledge** ## 3.8 Renal - [ ] Clinical examination of the renal system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the renal system E **General Knowledge** - [ ] Pyuria I *High Knowledge* - [ ] Interpretation of urine dipstick results I *High Knowledge* - [ ] Interpretation of urine microscopy and culture I *High Knowledge* - [ ] Infectious disorders - [ ] UTI DIS *High Knowledge* - [ ] Prostatitis DIS *High Knowledge* - [ ] Pyelonephritis DIS *High Knowledge* - [ ] Infected obstructed kidney DIS *High Knowledge* - [ ] Acute renal failure DIS *High Knowledge* - [ ] Chronic renal failure DIS **General Knowledge** - [ ] Hyperkalaemia in renal failure DIS ==Expert== - [ ] Renal dialysis - [ ] Peritoneal M **General Knowledge** - [ ] Intermittent haemodialysis M **General Knowledge** - [ ] Continual renal replacement therapies M **General Knowledge** - [ ] Complications of renal dialysis M **General Knowledge** - [ ] Renal transplant DIS **General Knowledge** - [ ] Haemolytic uremic syndrome DIS **General Knowledge** - [ ] Rhabdomyolysis DIS *High Knowledge* - [ ] Polycystic kidney disease DIS **General Knowledge** ## 3.9 Rheumatology - [ ] Clinical examination of the rheumatological system E *High Knowledge* - [ ] Interpretation of symptoms and signs of the rheumatological system E **General Knowledge** - [ ] Arthrocentesis P ==Expert== - [ ] Rheumatoid arthritis DIS **General Knowledge** - [ ] Osteoarthritis DIS **General Knowledge** - [ ] Crystal arthopathies DIS *High Knowledge* - [ ] Urgencies and emergencies in systemic rheumatic disease DIS *High Knowledge* - [ ] Thoracic and lumbar pain DIS *High Knowledge* - [ ] Neck pain DIS **General Knowledge** - [ ] Shoulder pain DIS **General Knowledge** - [ ] Tunnel syndromes - [ ] Carpal tunnel DIS **General Knowledge** - [ ] Ulnar tunnel DIS **General Knowledge** - [ ] Tarsal tunnel DIS **General Knowledge** - [ ] Complications of drugs used on rheumatic disease D **General Knowledge** ## 3.10 Dermatology - [ ] Clinical examination of the dermatology system E *High Knowledge* - [ ] Interpretation of symptoms and clinical signs of the dermatological system E **General Knowledge** - [ ] Examination and description of a lump, lesion ulcer of the skin, or rash E *High Knowledge* - [ ] Dermatitis and eczema DIS **General Knowledge** - [ ] Urticarial and allergic rashes DIS *High Knowledge* - [ ] Viral exanthems DIS **General Knowledge** - [ ] Macular rashes DIS **General Knowledge** - [ ] Maculopapular lesions - [ ] Erythema multiforme DIS *High Knowledge* - [ ] Erythema nodosum DIS **General Knowledge** - [ ] Others DIS **General Knowledge** - [ ] Papular and nodular rashes DIS **General Knowledge** - [ ] Petechial and purpuric rashes DIS **General Knowledge** - [ ] Vesicular and bullous rashes - [ ] Pemphigus DIS **General Knowledge** - [ ] Pemphigoid DIS **General Knowledge** - [ ] Staphylococcal scalded skin syndrome DIS *High Knowledge* - [ ] Stevens-Johnson syndrome DIS *High Knowledge* - [ ] Toxic epidermal necrolysis DIS *High Knowledge* - [ ] Herpetic infections DIS *High Knowledge* - [ ] Others DIS **General Knowledge** - [ ] Ulceration DIS **General Knowledge** - [ ] Cellulitis DIS *High Knowledge* - [ ] Dermatological manifestations of underlying systemic disease DIS **General Knowledge** - [ ] Dermatological manifestations of neoplastic disorders DIS **General Knowledge** ## 3.11 Infectious disorders - [ ] Clinical examination in patients with infectious disease E *High Knowledge* - [ ] Interpretation of symptoms and signs in patients with infectious disease E *High Knowledge* - [ ] Blood cultures P ==Expert== - [ ] Universal and standard precautions S *High Knowledge* - [ ] Protection of staff from infectious disease S *High Knowledge* - [ ] Isolation of patients with infectious disease S *High Knowledge* - [ ] Infection control in the ED S ==Expert== - [ ] Body fluid exposure S ==Expert== - [ ] Vaccination in the ED M/D/S *High Knowledge* - [ ] Infectious disease surveillance S **General Knowledge** - [ ] Infectious disease outbreaks DIS *High Knowledge* - [ ] Reportable communicable diseases S *High Knowledge* - [ ] Contact management of patients with serious infectious disease T/S *High Knowledge* - [ ] Antibiotic use in the ED D ==Expert== - [ ] Outpatient antibiotic therapy M/D/S *High Knowledge* - [ ] Febrile infant management - [ ] Bacteraemia DIS *High Knowledge* - [ ] Systemic inflammatory response syndrome T *High Knowledge* - [ ] Sepsis, severe sepsis and septic shock T *High Knowledge* - [ ] Multiple organ dysfunction DIS *High Knowledge* - [ ] Toxic shock syndrome DIS *High Knowledge* - [ ] Infections in the returned traveller - [ ] Malaria DIS **General Knowledge** - [ ] Dengue fever DIS **General Knowledge** - [ ] Haemorrhagic fevers DIS **General Knowledge** - [ ] Typhoid DIS **General Knowledge** - [ ] Others DIS **General Knowledge** - [ ] Bacterial - [ ] Food poisoning DIS **General Knowledge** - [ ] Meningococcaemia DIS *High Knowledge* - [ ] Disseminated gonococcal infection DIS *High Knowledge* - [ ] Tuberculosis and other mycobacterial infections DIS **General Knowledge** - [ ] Gas gangrene DIS *High Knowledge* - [ ] Necrotising fasciitis DIS *High Knowledge* - [ ] Fournier’s gangrene DIS *High Knowledge* - [ ] Diphtheria DIS **General Knowledge** - [ ] Haemophilus influenzae DIS **General Knowledge** - [ ] Sexually transmitted infections DIS *High Knowledge* - [ ] Viral - [ ] *High Knowledge*IV DIS *High Knowledge* - [ ] Infectious mononucleosis DIS **General Knowledge** - [ ] Influenza/parainfluenza DIS **General Knowledge** - [ ] Herpes simplex DIS *High Knowledge* - [ ] Herpes zoster DIS *High Knowledge* - [ ] Mycoplasma infections DIS *High Knowledge* - [ ] Fungal infections DIS **General Knowledge** - [ ] Protozoal infections DIS **General Knowledge** - [ ] Tick-borne infections DIS **General Knowledge** - [ ] Infection from a marine source DIS *High Knowledge* - [ ] Infection in the burns patient DIS **General Knowledge** - [ ] Biologic weapons D/S *High Knowledge* ## 3.12 Immunology - [ ] Clinical examination of the patient with a suspected immunological disorder E **General Knowledge** - [ ] Interpretation of symptoms and signs of the immunological systems E **General Knowledge** - [ ] Hypersensitivity - [ ] Allergic reactions DIS *High Knowledge* - [ ] Anaphylactoid reactions DIS *High Knowledge* - [ ] Anaphylaxis DIS ==Expert== - [ ] Angioedema DIS ==Expert== - [ ] Drug allergies DIS *High Knowledge* - [ ] Collagen vascular disease - [ ] Raynaud’s syndrome DIS **General Knowledge** - [ ] Reiter’s disease DIS **General Knowledge** - [ ] Scleroderma DIS **General Knowledge** - [ ] Systemic lupus erythematosus DIS **General Knowledge** - [ ] Vasculitis - [ ] Polyarteritis nodosa DIS **General Knowledge** - [ ] Wegener’s granulomatosis DIS **General Knowledge** - [ ] Kawasaki's disease DIS **General Knowledge** - [ ] Sarcoidosis DIS **General Knowledge** - [ ] Complication of immunosuppressant agents D **General Knowledge** ## 3.13 Metabolic - [ ] Volumes and composition of the - [ ] Total body water T *High Knowledge* - [ ] Intracellular fluid T *High Knowledge* - [ ] Extracellular fluid T *High Knowledge* - [ ] Plasma T *High Knowledge* - [ ] Blood T *High Knowledge* - [ ] Electrolytes - [ ] Hypokalaemia DIS/I ==Expert== - [ ] Hyperkalaemia DIS/I ==Expert== - [ ] Hyponatraemia DIS/ I ==Expert== - [ ] Hypernatraemia DIS/I ==Expert== - [ ] Hypocalcaemia DIS/I **General Knowledge** - [ ] Hypercalcaemia DIS/I **General Knowledge** - [ ] Hypermagnesaemia DIS/I **General Knowledge** - [ ] Hypomagnesaemia DIS/I *High Knowledge* - [ ] Hyperphosphataemia DIS/I **General Knowledge** - [ ] Hypochloraemia DIS/I *High Knowledge* - [ ] Hyperchloraemia DIS/I *High Knowledge* - [ ] Inappropriate ADH syndrome DIS/I *High Knowledge* - [ ] Interpretation of the electrocardiograph in electrolyte disturbance I ==Expert== ## 3.14 Acid Base Disorders - [ ] Interpretation of arterial blood gases I ==Expert== - [ ] Alveolar gas equation I *High Knowledge* - [ ] A-a gradient I *High Knowledge* - [ ] Metabolic acidosis I *High Knowledge* - [ ] Metabolic alkalosis I *High Knowledge* - [ ] Respiratory acidosis I *High Knowledge* - [ ] Respiratory alkalosis I *High Knowledge* - [ ] Anion gap I ==Expert== - [ ] Osmolar gap I *High Knowledge* - [ ] Indications for the administration of sodium bicarbonate D *High Knowledge* ## 3.15 Neonates and Infants - [ ] Apnoea of prematurity DIS **General Knowledge** - [ ] Hyperbilirubinaemia DIS **General Knowledge** - [ ] Feeding problems DIS **General Knowledge** - [ ] Congenital heart disease DIS **General Knowledge** - [ ] Diaphragmatic hernia DIS **General Knowledge** - [ ] Congenital syndromes DIS **General Knowledge** - [ ] Gastroesophaegeal reflux DIS **General Knowledge** - [ ] Metabolic disease DIS **General Knowledge** - [ ] Necrotising enterocolitis DIS **General Knowledge** - [ ] Respiratory distress DIS *High Knowledge* - [ ] Seizures DIS *High Knowledge* - [ ] Infections/sepsis - [ ] Occult bacteraemia DIS *High Knowledge* - [ ] Sudden infant death syndrome DIS *High Knowledge* - [ ] BRUE/ALTE # 4. SURGICAL ## 4.1 Trauma - [ ] Epidemiology of trauma T *High Knowledge* - [ ] Mechanisms of injury T *High Knowledge* - [ ] Principles of management of trauma T ==Expert== - [ ] Trauma team concepts T *High Knowledge* - [ ] Trauma scoring systems T *High Knowledge* - [ ] Glasgow Coma Score E ==Expert== - [ ] Imaging modalities in trauma I *High Knowledge* - [ ] Assessment and management of multiple trauma DIS ==Expert== - [ ] Spinal immobilisation techniques P ==Expert== - [ ] Head trauma - [ ] Assessment and management of head trauma DIS *High Knowledge* - [ ] Scalp lacerations DIS *High Knowledge* - [ ] Skull fractures DIS *High Knowledge* - [ ] Extradural haematoma DIS *High Knowledge* - [ ] Subdural haematoma DIS *High Knowledge* - [ ] Intracerebral haematoma DIS *High Knowledge* - [ ] Diffuse axonal injury DIS *High Knowledge* - [ ] Penetrating head injury DIS *High Knowledge* - [ ] Minor head injury DIS ==Expert== - [ ] Post concussive syndrome DIS *High Knowledge* - [ ] Emergency department drainage of traumatic intracranial haematomas P **General Knowledge** - [ ] Chest trauma - [ ] Assessment and management of chest trauma DIS *High Knowledge* - [ ] Pneumothorax DIS ==Expert== - [ ] Haemothorax DIS *High Knowledge* - [ ] Pulmonary contusion DIS *High Knowledge* - [ ] Myocardial contusion DIS *High Knowledge* - [ ] Fractured ribs DIS *High Knowledge* - [ ] Fractured sternum DIS *High Knowledge* - [ ] Flail chest DIS *High Knowledge* - [ ] Pericardial tamponade DIS *High Knowledge* - [ ] Tracheobronchial rupture DIS *High Knowledge* - [ ] Oesophageal perforation DIS *High Knowledge* - [ ] Diaphragmatic rupture DIS *High Knowledge* - [ ] Great vessel injury DIS *High Knowledge* - [ ] Penetrating thoracic injury DIS *High Knowledge* - [ ] Emergency department thoracotomy P *High Knowledge* - [ ] Traumatic asphyxia DIS *High Knowledge* - [ ] Abdominal trauma - [ ] Assessment and management of abdominal trauma DIS *High Knowledge* - [ ] Diagnostic peritoneal lavage P *High Knowledge* - [ ] Splenic injury DIS *High Knowledge* - [ ] Hepatic injury DIS *High Knowledge* - [ ] Renal injury DIS *High Knowledge* - [ ] Pancreatic injury DIS *High Knowledge* - [ ] Hollow viscus injury DIS *High Knowledge* - [ ] Great vessel injury DIS *High Knowledge* - [ ] Penetrating abdominal injury DIS *High Knowledge* - [ ] Abdominal compartment syndrome DIS **General Knowledge** - [ ] Genitourinary trauma - [ ] Assessment and management of genitourinary trauma DIS *High Knowledge* - [ ] Ureteric injury DIS *High Knowledge* - [ ] Urethral injury DIS *High Knowledge* - [ ] Bladder injury DIS *High Knowledge* - [ ] Penile rupture DIS **General Knowledge** - [ ] Testicular trauma DIS **General Knowledge** - [ ] Penetrating genitourinary injury DIS **General Knowledge** - [ ] Pelvic trauma - [ ] Assessment and management of pelvic trauma DIS *High Knowledge* - [ ] Major pelvic fracture DIS *High Knowledge* - [ ] Exsanguinating pelvic injury DIS *High Knowledge* - [ ] Spinal cord injury - [ ] Assessment and management of spinal cord injury DIS *High Knowledge* - [ ] Spinal cord syndromes DIS *High Knowledge* - [ ] SCIWORA DIS *High Knowledge* - [ ] Neck trauma - [ ] Assessment and management of neck trauma DIS *High Knowledge* - [ ] Penetrating neck injury DIS *High Knowledge* - [ ] Laryngotracheal injury DIS *High Knowledge* - [ ] Vascular injury DIS *High Knowledge* - [ ] Nerve injury DIS *High Knowledge* - [ ] Maxillofacial trauma - [ ] Assessment and management of maxillofacial trauma DIS *High Knowledge* - [ ] Facial lacerations DIS *High Knowledge* - [ ] Nasal fractures DIS *High Knowledge* - [ ] Mandibular fractures DIS *High Knowledge* - [ ] Le Fort fractures DIS *High Knowledge* - [ ] Zygomatic fractures DIS *High Knowledge* - [ ] Orbital injury DIS *High Knowledge* - [ ] Temporal bone fractures DIS *High Knowledge* - [ ] Dental trauma DIS **General Knowledge** - [ ] Tooth avulsion DIS **General Knowledge** - [ ] Intraoral lacerations DIS **General Knowledge** - [ ] Extremity trauma - [ ] Assessment and management of extremity trauma DIS *High Knowledge* - [ ] Traumatic amputation DIS *High Knowledge* - [ ] Arterial injury DIS *High Knowledge* - [ ] Compartment syndromes DIS *High Knowledge* - [ ] Crush syndrome DIS *High Knowledge* - [ ] Trauma in pregnancy - [ ] Assessment and management of trauma in pregnancy DIS *High Knowledge* - [ ] Obstetric complications of trauma DIS *High Knowledge* - [ ] Uterine rupture DIS *High Knowledge* - [ ] Perimortem caesarean section DIS **General Knowledge** - [ ] Trauma in children - [ ] Assessment and management of trauma in children DIS *High Knowledge* - [ ] Paediatric aspects of trauma management DIS *High Knowledge* - [ ] Non-accidental injury DIS *High Knowledge* ## 4.2 Burns - [ ] Evaluation of the patient with burns M ==Expert== - [ ] Early management of severe burns M ==Expert== - [ ] Burn wound care M *High Knowledge* - [ ] Management of minor burns M *High Knowledge* - [ ] Inhalation injury DIS *High Knowledge* - [ ] Chemical burns DIS *High Knowledge* - [ ] Electrical burns DIS *High Knowledge* - [ ] Tar burns DIS *High Knowledge* - [ ] Sunburn DIS *High Knowledge* - [ ] Oral burns DIS *High Knowledge* - [ ] Escharotomy P *High Knowledge* ## 4.3 Dental - [ ] Normal dental development T **General Knowledge** - [ ] Dental infections without upper airway obstruction DIS **General Knowledge** - [ ] Dental infections with possible upper airway obstruction DIS *High Knowledge* ## 4.4 Thoracic - [ ] Spontaneous pneumothorax DIS ==Expert== - [ ] Pneumomendiastinum DIS *High Knowledge* - [ ] Mediastinitis DIS *High Knowledge* - [ ] Oesophageal perforation DIS *High Knowledge* - [ ] Mediastinal