6. Recognize a patient requiring urgent / emergency care, initiate evaluation and management (linked roles: EXP, COM, COL, LEA, PRO)
| EPA | 6.1 | Recognize abnormal vital signs |
| EPA | 6.2 | Interpret the clinical situation using pathophysiological principles |
| EPA | 6.3 | Assess the severity of a patient’s situation / illness and indications for escalating care |
| EPA | 6.4 | Identify possible underlying aetiologies of the patient’s deteriorating condition |
| EPA | 6.5 | Initiate a care plan for the decompensating patient; apply basic and advanced life support as needed |
| EPA | 6.6 | Take into account a “do-not-resuscitate” request |
| EPA | 6.7 | As a team member, share vital and relevant information with other members, using structured communication techniques as well as briefings and debriefings for continuing decision-making and follow-up of the patient |
| EPA | 6.8 | Identify the need for rapid transfer of patient to another facility |
| EPA | 6.9 | Update the patient/family and ensure that they understand the indications, risks and benefits, alternatives and potential complications. If possible, ask for the patient’s informed consent or advance directives |
Emergency situations that any resident can autonomously and trustworthily manage within the first 30 minutes, i.e. assess the patient’s state, order and interpret tests, initiate procedures and treatment
| EPA 6 | a. | Transient loss of consciousness, syncope, coma, seizures |
| EPA 6 | b. | Shock, severe hypotension |
| EPA 6 | c. | Acute chest pain |
| EPA 6 | d. | Acute severe headache, meningism |
| EPA 6 | e. | Acute abdominal pain |
| EPA 6 | f. | Sudden deterioration of mental state, e.g. confusion / delusion /(auto-)aggressive behaviour |
| EPA 6 | g. | Shortness of breath |
| EPA 6 | h. | Severe hypertension |
| EPA 6 | i. | Uncomplicated trauma such as fall, minor traffic injury |
| EPA 6 | j. | Acute neurological deficits |
| EPA 6 | k. | Severe acute blood loss |
| EPA 6 | l. | Intoxication / poisoning |
| EPA 6 | m. | Burns |