List of Topics to be covered in lectures, tutorials or during ward or theatre teaching or in private reading

BURNS

First Aid

Y

Y

Assessment & Definition

Y

Y

Transportation requirements

Y

Y

Pathophysiology

Effects : CVS; GI; Respiratory; CNS ; Renal Haematological; Metabolic; Hepatic; Temp reg.

Y

Y

Pharmacological changes in burns - simple

Y

Y

- complex

Y

Fluid resuscitation in burns - simple

Y

- complex

Y

Pain management

Y

Y

Anaesthesia for burn surgery- Preop Assessment

Y

Y

Dressing changes

Y

Y

Major excision & grafting

Y

Y

Blood replacement during burn surgery

Y

Y

Inhalational injury -

Diagnosis & initial management

Y

Y

Advanced management

Y

Carbon Monoxide poisoning

Y

Y

Electrical burns

Y

Y

Toxic shock

Y

Y

Management of severe infection in burns

Y

Multi System support in Burns

Y

Design requirements of a Burns Unit

Y

Communication with relatives & patients

Y

Y

Paediatrics

Neonatal physiology & anaesthesia

Y

Y

Fluid & electrolyte balance

Y

Y

Paediatric resuscitation

Y

Y

Preop assessment including when to cancel a case

Y

Y

Day stay surgery

Y

Y

Analgesia

Y

Y

Cleft lip & palate surgery

Y

Hypospadias surgery

Y

Y

Communication with parents & children

Y

Y

Difficult intubation

Prediction

Management

Fibreoptic intubation

Y

Y

Y

Y

Y

Y

Per cutaneous tracheostomy

Y

Y

Hand Surgery

Methods of local anaesthesia for the upper arm Biers block;

Brachial plexus block

Axillary

Supraclavicular

Interscalene

Local blocks: Elbow; Wrist; Finger

Y

Y

Other peripheral regional anaesthesia techniques

Sciatic block; 3 in 1 block; Femoral block

Penile block; Triple Ear block

Y

Y

Management of pain after hand surgery

Acute pain;

Y

Y

Hand pain syndromes; Guanethidine block

Y

Y

Free flap tissue transfer & general plastic surgery

Problems of long operations

Y

Y

Problems of maintaining blood flow in the flap

Y

Y

Head & Neck surgery including pre & postop care

Y

Y

Shared airway

Y

Y

Hypotensive anaesthesia

Y

Y

Research training

Y

Essential exposure to practical skills & experience

[Graded : Non essential n/e; +; ++; +++]

This may be acquired at any time during training; in any type of hospital ie TH , DGH or Specialist unit ; in a variety of areas of a hospital eg ITU; A & E dept or theatre; during different modules eg Plastic Surgery & Burns, Difficult airway, Paediatric, ITU , Trauma, Local Anaesthetic

Level 1

Level 2

Target numbers that might be achieved in a 3 month block in a major unit

Admission & or transfer of a major burn

+

+++

1

Fluid resuscitation of burned patient

+

+++

2

Management of inhalational injury

++

+++

1

Anaesthesia for burns surgery

n/e

+++

5

Anaesthesia for burns dressings

n/e

+++

5

ITU care of burns patients [Blocks of 1 week]

n/e

+++

3 weeks

Anaesthesia for burns surgery in child <3

n/e

++

2

Anaesthesia for cleft lip or palate

n/e

++

1

Anaesthesia for hypospadias

n/e

++

2

Anaesthesia for bat ears

+

++

1

Brachial Plexus Block

+++

+++

20

Guanethidine block

+

++

3

Anaesthesia for major head & neck surgery

+

+++

2

Post op care

+

+++

2

Anaesthesia for free flap tissue transfer

+

+++

3

Anaesthesia for breast reconstruction

++

+++

3

Hypotensive anaesthesia

++

+++

1

Fibreoptic intubation

+++

+++

5

Percutaneous tracheostomy

+

+++

1

Diagnostic bronchoscopy

+

+++

1

Communication with patients & relatives

++

+++

5

Suggested time needed to attain these skill levels

In a DGH with <2 Plastics lists / wk

Part of a general module

In a TH with 4 - 6 Plastics lists / wk

As above

In a large specialist unit with >12 Plastics lists / wk

3 months

6 mths-1 yr