ACEM - Specialist CPD Program Procedural Skills

Airway

Breathing

Circulation

Scope of Practice

Activities (examples)

Airway - Basic Life Support - Adult
Airway - Basic Life Support - Child
Airway - Emergency replacement of blocked or dislodged tracheostomy tube
Airway - Extubation
Airway - Flexible - Fibre-optic
Airway - Insertion - Cricothyroid needle
Airway - Insertion - Laryngeal mask airway
Airway - Insertion - Seldinger/needle or surgical cricothyroidotomy
Airway - Intubation - direct laryngoscopy
Airway - Intubation - video laryngoscopy
Airway - Percutaneous tracheostomy
Airway - Securing and caring for ETT including during transport
Airway - Use of an additional difficult airway device
Breathing - Bag valve mask ventilation
Breathing - Drainage of pleural effusion
Breathing - Jet insufflation
Breathing - Microcatheter insertion
Breathing - Needle decompression of pneumothorax
Breathing - Needle thoracocentesis
Breathing - Set up of ventilation and commencement of positive pressure ventilation
Breathing - Thoracostomy -Decompressive
Breathing - Thoracostomy -Tube
Breathing - Use of non-invasive ventilation device -Adult
Breathing - Use of non-invasive ventilation device -Child
Circulation - Advanced Life Support -Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Circulation - Advanced Life Support -ExtraCorporeal Membrane Oxygenation (ECMO)
Circulation - Basic Life Support -Initiation of Automated External Cardiac Pressure (AECP)
Circulation - Cardiac procedures - External cardiac pacing
Circulation - Cardiac procedures - Pericardiocentesis
Circulation - Defibrillation/DC Cardioversion
Circulation - Escharotomy
Circulation - External Chest Compressions - Adult, child or infant
Circulation - Ice Water Cardioversion
Circulation - Insertion of temporary pacing wire
Circulation - Newly born resuscitation
Circulation - Resuscitative thoracotomy
Circulation - Vascular access - Arterial access
Circulation - Vascular access - Central venous
Circulation - Vascular access - Central venous - Ultrasound guided
Circulation - Vascular access - Intraosseous
Circulation - Vascular access - Large bore intravenous : ≥ 14G / Insertion ofa rapid infusion catheter
Circulation - Vascular access - Paediatric venous access : age <2 year old
Circulation - Vascular access - Paediatric venous access : aged between 2 and 15 years old
Circulation - Vascular access - Peripheral Inserted Central Catheter (PICC)
Circulation - Vascular access - Umbilical vein
Circulation - Vascular access - Venous cutdown
Chemical-Biological-Radiological (CBR) Response -full suit
Dental - Enlocation avulsed/extruded/intruded/laterally injured tooth
Dental - Joint reduction - Temporo-mandibular joint
ENT - Anterior nasal packing
ENT - Aural toilet
ENT - Aural wick insertion
ENT - Nasopharyngeal aspirate collection
ENT - Posterior nasal packing
ENT - Removal of aural foreign bodies
ENT - Removal of laryngeal foreign bodies
ENT - Removal of nasal foreign bodies
Environmental - Advanced cooling techniques
Environmental - Advanced warming techniques
Eyes - Direct ophthalmoscopy
Eyes - Lateral canthotomy - and cantholysis
Eyes - Removal of corneal foreign bodies
Eyes - Tonometry
Fluids - Abdominal paracentesis/insertion of drain
Fluids - Emergency replacement of a dislodged gastrostomy tube
Fluids - Insertion of a nasogastric tube or orogastric tube
Fluids - Insertion of a suprapubic catheter
Fluids - Insertion of an adult urinary catheter (female and male)
Fluids - Insertion of an infant urinary catheter (female and male)
Fluids - Replacement of a suprapubic catheter
Fluids - Suprapubic aspiration
Microbiology - Lumbar puncture
Minor Surgical - Advanced suturing techniques
Minor Surgical - Drainage of peritonsillar abscess
Minor Surgical - Incision and drainage of abscesses
Minor Surgical - Nail bed repair
Minor Surgical - Removal of superficial and subcutaneous foreign bodies
Minor Surgical - Wound exploration, cleaning, irrigation, and debridement
O & G - Removal of products of conception from cervical os
O & G - Spontaneous vaginal delivery and delivery of placenta
O & G - Vaginal foreign body removal
O & G - Speculum examination +/-swab sample
O & G - Perimortem c-section
Orthopaedics - Application of a pelvic binding device
Orthopaedics - Application of traction splinting devices
Orthopaedics - Arthrocentesis (ankle)
Orthopaedics - Arthrocentesis (elbow)
Orthopaedics - Arthrocentesis (knee)
Orthopaedics - Arthrocentesis (shoulder)
Orthopaedics - Arthrocentesis (other joints)
Orthopaedics - Emergent fracture/Dislocation reduction
Orthopaedics - Fracture/Joint immobilisation - Slab/Plaster application
Orthopaedics - Fracture reduction - Ankle
Orthopaedics - Fracture reduction - Lower limb other
Orthopaedics - Fracture reduction - Upper limb other
Orthopaedics - Fracture reduction - Wrist
Orthopaedics - Insertion of a fascial intra-compartmental monitor
Orthopaedics - Joint reduction - Elbow
Orthopaedics - Joint reduction - Hip
Orthopaedics - Joint reduction -Knee/Patella
Orthopaedics - Joint reduction - Other
Orthopaedics - Joint reduction - Shoulder
Orthopaedics - Maintain in line stabilisation during airway intervention
Regional Anaesthesia - Brachial plexus block
Regional Anaesthesia - Femoral or fascia iliaca block
Regional Anaesthesia - Intravenous regional anaesthesia
Regional Anaesthesia - Regional nerve blocks
Sedation delivery - Administration of IM or IV sedation for chemical restraint
Sedation delivery - Administration of inhaled procedural sedation
Sedation delivery - Administration of IV sedation for procedures
Toxicology - Gastric decontamination
Toxicology - Whole Bowel Irrigation
Trauma - Cranial Decompression
Trauma - Retrieval Limb Amputation
Ultrasound - Application of haemodynamic assessment protocols
Ultrasound - Abdominal aortic aneurysm
Ultrasound - Assessment in undifferentiated shock/Rapid Ultrasound for Shock & Hypotension (RUSH)
Ultrasound - Bedside echocardiography including arrest
Ultrasound - Detection and characterisation of an abdominal aortic aneurysm
Ultrasound - (Extended) Focussed Assessment with Sonography for Trauma ((E)FAST)
Ultrasound - Guided Peripheral Vascular Access
Ultrasound - Hepatobiliary ultrasound
Ultrasound - Lung
Ultrasound - Ocular
Ultrasound - Pregnancy - 1st trimester
Ultrasound - Pregnancy - 2nd and 3rd trimester
Ultrasound - Renal tract ultrasound
Ultrasound - Soft tissue ultrasound
Ultrasound - Ultrasound guided nerve blocks
Urology - Procedural management of priapism
Urology - Reduction of paraphimosis

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