INTENSIVE CARE MEDICINE Candidates should have a good understanding of the diagnosis and management of the critically ill patient and should be skilled in resuscitation to an advanced standard. An understanding of the particular problems associated with the critically ill child (excluding neonates) will be expected.
All candidates should be familiar with the monitoring and life support equipment used in the treatment of critically ill patients. Candidates 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. An awareness of the importance of communication skills and interpersonal relationships will be expected.
Transport of the critically ill Infection and multiple organ failure Sepsis and endotoxaemia Nosocomial infections Assessment and management of oxygen delivery Antibiotics and immunotherapy Reperfusion injury and antioxidants Cardiovasular system to include:
Pathophysiology and management of cardiogenic and hypovolaemic shock Pulmonary embolism Investigation and management of cardiac failure Investigation and management of arrhythmias
Respiratory system to include:
Airway care Ventilators and modes of pulmonary ventilation Management of acute and chronic respiratory failure Nervous system to include:
Central nervous system infection Acute polyneuropathy Traumatic and non-traumatic coma Encephalopathies Cerebral ischaemia Status epilepticus Brain stem death Renal, electrolyte and metabolic disorders to include:
Diagnosis, prevention and management of acute renal failure Fluid, electrolyte and acid-base disorders Body temperature Haematological disorders to include:
Coagulopathies lmmunocompromised patients Gastrointestinal disorders to include:
Acute liver failure - diagnosis and management Acute pancreatitis Gut ischaemia Gastrointestinal ulceration and bleeding Translocation and absorption disorders
Nutrition
Requirements for enteral and parenteral nutrition Analgesia, anxiolysis and sedation
Trauma
Management of multiple injuries Near-drowning Burns and smoke inhalation Management of acute poisoning Organ donation Scoring systems and audit Ethics
ArticleDate:20040823
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