There are many opportunities to learn and improve practical procedures such as ultrasound guided cannulas, arterial lines as well as teaching on pharmacology, physics & physiology. Excellent opportunity to take part in Audits and research as many are always available. There are generally no on calls but some long days. Most of the time you will observe & help rather than independently carry out tasks. Initially ITU feels like a different language to the rest of medicine but with time, it becomes easy to understand what is happening and your role in the team. However, no preparation is fine too as you’ll learn on the job!Īs a supernumerary member of the team, your main job is to learn. LITFL/EM Crit and ABCs of Anaesthesia on YouTube can guide you for this. Read introduction to anaesthesia/critical care literature – Usual admin including admitting & discharging paperwork for perioperative care, drug charts & liaising with specialties.Supporting airway skills such as bag mask ventilation, insertion of SGAs.Common drugs used in anaesthetics: induction agents, analgesics, vasopressors.Basics of intubation & managing difficult airways.Types of airway and when to use them (OPA, NPA, supraglottic, ETT).You may also be involved with intensive care (see this section) You should get an opportunity to learn basic ultrasound skills. There is an excellent opportunity to learn procedures & practical skills (managing an airway, intubation, line insertions) as well as teaching on pharmacology, physics & physiology. As the workload tends to be light, use this extra time to develop your CV. There are minimal expectations on you and generally no on calls. You are supernumerary which means you’re there to observe & help rather than independently carry out tasks. Useful apps: Iresus, BMJ Best practice, SmartDr, PocketDr, Microguide, BNF, Foundation Doctor Handbook.Mindthebleep have some excellent resources for on calls and referring to specialties!.If you are unsure about something just run it past your seniors!.Handover any outstanding jobs using SBAR to ensure patient safety at the end of your shift.Ask for help & delegate if needed as it is important to have breaks and finish on time.Getting your jobs organised and prioritising your workload is key as you often can’t finish everything.What are your top tips on how to prepare? For some hospitals you may be a part of the cardiac arrest team (Timing/documentation/CPR).Initial management of acutely unwell patient (ABCDE) and getting senior review.Discuss with/refer to other specialties.Documenting on ward round and executing plan.Clerking patients on the acute medical take.What are some common tasks they may be asked to do? Toxicology – Alcohol withdrawal, paracetamol overdose.Neurology – seizures, headache, stroke, meningitis.Respiratory – COPD & asthma exacerbation, pneumonia, PE.Micro – sepsis, pyrexia of unknown origin.
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