The Advanced Fellowship in Emergency Medicine Revision Course
Advanced Fellowship in Emergency Medicine Revision Course
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    • AFEM Written Revision Course
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    • Paediatric Emergency Medicine Revision Course
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    • Dr Adrian Bonsall's Revision Notes
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  • Sample SAQ's 2018.1
    • SAQ 1-Trauma >
      • SAQ 1 answer
    • SAQ 2 - CVS >
      • SAQ 2 answer
    • SAQ 3 - Resp >
      • SAQ 3 answer
    • SAQ 4 Psychiatry / Medicolegal >
      • SAQ 4 answer
    • SAQ 5 - Anaesthetics >
      • SAQ 5 answer
  • Password SAQ's 6-18
    • SAQ 6 - Ortho /Admin >
      • SAQ 6 answer
    • SAQ 7 - Obs & Gynae >
      • SAQ 7 answer
    • SAQ 8 - CVS >
      • SAQ 8 answer
    • SAQ 9 - CVS >
      • SAQ 9 answer
    • SAQ 10 Neurology >
      • SAQ 10 answer
    • SAQ 11 Environmental / reus >
      • SAQ 11 answer
    • SAQ 12 Oncology /Admin >
      • SAQ 12 answer
    • SAQ 13 Immunology /Resus >
      • SAQ 13 answer
    • SAQ 14 Neurosurgical >
      • SAQ 14 answer
    • SAQ 15 CVS >
      • SAQ 15 answer
    • SAQ 16 Administration >
      • SAQ 16 answer
    • SAQ 17 Opthalmology /ID >
      • SAQ 17 answer
    • SAQ 18 Environmental >
      • SAQ 18 Answer
  • Workshops
    • Radiology workshop >
      • CXR
      • Pelvis
      • Knee
      • Shoulder
      • Abdomen
      • Brain / Head
    • ECG workshop
    • ABG Workshop
  • Handbook
  • AFEM SAQ paper 2020.2
Model Answer

1.     Current symptoms of cardiorespiratory or systemic illness ie sob, active wheeze, vital signs should all be normal
        No major background medical problems eg cystic fibrosis / congenital heart disease, severe asthma
        Normal ASA classification
        No previous anaesthetic complications
        No allergies to sedation medications or paralysing or induction agents
        Fasting state – should preferably be fasted for 4 hours from solids and liquids, but may vary depending on urgency of the         procedure.
        Examination of CVS resp and neurol systems should be normal.

2.     Previous difficult airway
          Mobility of neck – eg rheumatoid arthritis or downs syndrome
           Mallampatti score
            Micrognathia
            Obesity – predicts short neck, anterior larynx
            Obstruction / foreign body / stridor
            Neck abnormalities
            Evidence of previous laryngeal abnormality or surgery

3.     Oxygen Saturation
        Carbon Dioxide EtCO2 - continuous
        HR
        BP
        LOC – GA vs deep vs dissociative vs moderate

4.     Vital signs normal
        Ambulating
        No nausea or vomiting
        Analgesia controlled
        Knowledge Required:
        Anaesthetic risk assessment
        Predictive scores for a difficult airway
        Procedural sedation protocols
        Safe discharge criteria / Disposition
REFUND POLICY: All refunds are considered at the discretion of the AFEM Executive. Refunds of a maximum of 60% of the course fee is payable with valid reasons with a notice period of 8 weeks  prior to the course. Thereafter,   refunds are managed on a case by case basis.  No refunds are offered within 2 weeks of the course date. No course transfers to individuals or other courses are permitted.