masses DIS **General Knowledge** - [ ] Oesophageal foreign body DIS *High Knowledge* - [ ] Tracheobronchial foreign body DIS *High Knowledge* - [ ] Congenital - [ ] Diaphragmatic hernia DIS **General Knowledge** - [ ] Oesophageal DIS **General Knowledge** - [ ] Tracheobronchial DIS **General Knowledge** - [ ] Vascular ring DIS **General Knowledge** ## 4.5 Abdominal - [ ] Assessment and management of abdominal pain DIS ==Expert== - [ ] Pancreatitis DIS *High Knowledge* - [ ] Cholelithiasis DIS *High Knowledge* - [ ] Cholecystitis DIS *High Knowledge* - [ ] Cholangitis DIS *High Knowledge* - [ ] Non-traumatic splenic rupture DIS *High Knowledge* - [ ] Bowel obstruction - [ ] Post-surgical adhesions DIS *High Knowledge* - [ ] Malrotation DIS **General Knowledge** - [ ] Volvulus DIS *High Knowledge* - [ ] Congenital pyloric stenosis DIS *High Knowledge* - [ ] Intussusception DIS *High Knowledge* - [ ] Insertion of a nasogastric tube P ==Expert== - [ ] Diverticular disease DIS *High Knowledge* - [ ] Meckel’s diverticulum DIS *High Knowledge* - [ ] Perforated viscus DIS *High Knowledge* - [ ] Acute appendicitis DIS *High Knowledge* - [ ] Peritoneal adhesions DIS *High Knowledge* - [ ] Ischaemic colitis DIS *High Knowledge* - [ ] Peritonitis DIS *High Knowledge* - [ ] Retroperitoneal haematoma DIS *High Knowledge* - [ ] Intra-abdominal/retroperitoneal abscesses DIS *High Knowledge* - [ ] Hernias DIS *High Knowledge* - [ ] Tumours DIS **General Knowledge** - [ ] Constipation DIS **General Knowledge** ## 4.6 Anorectal - [ ] Haemorrhoids DIS *High Knowledge* - [ ] Perianal haematoma DIS *High Knowledge* - [ ] Anal fissure DIS *High Knowledge* - [ ] Anorectal abscesses DIS *High Knowledge* - [ ] Pilonidal disease DIS **General Knowledge** - [ ] Rectal bleeding DIS *High Knowledge* - [ ] Rectal prolapse DIS *High Knowledge* - [ ] Idiopathic anal pain DIS **General Knowledge** - [ ] Radiation proctitis DIS **General Knowledge** - [ ] Proctoscopy and sigmoidoscopy P *High Knowledge* - [ ] Rectal foreign bodies DIS ==Expert== ## 4.7 Vascular - [ ] Peripheral ischaemia DIS *High Knowledge* - [ ] Arterial occlusion DIS *High Knowledge* - [ ] Venous occlusion DIS *High Knowledge* - [ ] Intestinal ischaemia DIS *High Knowledge* - [ ] Thoracic dissection DIS *High Knowledge* - [ ] Intra-abdominal aneurysms DIS *High Knowledge* - [ ] Aortic disorders DIS *High Knowledge* - [ ] Aortic aneurysms DIS *High Knowledge* - [ ] Aortic dissection DIS *High Knowledge* - [ ] Mycotic aneurysms DIS **General Knowledge** - [ ] Intra-arterial drug injection DIS *High Knowledge* ## 4.8 Orthopaedic and Hand - [ ] General principles of fracture management T ==Expert== - [ ] Paediatric considerations in orthopaedics T *High Knowledge* - [ ] Salter-Harris classification T *High Knowledge* - [ ] Injuries about the elbow DIS *High Knowledge* - [ ] The child with a limp DIS *High Knowledge* - [ ] Bone dysplasia DIS **General Knowledge** - [ ] Connective tissue syndrome DIS **General Knowledge** - [ ] Inflammatory arthritis DIS *High Knowledge* - [ ] Injury rehabilitation T **General Knowledge** - [ ] Metabolic bone abnormalities DIS **General Knowledge** - [ ] Osgood/Schlatter disease DIS *High Knowledge* - [ ] Perthe’s disease DIS *High Knowledge* - [ ] Slipped capital femoral epiphysis DIS *High Knowledge* - [ ] Transient synovitis DIS *High Knowledge* - [ ] Developmental hip dislocation DIS **General Knowledge** - [ ] Casting techniques P ==Expert== - [ ] Short arm POP P ==Expert== - [ ] Long arm POP P ==Expert== - [ ] Short arm backslab P ==Expert== - [ ] Scaphoid POP P ==Expert== - [ ] Bennett’s fracture POP P ==Expert== - [ ] Volar splint P ==Expert== - [ ] U Slab P ==Expert== - [ ] Short leg POP P ==Expert== - [ ] Long leg cylinder P ==Expert== - [ ] Splintage techniques including splintage procedures P ==Expert== - [ ] Application of a broad arm sling P ==Expert== - [ ] Application of a collar and cuff P ==Expert== - [ ] Application of a figure-of-8 bandaging P ==Expert== - [ ] Application of a knee immobiliser P ==Expert== - [ ] Application of a Donway/ Hare splint P ==Expert== - [ ] Application of a Thomas splint P ==Expert== - [ ] Pelvic stabilisation techniques P ==Expert== - [ ] Fractures DIS *High Knowledge* - [ ] Clavicle DIS *High Knowledge* - [ ] Scapula DIS *High Knowledge* - [ ] Proximal humerus DIS *High Knowledge* - [ ] Elbow DIS *High Knowledge* - [ ] Forearm bones DIS *High Knowledge* - [ ] Wrist DIS *High Knowledge* - [ ] Carpal bones DIS *High Knowledge* - [ ] Spine DIS *High Knowledge* - [ ] Pelvis and hip - [ ] Pelvic fractures DIS *High Knowledge* - [ ] Sacral fractures DIS *High Knowledge* - [ ] Coccygeal fractures DIS *High Knowledge* - [ ] Femoral neck fractures DIS *High Knowledge* - [ ] Hip and femur - [ ] Femoral shaft fractures DIS *High Knowledge* - [ ] Supracondylar fractures DIS *High Knowledge* - [ ] Condylar fractures DIS *High Knowledge* - [ ] Fractured patella DIS *High