The Deteriorating Patient

Getting Started

The phased release of the Deteriorating Patient module marks the start of a new era in knowledge and skills development of pre-hospital care providers in Scotland. Recognising the challenges in accessing educational material for remote and rural practitioners, BASICS Scotland plans to develop remote learning materials to support the continuing professional development and maintenance of skills for Doctors, Nurses and Paramedics working to serve the people of Scotland.
The online educational material will be released over the next few months. This phased release, like all IT projects, is to provide balance between the functionality and testing against the consultation and development with you the end user.
Phase 1 – Initial materials and structure to support the portfolio events and skills days
Phase 2 – Development and release of new video material, interactive training functionality and further study materials. This work will be underpinned using a “continuous improvement cycle approach,” to the training needs analysis based on feedback.
Phase 3 – The piloting and development of materials using new technologies. Those being developed at the moment include augmented and virtual reality.
The knowledge and skills development can be further maximised with many different supporting opportunities.

This course aims to develop the skills required for recognising and responding to clinical deterioration.  Through training and simulation we aim to develop practitioners response and
enhance the skills required for assessment and management of clinical emergencies in remote and rural settings.

At the bottom of this page you will find a list of lessons for this course. These also appear on the right hand side for easy navigation. As you work through this content you can mark each lesson as complete and continue to the next lesson. Some of the material such as flowcharts will be provided as a printed copy on the skills day.

The Deteriorating Patient skills day

The skills day will consist of demonstrations, discussions, case discussions and scenarios. You may already be familiar with Early Warning Scores and the NICE Traffic Light System for Identifying the Risk of Serious Illness. Both of these systems are designed to identify patients at risk of deterioration and then to either refer the patient to hospital or to seek senior medical help. We realise that neither of these options may be available to remote and rural practitioners and therefore the purpose of this course is to look in more depth at what can be done, in remote and rural settings to further assess and manage such patients.

To make the course interactive we would be grateful if each participant on the course could bring along a non-identifiable case history, for discussion, of a patient who fits into the criteria outlined in the last paragraph.

Pre-course resources

The Deteriorating Patient is a 1 day face-to-face skills day with support materials outlined within this online module. Below are some resources which it would be worth you looking at to obtain the maximum benefit from this training.

Spotting the Sick Child (Editorial note : move to its own lesson/topic along with video)

We would like to suggest that you register for the NHS resource-Spotting the Sick Child. You do this by going to the website Registration is free and available to anyone employed in the NHS. Once you have done this there is an excellent video on examining children. This is accessed by clicking on the videos tab then clicking on three minute Toolkit Demo.

If you’re interested and you click on the video tab and then symptoms there is a selection of extremely useful videos displaying clinical signs found in children. We do not expect you to look at this before the course but wish to point out what a wonderful resource this is.

How to Spot the Sick Child

Course Content