ICU






“Trainees should have a good understanding of the diagnosis and management of the critically ill patient. All trainees should be familiar with the monitoring and life support equipment used in the treatment of critically ill patients. Trainees must be able to demonstrate their knowledge of practical invasive procedures, with an understanding of the principles and hazards involved and the interpretation of data from such procedures”.

Logistics

  1. An understanding of the potential benefits of high dependency and intensive care
  2. Common causes of admission to high dependency and intensive care
  3. The content of an ICU record
  4. An insight into likely outcome based upon severity scoring
  5. Scoring Systems and Audit
  6. Ethics

Critical care pathologies

  1. Sepsis (Pharmacological control of severe infections)
  2. Sepsis and endotoxaemia :
  3. An understanding of sepsis and the basic patterns of failure of the major organs
  4. ALI and ARDS
  5. The mucosal barrier, translocation and absorption disorders
  6. Gut ischaemia
  7. Gastrointestinal ulceration and bleeding
  8. Critical illness neuropathy
  9. Nosocomial infections including Ventilator Associated Pneumonia
  10. Coma: traumatic and non-traumatic
  11. Encephalopathies
  12. Cerebral ischaemia
  13. Status asthmaticus therapeutics
  14. Status epilepticus
  15. Acute pancreatitis
  16. Hepatic failure – Acute and chronic
  17. Near-drowning
  18. Burns and smoke inhalation
  19. Brain stem death
  20. Reperfusion injury and antioxidants
  21. Management of Acute Poisoning:
    1. Paracetamol
    2. Aminophylline
    3. Digoxin
    4. Ecstasy
    5. Tricyclics

Generic Techniques used in Critical Care

  1. Examination and care of the unconscious patient
  2. Analgesia, Anxiolysis and Sedation in the critical care setting
  3. Assessment and management of oxygen delivery
  4. Percutaneous tracheostomy
  5. Change of tracheostomy tube
  6. Management of tracheostomy and decannulation
  7. Fibreoptic bronchoscopic clearance of sputum
  8. Indications for ventilation
  9. An understanding of the use of ventilation, modes of ventilation and ventilatory support (including NIPPV) in use on critically ill Patients, with a knowledge of the vocabulary
  10. Set up ventilator for adult suffering from severe ARDS
  11. Assist in prone positioning patient
  12. Assist in weaning patient from IPPV via assist/CPAP
  13. Renal Replacement Therapy
  14. Nutrition:
    1. Enteral and parenteral nutrition: methods, nutrients, and complications
  15. Thromboprophylaxis in intensive and high dependency patients
  16. Antibiotics and immunotherapy
  17. Insertion of flow directed pulmonary artery catheter
  18. Insertion of transvenous pacemaker
  19. Insertion of oesophageal Doppler probe
  20. Peritoneal lavage
  21. Outreach care:
    1. Early warning signs and symptoms
    2. Infection and Multiple Organ Failure
  22. Transport of the critically ill:
    1. Assessment and organisation of transfer
    2. Physiological consequences of acceleration
    3. Problems of working in isolated environments
  23. The principles of brain stem death diagnosis

Communication

  1. Breaking bad news
  2. The grief response
  3. Requesting post mortem investigation
  4. Explaining need for unexpected / early discharge
  5. Introducing the concept of organ donation
  6. Organ Donation

CEACCP 2004: DECEMBER
John A Griffiths, Melanie Gager, and Carl Waldmann
Follow-up after intensive care

CEACCP 2006: AUGUST
J Seidel, PC Whiting, and DL Edbrooke
The costs of intensive care

CEACCP 2002: FEBRUARY
Chris Snowden and Emrys Kirkman
The pathophysiology of sepsis

CEACCP 2005: APRIL
Ravi P Mahajan
Acute lung injury: options to improve oxygenation

CEACCP 2006: JUNE
SS Tripathi and JM Hunter
Neuromuscular blocking drugs in the critically ill

CEACCP 2005: FEBRUARY
Ken Inweregbu, Jayshree Dave, and Alison Pittard
Nosocomial infections

CEACCP 2002: OCTOBER
John D. Hunter and Peter R. Corry
Ventilator-associated pneumonia

CEACCP 2004: APRIL
Wai Kwan Lai and Nick Murphy
Management of acute liver failure

CEACCP: 260: DECEMBER: James Geoghegan and Jeffrey L Tong
Chemical warfare agents

CEACCP 2003: DECEMBER
Carol A Chong and Kenneth R Burchett
Pain management in critical care

CEACCP 2003: OCTOBER
Sabine M Eggert and Craig Jerwood
Percutaneous tracheostomy

CEACCP 2001: OCTOBER
Mark J Garfield
Non-invasive ventilation

CEACCP 2001: JUNE
Mike Wild and Ken Alagesan
PEEP and CPAP

CEACCP 2002: APRIL
Steve M Edwards and Peter C Matthews
Current modes of conventional ventilation in intensive care

CEACCP 2005: AUGUST
Jeremy Lermitte and Mark J Garfield
Weaning from mechanical ventilation

CEACCP 2006: OCTOBER
Neil A Hall and Andrew J Fox
Renal replacement therapies in critical care

CEACCP 2001: FEBRUARY
W C Edmondson
Nutritional support in critical care

CEACCP 2001: OCTOBER
Bernard Riley and Richard Faleiro
Critical care outreach: rationale and development

CEACCP 2001: FEBRUARY
Ian Macartney and Peter Nightingale
Transfer of the critically ill adult patient

CEACCP 2003: DECEMBER
Marion Williams, M D Dominic Bell, and Edward Moss
Brainstem death

CEACCP 2004: JUNE
Paul Edgar, Robert Bullock, and Stephen Bonner
Management of the potential heart-beating organ donor