Knowledge* - [ ] Tibia and fibula DIS *High Knowledge* - [ ] Ankle DIS *High Knowledge* - [ ] Classification of ankle fractures T *High Knowledge* - [ ] Foot - [ ] Talar fractures DIS *High Knowledge* - [ ] Calcaneal fractures DIS *High Knowledge* - [ ] Tarsal bone fractures DIS *High Knowledge* - [ ] Metatarsal fractures DIS *High Knowledge* - [ ] Phalangeal fractures DIS *High Knowledge* - [ ] Dislocations - [ ] Shoulder DIS ==Expert== - [ ] Acromioclavicular joint DIS *High Knowledge* - [ ] Elbow DIS *High Knowledge* - [ ] Pulled elbow DIS ==Expert== - [ ] Carpal–metacarpal bones DIS *High Knowledge* - [ ] Phalanges DIS *High Knowledge* - [ ] Cervical spine - [ ] Atlantoaxial DIS *High Knowledge* - [ ] Facet joint DIS *High Knowledge* - [ ] Hip DIS *High Knowledge* - [ ] Knee DIS *High Knowledge* - [ ] Patella DIS ==Expert== - [ ] Ankle DIS *High Knowledge* - [ ] Foot DIS *High Knowledge* - [ ] Tarsal DIS *High Knowledge* - [ ] Metatarsal DIS *High Knowledge* - [ ] Phalangeal DIS *High Knowledge* - [ ] Soft tissues - [ ] Shoulder - [ ] Rotator cuff tears DIS **General Knowledge** - [ ] Bursitis DIS **General Knowledge** - [ ] Tendinitis DIS **General Knowledge** - [ ] Elbow - [ ] Bursitis DIS *High Knowledge* - [ ] Tendinitis DIS **General Knowledge** - [ ] Knee - [ ] Bursitis DIS *High Knowledge* - [ ] Ligament injury DIS *High Knowledge* - [ ] Cruciate injury DIS *High Knowledge* - [ ] Menisceal injury DIS *High Knowledge* - [ ] Bakers cyst DIS *High Knowledge* - [ ] Ankle - [ ] Ligament injury DIS *High Knowledge* - [ ] Foot - [ ] Foot injury DIS *High Knowledge* - [ ] Hand injuries - [ ] Metacarpal fractures/dislocations DIS *High Knowledge* - [ ] Phalangeal fractures/dislocations DIS *High Knowledge* - [ ] Lacerations DIS *High Knowledge* - [ ] Nail injuries DIS *High Knowledge* - [ ] Extensor tendon injuries DIS *High Knowledge* - [ ] Mallet finger DIS *High Knowledge* - [ ] Boutonniere deformity DIS *High Knowledge* - [ ] Other DIS *High Knowledge* - [ ] Flexor tendon injuries DIS *High Knowledge* - [ ] Infections - [ ] Paronychia DIS *High Knowledge* - [ ] Infective tenosynovitis DIS *High Knowledge* - [ ] Other DIS *High Knowledge* - [ ] Foreign bodies DIS *High Knowledge* - [ ] Amputations DIS *High Knowledge* - [ ] Nerve injuries DIS *High Knowledge* - [ ] High pressure injection injuries DIS *High Knowledge* - [ ] Crush injury DIS *High Knowledge* - [ ] Overuse syndromes DIS *High Knowledge* - [ ] Osteomyelitis DIS *High Knowledge* - [ ] Septic arthritis DIS *High Knowledge* - [ ] Complex regional pain syndrome type 1 (Sudeck’s atrophy) DIS **General Knowledge** ## 4.9 Neurosurgical - [ ] Intracranial aneurysms DIS **General Knowledge** - [ ] AV malformations DIS **General Knowledge** - [ ] Subarachnoid haemorrhage DIS *High Knowledge* - [ ] Cerebral tumours DIS **General Knowledge** - [ ] Shunt complications DIS *High Knowledge* - [ ] Management of elevated intracranial pressure DIS *High Knowledge* - [ ] Intracranial abscesses DIS *High Knowledge* - [ ] Cerebral venous thrombosis DIS **General Knowledge** - [ ] Spinal epidural abscess DIS *High Knowledge* - [ ] Intravertebral disc disease DIS **General Knowledge** - [ ] Spinal stenosis DIS **General Knowledge** ## 4.10 Urology - [ ] Renal colic DIS E - [ ] Urinary catheter insertion P ==Expert== - [ ] Suprapubic catheter insertion P ==Expert== - [ ] Urinary retention DIS *High Knowledge* - [ ] Obstructive uropathy DIS *High Knowledge* - [ ] Vesico-ureteric reflux DIS **General Knowledge** - [ ] Assessment and management of haematuria DIS **General Knowledge** - [ ] Urethritis DIS **General Knowledge** - [ ] Balantitis DIS **General Knowledge** - [ ] Prostatic hypertrophy DIS **General Knowledge** - [ ] Tumours DIS **General Knowledge** - [ ] Acute scrotum - [ ] Epididymitis DIS *High Knowledge* - [ ] Orchitis DIS *High Knowledge* - [ ] Testicular torsion DIS *High Knowledge* - [ ] Torsion of the testicular appendage DIS *High Knowledge* - [ ] Priapism DIS *High Knowledge* - [ ] Phimosis/paraphimosis DIS *High Knowledge* ## 4.11 ENT - [ ] Ear - [ ] Auroscopes Eq *High Knowledge* - [ ] Otalgia DIS *High Knowledge* - [ ] Otitis media DIS *High Knowledge* - [ ] Otitis externa DIS *High Knowledge* - [ ] Aural toilet/wick insertion P *High Knowledge* - [ ] Cholesteatoma DIS **General Knowledge** - [ ] Perforated tympanic membrane DIS *High Knowledge* - [ ] Chondritis/perichondritis DIS **General Knowledge** - [ ] Mastoditis DIS *High Knowledge* - [ ] Labyrinthitis DIS *High Knowledge* - [ ] Meniere’s disease DIS **General Knowledge** - [ ] Nose - [ ] Epistaxis - [ ] Anterior packing DIS *High Knowledge* - [ ] Cautery DIS *High Knowledge* - [ ] Posterior packing DIS *High Knowledge* - [ ] Balloon placement DIS *High Knowledge* - [ ] Sinusitis DIS *High Knowledge* - [ ] Throat/oropharynx - [ ] Ludwig’s angina DIS *High Knowledge* - [ ] Stomatitis DIS *High Knowledge* - [ ] Pharyngitis DIS *High Knowledge* - [ ] Tonsilitis