CICM Second Part Exam Practice SAQs 13092017

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from Lifeinthefastlane.com’s Critical Care Compendium and other FOAM sources:

Q1.

Discuss the issues concerning spontaneous breathing during mechanical ventilation in patients with acute respiratory distress syndrome (ARDS).

Learn more here:

Spontaneous breathing and mechanical ventilation

Q2.

Outline the specific therapies used in the management of:

  1. phaeochromocytoma (25%)
  2. myxoedema coma (25%)
  3. hypercalcaemia (25%)
  4. carcinoid syndrome (25%)

Learn more here:

Carcinoid Syndrome

Phaeochromocytoma

Myxoedema Coma

Hypercalcaemia

Q3.

With respect to the Guillain Barre Syndrome (GBS):

  1. a) Outline how you distinguish between GBS and Critical Illness Polymyoneuropathy (CIP) (50%)
  2. b) What are the current treatment options in GBS? Briefly outline the supporting evidence (20%)
  3. c) What is the prognosis of GBS and what factors are associated with a worse outcome? (30%)

 

Learn more here:

CICM SAQ 2013.1 Q10

ICU Acquired Weakness (ICUAW)

Guillian-Barré Syndrome (GBS)

 


You can access all the previous practice questions since 2014 here:
https://docs.google.com/document/d/1_Ta8IvVaVtc5Il7-kJwj6qKGu54OmifJGRUWCXud8dY/edit
See this link on INTENSIVE for exam resources:
http://intensiveblog.com/resources/#3

The post CICM Second Part Exam Practice SAQs 13092017 appeared first on INTENSIVE.

CICM Second Part Exam Practice SAQs 06092017

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from Lifeinthefastlane.com’s Critical Care Compendium and other FOAM sources:

Q1.

Outline the differential diagnosis of thrombocytopaenia in an intensive care patient, and your approach to investigation. (65%)

What are your thresholds for administering platelets for thrombocytopaenia in different clinical situations? (35%)

 

Learn more here:

Thrombocytopaenia

Q2.

Discuss the assessment and management of an ICU patient who has growth of Aspergillus fumigatus from a sputum culture.

Learn more here:

Aspergillosis

Q3.

Outline your approach to the management of a pregnant 25 year-old female (34/40 gestation) with severe acute respiratory distress syndrome (ARDS) due to Influenza A infection.

She is intubated and receiving FiO2 0.9 and pressure-controlled ventilation (Pi 20 cmH20, PEEP 15 cmH20). She weighs 65kg (BMI 25).

Learn more here:

Influenza and Pregnancy

Influenza

Acute Respiratory Distress Syndrome (ARDS)


You can access all the previous practice questions since 2014 here:
https://docs.google.com/document/d/1_Ta8IvVaVtc5Il7-kJwj6qKGu54OmifJGRUWCXud8dY/edit
See this link on INTENSIVE for exam resources:
http://intensiveblog.com/resources/#3

The post CICM Second Part Exam Practice SAQs 06092017 appeared first on INTENSIVE.

Alfred ICU Intubation Checklist

Author: Tim Byrne
Reviewer: Chris Nickson

Here is the Alfred ICU intubation checklist. We invite you to take it and adopt it whole, or, even better, to modify it to your own department’s needs.

We have spent considerable time and thought developing it, as well as testing it in repeated simulations prior to clinical use. We wanted to create a checklist that goes beyond ensuring that equipment is ready and team roles are assigned. In particular, we focused on incorporating teamwork principles and the concept of the “physiologically difficult airway” as well as the “anatomically difficult airway”.

Both shared mental models and flat hierarchies are characteristics of medical teams that predict high performance. We think that by encouraging the explicit statement of anticipated problems and their solutions (“if this, then that”) that this checklist fosters a shared mental model among team members participating in intubation. Adding the invitation to all team members to offer “questions or concerns” as the final item on the checklist aims to create a flat hierarchy and encourage all present to speak up.

Please feel free to feed back to us your experience with intubation checklists and other cognitive aids – there’s always more to learn!

The checklist is 2-sided laminated sheet attached to the airway trolley in our ICU. The top image is the actual checklist on side 1 and the bottom image is side 2, which contains some handy reminders. Click here to download a PowerPoint version for editing/ modification.

Intubation Checklist (front) Intubation Checklist (back)

We use this checklist on the Critically Ill Airway course. The course is accredited by multiple colleges and runs over two days. It involves ‘hands on’ learning via multiple advanced airway skill stations and each participant experiences twelve (or more) challenging immersive simulation scenarios as part of a six-person team. Find out more via the Alfred ICU courses webpage.

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