Understand the presentation of Arrange and interpret sessions in pulmonary embolism and recognise the appropriate investigations & obstetric potential for co-existing lung disease fetal monitoring refer to anaesthesia and (asthma, sarcoidosis, cystic fibrosis, respiratory physicians / ITU/HDU. tuberculosis], restrictive lung disease) intensivists for further 1,2,3 assessment / treatment. Medical ward 1,2 (12.05) attendance for a Construct a differential diagnosis for Plan delivery and postnatal wider experience breathlessness, tachypnoea and care in liaison with respiratory of (non pregnant) hypoxemia bearing in mind all acute physicians. management for lung disease that can present in acute chest pain pregnancy (ARDS, pneumothorax, and pulmonary pneumonia) as well as cardiovascular embolism. 1,2 conditions. Understand the benefits of an MDT approach including the range of respiratory support and treatment options (oxygen therapy, the principles of ventilatory support antibiotic therapy). Endocrine 1,2 (12.06) Pre-existing diabetes (12.06 12.07) (12.06 -12.07) (12.06) – with chronic complications Understanding the condition built upon Liaise effectively with the MDT NICE Guideline (nephropathy, retinopathy, the knowledge developed from: and be able to explain the risks NG3 (2015) neuropathy, vascular disease.) of pregnancy where there is Diabetes in established chronic diabetes Pregnancy: ASM 6. Management of the Key (12.07) Ketoacidosis with complications. management Obstetric Medical Conditions. (6.05, from 6.06) preconception to (12.07) Liaise effectively for the 1,2,3 the postnatal acute recognition and ASM 10 Key intrapartum obstetric period. management of ketoacidosis in medical disorders (10.04 10.05). pregnancy. Be able to debrief after diabetic Medical ward ketoacidosis and advice of and clinic
Understand the presentation of pulmonary embolism and recognise the potential for co-existing lung disease (asthma, sarcoidosis, cystic fibrosis, tuberculosis], restrictive lung disease) (12.05) Construct a differential diagnosis for breathlessness, tachypnoea and hypoxemia bearing in mind all acute lung disease that can present in pregnancy (ARDS, pneumothorax, pneumonia) as well as cardiovascular conditions. Understand the benefits of an MDT approach including the range of respiratory support and treatment options (oxygen therapy, the principles of ventilatory support antibiotic therapy). 1,2 1,2 Arrange and interpret appropriate investigations & fetal monitoring refer to respiratory physicians / intensivists for further assessment / treatment. Plan delivery and postnatal care in liaison with respiratory physicians. 1,2,3 sessions in obstetric anaesthesia and ITU/HDU. Medical ward attendance for a wider experience of (non pregnant) management for acute chest pain and pulmonary embolism. Endocrine (12.06) Pre-existing diabetes with chronic complications (nephropathy, retinopathy, neuropathy, vascular disease.) (12.07) Ketoacidosis 1,2 (12.06 – 12.07) Understanding the condition built upon the knowledge developed from: ASM 6. Management of the Key Obstetric Medical Conditions. (6.05, 6.06) ASM 10 Key intrapartum obstetric medical disorders (10.04 10.05). (12.06 -12.07) Liaise effectively with the MDT and be able to explain the risks of pregnancy where there is established chronic diabetes with complications. (12.07) Liaise effectively for the acute recognition and management of ketoacidosis in pregnancy. Be able to debrief after diabetic ketoacidosis and advice of 1,2,3 (12.06) NICE Guideline NG3 (2015) Diabetes in Pregnancy: management from preconception to the postnatal period. Medical ward and clinic
obstetric-medicine-atsm-2018.docx