Critical Care Medicine — Transition to Discipline

TTD2 Initiating and leading resuscitation for hemodynamically unstable patients

Key Features:
- This EPA focuses on initiating and leading resuscitation for critically ill patients, following the principles of crisis resource management.

Assessment plan:
Direct observation by attending physician or senior trainee
Use Form 1. Form collects information on:
- Condition: cardiac arrest; respiratory failure; sepsis; shock; other (write in)
- Context: clinical; simulation
Collect 2 observations of achievement
- At least 1 clinical encounter
- At least 2 different observers

Form

F1: Observation

Milestones

• ME 2.2. Provide assessment and initial stabilization of ABCs (Airway, Breathing, and Circulation)

• ME 1.4. Recognize urgent problems and one’s own limitations and seek assistance as needed

• L 4.2. Lead the resuscitation team effectively, ensuring clear roles and responsibilities for team members, setting priorities, providing constructive intervention when required, and re-evaluating patient and situation frequently

• COL 1.3. Communicate with the health care team using clear language, knowledge sharing and summarizing clinical evolution

• COL 2.2. Communicate orders clearly citing names (or other identification) and using closed loop communication

Context Variables

• Condition (single-choice)
  • shock
  • sepsis
  • cardiac arrest
  • respiratory failure
  • other (write details below)
• Context (single-choice)
  • clinical
  • simulation

Requirements

• Collect 2 observations of achievement (minimum 2)
• At least 1 clinical encounter (minimum 1)
  • Only counts when Context is clinical
• At least 2 different observers (minimum 2)
  • Counted once per distinct Assessor