Assessor
PGY4+
Due
Week 4
Requirement
Mandatory
What Assessors Look For
•Systematic ABCDE approach to the deteriorating patient
•Early recognition of cardiac arrest and initiation of CPR
•Correct application of ALS algorithm (shockable vs non-shockable)
•Appropriate drug timing (adrenaline every 3-5 min, amiodarone after 3rd shock)
•Consideration of reversible causes (4Hs and 4Ts)
•Clear communication and team leadership
Key Points to Demonstrate
1Call for help early - don't manage alone
2High-quality CPR: rate 100-120, depth 5-6cm, full recoil, minimize interruptions
3Shockable rhythms (VF/pVT): shock → 2 min CPR → rhythm check
4Non-shockable (asystole/PEA): CPR → adrenaline immediately → rhythm check every 2 min
5ROSC signs: purposeful movement, regular rhythm, rising ETCO2
64Hs: Hypoxia, Hypovolaemia, Hypo/Hyperkalaemia, Hypothermia
74Ts: Tension pneumothorax, Tamponade, Toxins, Thrombosis (PE/MI)
Tips for Success
- 💡Practice verbalizing your thought process - assessors want to hear your reasoning
- 💡Assign roles clearly: "You do compressions, you manage airway, you draw up drugs"
- 💡State rhythm out loud: "This is VF - shockable rhythm, charging to 200J"
- 💡Time your interventions: "It's been 3 minutes, give adrenaline 1mg IV"