{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:52:07Z","timestamp":1760028727039,"version":"3.38.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:p> The Surviving Sepsis Campaign (SSC) recommends Early Goal Directed Therapy (EGDT) in the treatment of septic shock, which requires key critical care skills and knowledge. This study evaluates the availability of these skills in Specialist Registrars in acute hospital specialities in the UK. A questionnaire was sent to Specialist Registrars in Anaesthetics, General Surgery and General Medicine throughout Scotland. One hundred and eighty five responses were obtained. One hundred percent of anaesthetists, 70% of surgeons and 51% of physicians were aware of EGDT. Only 62 trainees (6% of surgeons, 79% of anaesthetists, 19% of physicians) had the full complement of skills and knowledge to implement EGDT. This study demonstrates that non-anaesthetic registrars in the UK lack both knowledge and skills required to provide EGDT. The main deficit was in awareness, demonstrating that knowledge of EGDT is not penetrating into specialities beyond anaesthesia. It is now time for the SSC to specifically target non-anaesthetic specialities. <\/jats:p>","DOI":"10.1258\/rsmsmj.54.3.22","type":"journal-article","created":{"date-parts":[[2011,3,16]],"date-time":"2011-03-16T22:08:12Z","timestamp":1300313292000},"page":"22-24","source":"Crossref","is-referenced-by-count":4,"title":["Practical Barriers to the Implementation of Early Goal Directed Therapy in the UK: Trainee Skills and Awareness"],"prefix":"10.1177","volume":"54","author":[{"given":"Sj","family":"Mcnally","sequence":"first","affiliation":[{"name":"Honorary Specialist Registrar, University Department of Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Mackinnon","sequence":"additional","affiliation":[{"name":"Specialist Registrar, Department of Anaesthesia, Western Infirmary, Dumbarton Road, Glasgow, G11 6NT."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Consultant in Anaesthetics and Intensive Care, Department of Anaesthesia, Stirling Royal Infirmary, Livilands Gate, Stirling, FK8 2AU."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,8,1]]},"reference":[{"key":"bibr1-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa010307"},{"key":"bibr2-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000206104.18647.A8"},{"key":"bibr3-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1186\/cc3909"},{"key":"bibr4-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.2.225"},{"key":"bibr5-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000206112.32673.D4"},{"key":"bibr6-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2210-z"},{"key":"bibr7-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000117317.18092.E4"},{"key":"bibr8-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2005.tb01957.x"},{"key":"bibr9-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2006.039206"},{"key":"bibr10-RSMSMJ.54.3.22","doi-asserted-by":"publisher","DOI":"10.1186\/cc4918"},{"key":"bibr11-RSMSMJ.54.3.22","first-page":"2041","volume":"40","author":"Batchelor A","year":"2006","journal-title":"The Royal College of Anaesthetists Bulletin"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/RSMSMJ.54.3.22","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/RSMSMJ.54.3.22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T19:03:33Z","timestamp":1741115013000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/RSMSMJ.54.3.22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1258\/RSMSMJ.54.3.22"],"URL":"https:\/\/doi.org\/10.1258\/rsmsmj.54.3.22","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"type":"print","value":"0036-9330"},{"type":"electronic","value":"2045-6441"}],"subject":[],"published":{"date-parts":[[2009,8]]}}}