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ICU
Cases
ICU Fellowship (CICM)
ICU cases
Long case, short case, and bedside hot case.
68
Units
31
Chapters
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Chapters · 31
Raised ICP & TBI
3
Oxygen & gas exchange
2
AKI & RRT
3
Statistics & evidence
3
Arrhythmia & cardiac arrest
1
Electrolytes
2
Advanced respiratory support
3
Acid–base
3
Seizures & weakness
2
Airway management
3
Equipment & physics
3
ARDS & lung protection
3
Trauma & burns
2
Sedation & paralysis
3
Applied pharmacology
3
Post-cardiac arrest care
1
Acute heart failure
1
Resuscitation
5
Perioperative critical care
1
Antimicrobial therapy
2
Oncology & immunocompromised
1
Haematology & coagulation
3
ICU-acquired infection
1
Delirium & sleep
2
Applied physiology
1
GI & nutrition
1
ECMO
1
Shock states
1
Haemodynamic monitoring
3
Mechanical ventilation
3
Ethics, EOL & communication
2
01
Raised ICP & TBI
3 entries
Acute extradural haematoma — the lucid interval and the surgical emergency
Hot case — the bedside encounter: a TBI patient with an ICP monitor and a pressure spike
Severe traumatic brain injury — resuscitation to a refractory-ICP craniectomy decision
02
Oxygen & gas exchange
2 entries
Acute hypoxaemic respiratory failure — from HFNC to intubation
Hot case — the bedside: interpreting a hypoxaemic blood gas
03
AKI & RRT
3 entries
Acute kidney injury from rhabdomyolysis — the pigment nephropathy
Hot case — the recovering kidney: assessing the patient on continuous renal replacement therapy
Septic shock with stage 3 acute kidney injury — the timing decision
04
Statistics & evidence
3 entries
Appraising the ACURASYS-vs-ROSE contradiction
Calculating the NNT from a trial
Hot case — the bedside: applying the Surviving Sepsis guideline
05
Arrhythmia & cardiac arrest
1 entry
Cardiac arrest in the ICU — the full ALS to the post-arrest care
06
Electrolytes
2 entries
Chronic hyponatraemia from SIADH — the correction-ceiling tightrope
Hot case — the bedside: a hypernatraemic patient who cannot drink
07
Advanced respiratory support
3 entries
COPD exacerbation — NIV success to liberation
Hot case — the bedside: the post-extubation assessment
The difficult-to-wean patient
08
Acid–base
3 entries
Diabetic ketoacidosis in a young person — fluids, insulin and potassium
Ethylene glycol poisoning — the dual gap and the race to block metabolism
Hot case — the bedside: a septic patient with a metabolic acidosis and a rising lactate
09
Seizures & weakness
2 entries
Guillain-Barre syndrome — the ascending weakness
Hot case — the bedside: a myasthenic crisis
10
Airway management
3 entries
Hot case — collapse in the first ten minutes after intubation
Long case — the predicted difficult airway in a morbidly obese man
Short case — cannot intubate, cannot oxygenate
11
Equipment & physics
3 entries
Hot case — confirming tracheal intubation with waveform capnography
Long case — rising airway pressure on a heated humidifier
Short case — the unreliable pulse oximeter
12
ARDS & lung protection
3 entries
Hot case — sudden collapse on the turn in a proned patient
Long case — severe influenza ARDS and the escalation to ECMO
Short case — recognising and classifying ARDS
13
Trauma & burns
2 entries
Hot case — the bedside: a suspected spinal-cord injury and neurogenic shock
Polytrauma — the integrated primary survey to damage-control resuscitation
14
Sedation & paralysis
3 entries
Hot case — the bedside: an over-sedated patient failing a spontaneous breathing trial
ICU delirium in the ventilated patient — the bundle and dexmedetomidine
Severe ARDS — deep sedation and the paralysis decision
15
Applied pharmacology
3 entries
Hot case — the bedside: choosing the sedation for the weaning
The rapid-sequence intubation — the pharmacology
The vasoactive choice in the septic shock with the cardiac dysfunction
16
Post-cardiac arrest care
1 entry
Hot case — the bedside: fever and shivering at 24 hours post-arrest
17
Acute heart failure
1 entry
Hot case — the bedside: flash pulmonary oedema
18
Resuscitation
5 entries
Hot case — the bedside: is this patient fluid-responsive?
Hot case — vasopressor-dependent septic shock on day 2
Recognising septic shock in the emergency department
Septic shock — a perfusion-directed resuscitation
Septic shock from obstructive pyelonephritis in an older diabetic man
19
Perioperative critical care
1 entry
Hot case — the bedside: postoperative atrial fibrillation
20
Antimicrobial therapy
2 entries
Hot case — the bedside: the febrile neutropenia
The augmented renal clearance — the subtherapeutic antibiotic
21
Oncology & immunocompromised
1 entry
Hot case — the bedside: the ICI pneumonitis
22
Haematology & coagulation
3 entries
Hot case — the bedside: the life-threatening bleed on a DOAC
The DIC in the septic shock
The heparin-induced thrombocytopenia — the thrombosis, not the bleeding
23
ICU-acquired infection
1 entry
Hot case — the bedside: the new fever on day 5
24
Delirium & sleep
2 entries
Hot case — the bedside: the patient who cannot sleep
ICU delirium — the prevention and the management pathway
25
Applied physiology
1 entry
Hot case — the bedside: the raised ICP physiology
26
GI & nutrition
1 entry
Hot case — the bedside: the refeeding syndrome
27
ECMO
1 entry
Hot case — the bedside: the VV ECMO weaning trial
28
Shock states
1 entry
Hot case — the bedside: titrating the vasopressor in septic shock
29
Haemodynamic monitoring
3 entries
Hot case — the shocked patient at the bedside: reading the monitors
Long case — septic shock, the fluid question and the rising lung water
Short case — interpreting the haemodynamic profile of shock
30
Mechanical ventilation
3 entries
Hot case — worsening hypoxaemia and rising airway pressure on day 3
Severe pneumonia with ARDS — protecting the lung and then liberating it
The sudden high airway-pressure alarm
31
Ethics, EOL & communication
2 entries
The goals-of-care family meeting
The Jehovah's Witness and the major haemorrhage