6. Recognize a patient requiring urgent / emergency care, initiate evaluation and management (linked roles: EXP, COM, COL, LEA, PRO)

EPA6.1Recognize abnormal vital signs 
EPA6.2Interpret the clinical situation using pathophysiological principles
EPA6.3Assess the severity of a patient’s situation / illness and indications for escalating care
EPA6.4Identify possible underlying aetiologies of the patient’s deteriorating condition
EPA6.5Initiate a care plan for the decompensating patient; apply basic and advanced life support as needed
EPA6.6Take into account a “do-not-resuscitate” request
EPA6.7As 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
EPA6.8Identify the need for rapid transfer of patient to another facility
EPA6.9Update 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 6a.Transient loss of consciousness, syncope, coma, seizures
EPA 6b.Shock, severe hypotension 
EPA 6c.Acute chest pain
EPA 6d.Acute severe headache, meningism
EPA 6e.Acute abdominal pain
EPA 6f.Sudden deterioration of mental state, e.g. confusion / delusion /(auto-)aggressive behaviour
EPA 6g.Shortness of breath
EPA 6h.Severe hypertension
EPA 6i.Uncomplicated trauma such as fall, minor traffic injury
EPA 6j.Acute neurological deficits
EPA 6k.Severe acute blood loss
EPA 6l.Intoxication / poisoning
EPA 6m.Burns