DIS *High Knowledge* - [ ] Peritonsillar abscess DIS *High Knowledge* - [ ] Retropharyngeal abscess DIS *High Knowledge* - [ ] Epiglottitis DIS *High Knowledge* - [ ] Laryngitis DIS *High Knowledge* - [ ] Tracheitis DIS *High Knowledge* - [ ] Post-tonsillectomy bleed DIS *High Knowledge* - [ ] Foreign bodies - [ ] Nasal DIS *High Knowledge* - [ ] Aural DIS *High Knowledge* - [ ] Upper airway DIS ==Expert== - [ ] Pharyngeal DIS ==Expert== ## 4.12 Eye - [ ] Use of the slit lamp Eq *High Knowledge* - [ ] Opthalmoscopes Eq *High Knowledge* - [ ] Measurement of intraocular pressure P *High Knowledge* - [ ] Evaluation of the red eye E *High Knowledge* - [ ] Evaluation of the painful eye E *High Knowledge* - [ ] Sudden visual loss E - [ ] External eye - [ ] Blepharitis DIS **General Knowledge** - [ ] Dacryocystitis DIS *High Knowledge* - [ ] Conjunctivitis DIS *High Knowledge* - [ ] Corneal abrasions DIS *High Knowledge* - [ ] Corneal ulcers DIS *High Knowledge* - [ ] Keratitis DIS *High Knowledge* - [ ] Foreign bodies - [ ] Conjunctival DIS *High Knowledge* - [ ] Corneal DIS *High Knowledge* - [ ] Spontaneous subconjunctival haemorrhage DIS *High Knowledge* - [ ] Amblyopia DIS **General Knowledge** - [ ] Ocular burns - [ ] Caustic DIS *High Knowledge* - [ ] Flash burns DIS *High Knowledge* - [ ] Thermal DIS *High Knowledge* - [ ] Anterior pole - [ ] Glaucoma DIS *High Knowledge* - [ ] Uveitis DIS **General Knowledge** - [ ] Posterior pole - [ ] Retinal detachment DIS **General Knowledge** - [ ] Vitreous haemorrhage DIS **General Knowledge** - [ ] Retinal haemorrhage DIS **General Knowledge** - [ ] Retinal vascular occlusions DIS **General Knowledge** - [ ] Optic neuritis DIS **General Knowledge** - [ ] Orbit - [ ] Cellulitis - [ ] Orbital DIS *High Knowledge* - [ ] Pre-orbital DIS *High Knowledge* - [ ] Endophthalmitis DIS **General Knowledge** - [ ] Ocular trauma - [ ] Blunt DIS **General Knowledge** - [ ] Penetrating DIS *High Knowledge* ## 4.13 Wound management - [ ] Classification of wounds T *High Knowledge* - [ ] Surgical wound management P *High Knowledge* - [ ] Basic wound closure techniques P *High Knowledge* - [ ] Wound dressings P *High Knowledge* - [ ] Wound infections DIS *High Knowledge* - [ ] Chronic ulcers DIS **General Knowledge** - [ ] Special wounds - [ ] Puncture wounds DIS *High Knowledge* - [ ] Bites and stings DIS *High Knowledge* - [ ] Blast injury DIS *High Knowledge* - [ ] Degloving injury DIS *High Knowledge* - [ ] Amputations DIS *High Knowledge* ## 4.14 Plastics - [ ] Plastic surgical techniques - [ ] Grafts P **General Knowledge** - [ ] Flaps P **General Knowledge** - [ ] Advanced wound closure P **General Knowledge** ## 4.15 Breast - [ ] Carcinoma of the breast DIS **General Knowledge** - [ ] Mastitis DIS *High Knowledge* - [ ] Breast abscess DIS *High Knowledge* # 5. OBSTETRICS AND GYNAECOLOGY ## 5.1 Pregnancy - [ ] Normal pregnancy DIS **General Knowledge** - [ ] Antenatal screening DIS **General Knowledge** - [ ] Physiological changes DIS **General Knowledge** - [ ] Foetal development DIS **General Knowledge** - [ ] High risk pregnancy DIS **General Knowledge** - [ ] Complications of pregnancy - [ ] Hyper-emesis gravidarum DIS *High Knowledge* - [ ] Miscarriage DIS *High Knowledge* - [ ] Anembryonic pregnancy DIS *High Knowledge* - [ ] Septic abortion DIS *High Knowledge* - [ ] Ectopic pregnancy DIS *High Knowledge* - [ ] *High Knowledge*ELLP syndrome (haemolysis, elevated liver enzymes, low platelets) DIS *High Knowledge* - [ ] First trimester bleeding DIS *High Knowledge* - [ ] Haemorrhage, antepartum - [ ] Abruptio placentae DIS *High Knowledge* - [ ] Placenta praevia, vasa praevia DIS *High Knowledge* - [ ] Other DIS *High Knowledge* - [ ] Infections, including urinary tract infection DIS **General Knowledge** - [ ] Fevers DIS **General Knowledge** - [ ] Isoimmunisation DIS *High Knowledge* - [ ] Pregnancy-induced hypertension, pre-eclampsia DIS *High Knowledge* - [ ] Normal labour and delivery P *High Knowledge* - [ ] Complications of labour - [ ] Foetal distress DIS **General Knowledge** - [ ] Premature labour DIS **General Knowledge** - [ ] Premature rupture of membranes DIS **General Knowledge** - [ ] Other DIS **General Knowledge** - [ ] Complications of delivery - [ ] Mal-presentation DIS **General Knowledge** - [ ] Mal-position DIS **General Knowledge** - [ ] Nuchal cord DIS **General Knowledge** - [ ] Prolapsed cord DIS *High Knowledge* - [ ] Rupture or inversion of uterus DIS *High Knowledge* - [ ] Retained placenta DIS **General Knowledge** - [ ] Other DIS **General Knowledge** - [ ] Post-partum complications - [ ] Haemorrhage, postpartum - [ ] Primary DIS *High Knowledge* - [ ] Secondary DIS *High Knowledge* - [ ] Endometriosis DIS **General Knowledge** - [ ] Retained products of conception DIS **General Knowledge** - [ ] Drugs in pregnancy D *High Knowledge* ## 5.2 Gynaecology - [ ] Vagina and vulva - [ ] Bimanual and vaginal speculum