Initial Stabilisation, Referral, and Transfer of a Patient with a Severe Acute Brain Injury

Curriculum Reference

13.9.5 Provides safe care for ASA 1-3 adult patients with multiple injuries from arrival in hospital to post- operative care and seeks help appropriately.

13.9.5 Applies physiological & pharmacological principles to reduce the risk of secondary brain injury in patients presenting with a severe head injury.

13.9.5 Describes the anaesthetic-related problems associated with trauma including burns, poisoning, electrical injuries, and drowning.

13.11.1 Independently cares for critically ill adult patients during inter-hospital transfers by road.

13.11.6 Manages inter–hospital transfers of adults and children by land, including time-critical transfers, in line with local and regional policy.

13.11.7 Manages the resuscitation, stabilisation and transfer of patients with acute neurological deterioration.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

HiLLO 7: 7. Specialists in Intensive Care Medicine can provide pre-operative resuscitation and optimisation of patients, deliver post-operative clinical care including optimising their physiological status, provide advanced organ system support and manage their pain relief.

HiLLO 10: Intensive Care Medicine specialists will have developed the necessary skills of induction of anaesthesia, airway control, care of the unconscious patient and understanding of surgery and its physiological impact on the patient.