This
is a critical situation…or "This is urgent / an
emergency" (let them know that you know that this
is a critical situation)
I would do this and this and… ( sound like a
consultant with confidence ) |
| In
an anaesthetically safe environment, my machine
checked, drugs drawn up, skilled assistance… |
| Dr
Paul Gary's mnemonic : Never start your anaesthetic
without your "M.A.D.E." = (Monitors on,
Assistance, Drugs drawn up, Equipment check and ready) |
| This
is a controversial area… or
There is a lot of disagreement associated with
this… ( make sure you know both sides of the
argument and why you pick this one before the other) |
| In my
experience… (use with caution - probably if you are
talking about renal transplant at PA then it is
definitely worthwhile) |
| After
taking a thorough history from the patient and the
appropriate examination and reviewed or ordered any
necessary investigation, I would… |
| My
approach would begin with taking a thorough History from
the patient, perform the appropriate Examination(s)
and review / order any necessary Investigation. |
The
ramble about doing blocks…..my version.
In an anaesthetically safe environment, trained
assistant and adequate resus equipment, and after
informed consent and IV insertion…
Patient position will be ..
The monitor(s) I would use is/are..
My landmarks are..
My approach is
My aseptic technique is /are..
My endpoints are..
I would use X mg/kg of LA - name the drug.
Expected onset of effects will be..
The expected effects / side effects are |
Another
Paul Gary mnemonic : for any regional blocks -
"C.I.M.P.L.E"
C - Consent
I - IV
M - Monitors
P - Position
L - Local Anaesthetic
E - Evaluate the block |
Make
sure you have a good definition / list for :
anaesthetically safe environment
thorough history
informed consent |