examination P *High Knowledge* - [ ] Vaginitis/vulvovaginitis DIS *High Knowledge* - [ ] Foreign body DIS *High Knowledge* - [ ] Bartholin’s cyst/abscess DIS *High Knowledge* - [ ] Other DIS *High Knowledge* - [ ] Uterus - [ ] Dysmenorrhoea DIS **General Knowledge** - [ ] Dysfunctional uterine bleeding DIS **General Knowledge** - [ ] Cervicitis, endocervicitis DIS **General Knowledge** - [ ] Endometriosis DIS **General Knowledge** - [ ] Tumours - [ ] Leiomyoma DIS **General Knowledge** - [ ] Gestational trophoblastic disease DIS **General Knowledge** - [ ] Other DIS **General Knowledge** - [ ] Prolapse DIS **General Knowledge** - [ ] Ovaries - [ ] Cysts and cyst complications DIS *High Knowledge* - [ ] Mittelschmerz DIS *High Knowledge* - [ ] Tumours DIS **General Knowledge** - [ ] Ovarian hyperstimulation syndrome DIS **General Knowledge** - [ ] Infections - [ ] Pelvic inflammatory disease DIS *High Knowledge* - [ ] Fitz-Hugh-Curtis syndrome DIS **General Knowledge** - [ ] Tubo-ovarian abscess DIS **General Knowledge** - [ ] Herpes simplex DIS **General Knowledge** - [ ] Human papilloma virus DIS **General Knowledge** - [ ] Contraception - [ ] Complications D **General Knowledge** - [ ] Post-coital D *High Knowledge* - [ ] Sexual assault DIS *High Knowledge* # 6. PSYCHIATRY ## 6.1 Evaluation - [ ] History E *High Knowledge* - [ ] Physical examination E *High Knowledge* - [ ] Mental state examination E *High Knowledge* - [ ] Investigations I *High Knowledge* ## 6.2 Organic brain syndrome DIS *High Knowledge* ## 6.3 Violent/agitated behaviour - [ ] Prevention S *High Knowledge* - [ ] Safety issues S *High Knowledge* - [ ] Restraint options and management M ==Expert== ## 6.4 Deliberate self-harm DIS *High Knowledge* ## 6.5 Depression DIS *High Knowledge* ## 6.6 Anxiety disorders - [ ] Phobias DIS **General Knowledge** - [ ] Panic disorder DIS *High Knowledge* - [ ] Post-traumatic stress disorder DIS **General Knowledge** - [ ] Obsessive–compulsive disorder DIS **General Knowledge** - [ ] Hypochondriasis DIS **General Knowledge** - [ ] Other DIS **General Knowledge** ## 6.7 Psychoses - [ ] Acute and chronic DIS *High Knowledge* - [ ] Bipolar effective disorder DIS *High Knowledge* - [ ] Schizophrenia DIS *High Knowledge* - [ ] Mania and hypomania DIS *High Knowledge* - [ ] Other DIS *High Knowledge* ## 6.8 The “challenging” ED patient - [ ] Personality disorder DIS *High Knowledge* - [ ] Malingering DIS *High Knowledge* - [ ] Frequent presenter DIS *High Knowledge* - [ ] Conversion disorder DIS *High Knowledge* - [ ] Pain disorder DIS *High Knowledge* - [ ] Somatization disorder DIS *High Knowledge* - [ ] Munchausen’s by proxy DIS *High Knowledge* - [ ] Management strategies DIS *High Knowledge* - [ ] Other DIS *High Knowledge* ## 6.9 The mental health patient in the ED - [ ] Triage S ==Expert== - [ ] Appropriate psychiatric assessment area S *High Knowledge* - [ ] Community teams S *High Knowledge* - [ ] Psychiatry liaison nurse as part of the ED team S *High Knowledge* - [ ] In-patient psychiatry services S *High Knowledge* - [ ] Psychiatric facilities/units S *High Knowledge* - [ ] ED staff issues – appropriate training, debriefing S ==Expert== ## 6.10 Therapy - [ ] Pharmacology of therapeutic agents - [ ] Benzodiazepines D *High Knowledge* - [ ] Anti-psychotics D *High Knowledge* - [ ] Antidepressants D *High Knowledge* - [ ] SSRIs D *High Knowledge* - [ ] Sedatives D *High Knowledge* - [ ] Other D *High Knowledge* - [ ] Non-pharmacologic therapy - [ ] ECT – complications M **General Knowledge** - [ ] Other M **General Knowledge** ## 6.11 Involuntary detention M ==Expert== - [ ] Legal aspects of mental health care S ==Expert== # 7. TOXICOLOGY ## 7.1 General principles - [ ] Prehospital care M *High Knowledge* - [ ] Epidemiology and prevention of poisoning T *High Knowledge* - [ ] Management issues - [ ] Emesis M ==Expert== - [ ] Gastric lavage M ==Expert== - [ ] Activated charcoal M ==Expert== - [ ] Cathartics M ==Expert== - [ ] Whole bowel irrigation M ==Expert== - [ ] Poison centres M/S **General Knowledge** Demonstrate knowledge of the role of poison centres in the management and prevention of poisoning M/S **General Knowledge** - [ ] Risk assessment/prediction of toxicity DIS *High Knowledge* - [ ] Toxidromes E ==Expert== ## 7.2 Analytical toxicology - [ ] Principles I *High Knowledge* - [ ] Drug testing and screening I *High Knowledge* ## 7.3 Chemical dependency and substance abuse - [ ] Drug abuse T **General Knowledge** - [ ] Drug dependence DIS **General Knowledge** - [ ] Drug withdrawal DIS *High Knowledge* - [ ] Tolerance T **General Knowledge** ## 7.4 Antidotes - [ ] Anticholinergics D *High Knowledge* - [ ] Chelation agents D **General Knowledge** - [ ] Benzodiazepine antagonists D *High Knowledge* - [ ] Calcium D *High Knowledge* - [ ] Cyanide treatment D *High Knowledge* - [ ] Desferioxamine D *High Knowledge* - [ ] Fuller’s earth D *High Knowledge* - [ ] Glucagon