XII Refresher Course - Resuscitation in the Emergency Department
Critical care in the emergency department is a complex and evolving area of Emergency Medicine (EM) often overlooked within our national training systems.
Although national training programmes struggle to implement these educational elements, they widely supported by the European overarching documents aimed to the standardisation of EM training in Europe, such as the European Training Requirements (ETR) for the specialty of Emergency Medicine (1) and the European Emergency Medicine Curriculum (2).
The aim of the course was to expose EM trainees to theoretical foundation as well as practical and behavioural competencies required for management of the critically ill patient in the ED.
The course was organized by the Young Emergency Medicine Doctors (YEMD) section of the European Society of Emergency Medicine (EUSEM), the Italian Association of Emergency Medicine Trainees (CoSMEU) and the local EM trainees of the San Raffaele School of Emergency Medicine.
The target audience were EM Doctors under 35 years of age or enrolled in a national EM training programme. 45 participants attended from nine different European countries. The faculty was composed by 24 trainers from different nations. Considering the wide national heterogeneity, a pre-course survey was submitted to all participants to explore their background.
The RC XII was developed over 3 days. 45 participants attended the course supported by 24 trainers. 11 European countries were represented.
The topics covered specific theoretical, practical, and behavioural competencies that entail numerous aspects of emergency and resuscitation medicine. Participants were divided into 9 groups and rotated through 10 stations lasting 120 minutes each. This allowed to maintain a faculty: trainees ratio of at least 2:5.
The outline of the workshops and related topics was the following:
- Airway management in the critically ill patient;
- Beyond ALS: post-ROSC management in cardiac arrest;
- Human factors and group dynamics;
- Major trauma management, massive haemorrhage, and damage control resuscitation;
- Integrated ultrasound in the critically ill patient;
- Basics of invasive and non-invasive ventilations;
- Procedural boot camp;
- Procedural Sedation and Regional Anaesthesia;
- Paediatric emergencies;
- Obstetric and Neonatal Emergencies;
A feedback survey was submitted to all participants with 100% response rate. The positive feedback provided by the participants highlighted high satisfaction about the methodologies implemented, the role of simulation and the relevance of the topics to the professional development of EM trainees.
Considering the highly positive feedback provided by the participants, the faculty is working to establish the course as a recurrent event to support the development of EM training across Italy and other European countries.
Figure 1 – Graphic representation of specialties sharing overlapping competences within Resuscitation Medicine.
1. European Training Requirements for the Specialty of Emergency Medicine, (2019). https://www.uems.eu/__data/assets/pdf_file/0009/100026/ETR-Emergency-Medicine.pdf
2. Emergency Medicine European Curriculum, (2019). https://eusem.org/images/Curriculum_2.0_WEB.pdf
G. Mormando, Medico Specialista in Medicina d'Emergenza e Urgenza - Ospedale Universitatrio di Padova
L. Ceschi, Medico Specialista in Medicina d'Emergenza e Urgenza - Ospedale Universitario San Martino di Genova
F. Farolfi, Medico in Formazione Specialistica in Medicina d'Emergenza e Urgenza - Ospedale Universitario San Raffaele di Milano
G. Borio, Medico in Formazione Specialistica in Medicina d'Emergenza e Urgenza - Ospedale Universitario San Raffaele di Milano