TableĀ 1

The Military Anaesthesia Level 3 CPD Matrix and designated CPD Code 3A14

General
  • Advanced leadership and crew resource management

  • Military clinical governance

Prehospital
  • Military prehospital analgesia

  • Prehospital resuscitation options

  • Intraosseous devices and control of catastrophic haemorrhage

  • Casualty reporting systems

Resuscitation
  • Military massive haemorrhage protocol

  • Fluid management for major burns with trauma

  • Near patient coagulation testing

  • Concepts of vascular access and rapid infusion devices

  • Ketamine for Military Anaesthesia

  • Management of military airway injuries

  • Broselow bags and paediatric skills relevant to resuscitation

  • Overview of initial management of pelvic injuries

  • Management of traumatic cardiac arrest

Military Anaesthesia
  • Anaesthesia for blast and ballistic injuries to the chest

  • Anaesthesia for blast and ballistic injuries to the head and neck

  • Anaesthesia for blast and ballistic injuries to the abdomen

  • Deployed anaesthetic apparatus

  • Paediatric adaptations of deployed apparatus

  • Deployed theatre and transfer ventilators

  • Deployed indirect laryngoscopy devices

  • Anaesthesia for severe burns

  • Anaesthesia for head injuries in the military setting

  • Overview of anaesthetic management at Role 4

Regional anaesthesia
  • Regional anaesthesia for military injuries

  • Deployed regional anaesthesia equipment including CPNB catheters

  • DMS regional anaesthesia protocols and documentation

  • Working knowledge of sona-anatomy

  • Use of regional blocks during transfer

Field pain management
  • Field hospital analgesia ladder

  • Field PCA equipment

  • Early prophylaxis of neuropathic pain

  • Analgesia for aeromedical evacuation

  • Role 4 analgesia protocols

  • Pain management during rehabilitation

Critical care
  • Preparation of patients for CCAST evacuation

  • Deployable specialised medical assets

  • Management of blast lung

  • Specific deployed ICM equipment

Training
  • Awareness of the Royal College of Anaesthetists Military Anaesthesia Higher Training Module

  • Military appraisal process during deployment

  • Risks of PTSD and decompression processes

Management
  • Familiarity with DMS structure, hierarchy and responsibilities

  • Enduring DMS audit and data collection process, aeromedical evacuation chain and movement processes

  • Role of the Deployed Medical Director

  • CCAST, critical care air support team; CPD, continuous professional development; CPNB, continuous peripheral neural blockade; DMS, Defence Medical Service; ICM, intensive care medicine; PCA, patient-controlled analgesia; PTSD, post-traumatic stress disorder.