Training Courses and Key Teaching Objectives
Resuscitation Department – Jim Milligan.
Tachycardias, Cardioversion
and Drugs Workshop:
Advanced Life Support Algorythms:
Key teaching objectives:
Key teaching objectives:
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Recognition of broad complex
tachycardia and narrow complex
tachycardias
Principles of treatment
Indications for electrical and
chemical cardioversion
Safe synchronised cardioversion
Rhythm Recognition Workshop
(monitoring, 12- lead ECG)
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Function of the ALS algorithm
Treatment of VF / pulseless VT
Treatment of non-VF/VT
rhythms
Indications for a precordial
thump
Potential reversible causes of
cardiac arrest
Post Resuscitation Care:
Key teaching objectives:
Key teaching objectives:
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Understand the indications for
ECG monitoring
Know how to monitor the ECG
Understand the basic physiology
of the ECG
Understand the 6-stage approach
to rhythm recognition
Recognise the common 12-lead
ECG patterns associated with
acute myocardial infarction
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The need for continued
resuscitation after return of
spontaneous circulation
ABCDE approach
Facilitation of safe transfer
How to optimise organ function
Assessment of prognosis after
cardiac arrest
Ethics, Bereavement and Legal Aspects
of Resuscitation:
Bradycardia, Cardiac Pacing
and Drugs Workshop:
To discuss:
Key teaching objectives:
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The ethical and legal implications
of the duty
of care in regard to resuscitation
The implications of ‘Do Not
Attempt Resuscitation’ orders
and ‘Advanced Directives’
The involvement of relatives in
witnessing resuscitation attempts
and bereavement
The considerations involved in
the decision
to stop a resuscitation attempt
Arterial Blood Gas Analysis
Workshop:
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Recognise bradycardia and
differentiate between the
different degrees of heart block
Understand the principles of
treating bradycardia
Understand the indications for
cardiac pacing
Be aware of the different methods
available for cardiac pacing
Know how to apply non-invasive,
transcutaneous electrical pacing
safely and effectively
Special Circumstances Workshops
Cardiac arrest due to asthma:
Key teaching objectives
Key teaching objectives
By the end of this session the candidate
By the end of this session the candidate
will:
will:
• Be able to interpret simple
• Understand how to assess and
arterial blood gas analyses
treat the patient with asthma
in the context of cardiac arrest or
• Recognise the signs and
impending cardiac arrest
symptoms of severe, life• Have a systematic approach to
threatening, and near-fatal
arterial blood gas interpretation
asthma
• Know the meaning of common
• Understand the potential
terms used
complications following tracheal
in arterial blood gas
intubation and ventilation
interpretation
• Know the normal ranges for
arterial blood gas values
• Know some of the common causes
of arterial blood gas
abnormalities and what to do to
correct them
Special Circumstances Workshops
Cardiac arrest due to anaphylaxis:
Special Circumstances Workshops
Cardiac arrest due to hypovolaemia:
Key teaching objectives:
Key teaching objectives:
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Understand the approach to the
patient with anaphylaxis
Recognise the signs and
symptoms of anaphylaxis
Know how to manage the patient
with anaphylaxis
Understand the potential
complications of IV adrenaline
and the indications for its use
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Understand the treatment of the
patient with cardiac arrest caused
by hypovolaemia
Know the likely causes and signs
of life-threatening hypovolaemia
Understand the need to control
haemorrhage
and infuse fluids
Know the different actions
needed in addition to
standard ALS
Special Circumstances Workshops
Cardiac arrest in pregnancy:
Special Circumstances Workshops
Cardiac arrest due to poisoning:
Key teaching objectives:
Key teaching objectives:
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Understand the treatment of the
pregnant patient with cardiac
arrest
Know the differential diagnosis of
the collapsed pregnant patient
Understand the need for early
expert help
Know the modifications to
standard ALS
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Have a systematic approach to
the assessment and treatment of
the poisoned patient
Know where to obtain expert
advice in the event of a suspected
poisoning
Recognise some common physical
signs that may be associated with
poisoning
Know the potential antidotes to
common / important poisons
Special Circumstances Workshops
Cardiac arrest due to electrolyte
disorder:
Recognition of the Critically ill Patient
and Prevention Cardiorespiratory
arrest.
Key teaching objectives:
Key teaching objectives:
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Have a systematic approach to
assess and treat the patient with
electrolyte disorders
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The importance of early
recognition of the critically ill
patient.
The causes of cardiorespiratory
arrest in adults.
How to identify and treat patients
at risk of cardiorespiratory arrest
using the ABCDE approach.
Acute Coronary Syndromes
Advanced Life Support Algorythm
Key teaching objectives:
Key teaching objectives:
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The disease process which gives
rise to the acute coronary
syndromes.
How to differentiate between the
acute coronary syndromes.
Management of patients after
recovery from acute coronary
syndrome.
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The function of advanced life
support (ALS) algorithm.
The treatment of ventricular
fibrillation/ventricular
tachycardia (VF/VT).
The treatment of non-shockable
rhythms.
The indication and technique for
giving a precordial thump.
The potentially reversible causes
of cardiac arrest.
The role of the resuscitation team
leader.
Airway Management and Ventilation
Key teaching objectives:
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The causes and recognition of
airway obstruction.
The techniques for airway
management when starting
resuscitation.
The use of simple adjuncts to
maintain airway patency.
The use of simple devices for
ventilating the lungs.
The role of Laryngeal Mask
Airways and other supraglottic
airway devices during CPR.
Cardiac Monitoring,
Electrocardiography, and Rhythm
Recognition
Key teaching objectives:
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The reason for ECG monitoring.
How to monitor the ECG.
The importance of recording the
ECG.
The cardiac rhythms associated
with cardiac arrest.
How to identify other common
arrhythmias.
Drugs and Drug Delivery
Drugs and Drug Delivery continued
Key teaching objectives:
Key teaching objectives:
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Reasons for acquiring venous
access.
Equipment available to obtain
venous access.
Techniques for cannulation of the
central veins.
Advantages and disadvantages of
peripheral and central venous
cannulation.
Potential complications arising
from intravenous cannulation.
Use of the tracheal route for drug
delivery.
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To understand the indications,
doses and actions of the primary
drugs used in the treatment of a
cardiac arrest.
To consider any special
precautions or contraindications
to the use of these drugs.
To understand the indications,
doses and actions of drugs used in
the peri-arrest period.
Cardiac Pacing
Peri-arrest Arrhythmias
Key teaching objectives:
Key teaching objectives:
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The indications for cardiac
pacing in the peri-arrest
setting.
How to perform percussion
(fist) pacing.
How to apply non-invasive,
transcutaneous electrical
pacing.
The problems associated with
temporary transvenous
pacing and how to correct
them.
How to manage patients with
implanted permanent
pacemakers and cardioverter
defibrillators in the setting of
cardiac arrest and in the periarrest setting.
Jim Milligan, Resuscitation Officer.
Ref: RC (UK) 2005
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The importance of
arrhythmias that may precede
or follow a cardiac arrest.
How to assess peri-arrest
arrhythmias.
The principles of treatment of
peri-arrest arrhythmias.