D *High Knowledge* - [ ] Methylene blue D *High Knowledge* - [ ] Opioid antagonists D ==Expert== - [ ] Physostigmine D *High Knowledge* - [ ] Pyridoxine D **General Knowledge** - [ ] Oximes D *High Knowledge* - [ ] Protamine D *High Knowledge* - [ ] Vitamin K D ==Expert== - [ ] Folinic acid D *High Knowledge* - [ ] Oxygen – normobaric D ==Expert== - [ ] Oxygen – hyperbaric D *High Knowledge* - [ ] N-acetylcysteine D EX - [ ] Digibind D EX ## 7.5 Anti-inflammatory agents and analgesic poisoning - [ ] Paracetamol D ==Expert== - [ ] NSAIDs D *High Knowledge* - [ ] Salicylates D *High Knowledge* - [ ] Gout drugs D *High Knowledge* - [ ] Opioids D ==Expert== ## 7.6 Antimicrobial poisoning - [ ] Antibiotics D **General Knowledge** - [ ] Antifungal D **General Knowledge** - [ ] Antiparasitic D **General Knowledge** - [ ] Antiseptics D *High Knowledge* - [ ] Antiviral D **General Knowledge** - [ ] Anti-tuberculous D *High Knowledge* ## 7.7 Autonomic agent poisoning - [ ] Anticholinergics D ==Expert== - [ ] Antihistamines D *High Knowledge* - [ ] Serotonergic drugs D *High Knowledge* - [ ] Cholinergics D *High Knowledge* - [ ] Ergot alkaloids D **General Knowledge** - [ ] Methylxanthines D *High Knowledge* - [ ] Sympathomometics D ==Expert== ## 7.8 CNS drugs and muscle relaxant poisoning - [ ] Alcohols D ==Expert== - [ ] Anticonvulsants D ==Expert== - [ ] **General Knowledge**HB and related compounds D *High Knowledge* - [ ] Anti-Parkinsonian drugs D **General Knowledge** - [ ] Psychiatric drugs D *High Knowledge* - [ ] Antipsychotic agents D *High Knowledge* - [ ] Antidepressants D *High Knowledge* - [ ] Lithium D ==Expert== - [ ] Hallucinogens D *High Knowledge* - [ ] Sedatives, hypnotics, anxiolytics D *High Knowledge* - [ ] Smooth muscle relaxants D **General Knowledge** ## 7.9 Cardiovascular - [ ] Antiarrhythmics D *High Knowledge* - [ ] Anticoagulants D ==Expert== - [ ] Anti-hypertensives D *High Knowledge* ## 7.10 Environmental toxicology - [ ] Plant ingestions D *High Knowledge* ## 7.11 GI agents - [ ] Antacids D **General Knowledge** - [ ] Antidiarrhoeals D **General Knowledge** - [ ] Laxatives D **General Knowledge** ## 7.12 Industrial toxicology - [ ] Metals - [ ] Arsenic D **General Knowledge** - [ ] Lead D **General Knowledge** - [ ] Mercury D **General Knowledge** - [ ] Metal fumes D **General Knowledge** - [ ] Other D **General Knowledge** - [ ] Toxic gases - [ ] CO D *High Knowledge* - [ ] Chlorine D *High Knowledge* - [ ] CO2 D **General Knowledge** - [ ] Cyanide D *High Knowledge* - [ ] Hydrogen sulphide D *High Knowledge* - [ ] Hydrocarbons D *High Knowledge* - [ ] Phosgene D **General Knowledge** - [ ] Hydrogen fluoride/hydrofluoric acid D *High Knowledge* - [ ] Nitrites D **General Knowledge** ## 7.13 Pesticides, herbicides and rodenticide poisoning - [ ] Organophosphates D *High Knowledge* - [ ] Carbamates D *High Knowledge* - [ ] Glyphosate D *High Knowledge* - [ ] Paraquat D *High Knowledge* - [ ] Naphthalene/camphor D *High Knowledge* - [ ] Strychnine D *High Knowledge* - [ ] Phosphine D **General Knowledge** - [ ] Super warfarins D *High Knowledge* ## 7.14 Pharmacology principles - [ ] Techniques for drug removal M *High Knowledge* - [ ] Drug delivery vehicles/diluents D **General Knowledge** - [ ] Drug interactions D *High Knowledge* - [ ] Adverse drug reactions D *High Knowledge* - [ ] Pharmacokinetics D *High Knowledge* Demonstrate knowledge of pharmacokinetic principles, including drug absorption, distribution, metabolism and clearance ## 7.15 Vitamins, minerals, bone and endocrine agents - [ ] Hypoglycaemic agents D *High Knowledge* - [ ] Electrolytes and minerals D *High Knowledge* - [ ] Iron D *High Knowledge* - [ ] Steroids D **General Knowledge** - [ ] Thyroid drugs D **General Knowledge** - [ ] Vitamins D **General Knowledge** - [ ] Hormones D **General Knowledge** # 8. ENVIRONMENTAL ## 8.1 Heat - [x] Heat stroke DIS ==Expert== - [x] Heat stress/exhaustion DIS *High Knowledge* - [ ] Drug related hyperthermia DIS *High Knowledge* ## 8.2 Cold - [ ] Hypothermia DIS *High Knowledge* - [ ] Frostbite DIS **General Knowledge** ## 8.3 Venomous bites and stings - [ ] Snakes DIS ==Expert== - [ ] Spiders DIS ==Expert== - [ ] Hymenoptera – bees, wasps, ants DIS ==Expert== - [ ] Jellyfish DIS *High Knowledge* - [ ] Stinging fish DIS *High Knowledge* - [ ] Blue-ringed octopus DIS *High Knowledge* - [ ] Other DIS *High Knowledge* ## 8.4 Aquatic - [ ] Near drowning DIS *High Knowledge* - [ ] Decompression illness DIS *High Knowledge* - [ ] Barotrauma DIS *High Knowledge* - [ ] Toxic marine ingestions DIS *High Knowledge* ## 8.5 Electricity - [ ] Electric shock DIS *High Knowledge* - [ ] Lightning strike DIS *High Knowledge* ## 8.6 Aviation - [x] Acute mountain sickness DIS *High Knowledge* - [x] High altitude cerebral oedema DIS **General Knowledge** - [x] High altitude pulmonary oedema DIS *High Knowledge* ## 8.7 Exercise-associated illness DIS *High Knowledge*