Table 1 Curriculum „Anesthesia for Emergency Physicians“

Lectures (45 min)

- Airway: anatomy and assessment

- Airway management: devices and difficult airway algorithm

- Basics of ventilation

- Pre-hospital analgesia, sedation and rapid sequence induction

- Airway management scenarios (case discussions)

In-hospital skill training (objective)

- i.v. lines / alternatives (nasal, intra-osseous)

- Induction of anesthesia (50 cases)

- Bag-mask-valve ventilation (assisted, controlled)

- Laryngeal tube, intubating laryngeal mask (20 cases, 5 in pediatrics)

- Tracheal intubation (35 cases, 10 in pediatrics - direct and video laryngoscopy)

- Use of additional devices (gum elastic bougie)

- Oral and endotracheal suction, insertion of gastric tubes

- Rapid Sequence Induction

- Knowledge and practical use of different ventilation modes

- Handling of different transport ventilators

Airway assessment (by personal mentors)

- Mini-Clinical Evaluation Exercise

- Case-Based Discussions

- Direct Observation of Procedural Skills

- Full case Simulation

Pre-hospital training

- 50 EMS missions under supervision (>10 rated NACA-grade > 3)

- Mandatory missions responding to

• Myocardial infarction

• Stroke

• Respiratory insufficiency

• Severe trauma

• Cardio-pulmonary-resuscitation

• Debriefing of training

• Allowance to do self-reliant shifts