COD 2: Resuscitating and stabilizing critically ill patients

Key Features

• This EPA focuses on the resuscitation and stabilization of critically ill pediatric patients of all ages.
• This EPA includes identifying priorities for management and the need for intensivist and/or other specialist support.
• It includes participating in a debrief session after the acute event.
• This EPA does not include ongoing inpatient management of acutely ill pediatric patients.
• This EPA may be observed in the simulation setting.

Assessment Plan

Direct observation by supervisor

Use form 1. Form collects information on:

• Age: neonate; infant; preschool; school age; adolescent
• Setting: inpatient; outpatient; emergency department; community; on call/after hours; simulation
• Presentation (check all that apply): respiratory; hemodynamic; fluid and electrolyte/metabolic; neurologic; other presentation (please specify)

Collect 5 observations of achievement

• At least 1 neonate
• At least 1 infant/preschool
• At least 1 school aged
• At least 1 adolescent
• No more than 1 in simulation setting
• At least 1 of each presentation

CanMEDS milestones

1. COL 1.2 Work effectively as the leader of a resuscitation team
2. ME 2.1 Determine the acuity of the issue and the priorities for patient care
3. ME 2.2 Focus the assessment, performing in a time-effective manner without excluding key elements
4. ME 3.4 Perform the sequence of resuscitation as per established protocols
5. ME 2.2 Select and/or interpret appropriate investigations
6. ME 2.2 Synthesize patient information to determine differential diagnosis
7. ME 2.4 Develop and implement focused treatment strategies
8. ME 4.1 Determine the need for and timing of referral to another health care professional
9. COL 1.3 Apply closed loop communication in urgent or crisis situations to work effectively with physicians and other colleagues in the health care professions
10. P 4.1 Maintain capacity for professional clinical performance in stressful situations