The expert novice - living and working with malignant hyperthermia.

ABSTRACT

Acute care common stem training involves developing competencies within anaesthesia. At this stage of their career, most doctors have little or no anaesthetic experience, and work under direct consultant supervision for the majority of the placement. An emergency medicine trainee with a known diagnosis of malignant hyperthermia undertook a 6-month anaesthetic rotation in a large teaching hospital, adding a unique set of considerations to his training. Having malignant hyperthermia posed a novel challenge to the department, and it was met with an understandable degree of uncertainty and caution. Providing the trainee with a useful and comparable introduction to anaesthesia was of concern, particularly on paediatric lists where there is increased potential for exposure to volatile anaesthetic agents. This report focuses on the trainee's personal reflection of the impact on his experience, as well as looking at how the department responded to this unfamiliar situation, and the learning points to share should a similar scenario be encountered in the future.