Core Adult Internal Medicine Disciplines

Intensive Care Medicine

Topics

• The assessment, resuscitation and ongoing acute management of critically ill and injured patients with life threatening single and multiple organ system failure.
  
• The assessment and initial management of: airway obstruction; respiratory failure; cardiovascular failure; coma of any cause; septicaemia and sepsis syndrome; renal failure; under-nutrition; anticoagulation and fibrinolytics.
  
• Physiological monitoring and clinical measurement.
  
• Cardiopulmonary resuscitation.
  
• Airway management including translaryngeal intubation.
  
• Invasive haemodynamic monitoring including central venous, arterial and pulmonary artery cannulation and the interpretation and clinical use of derived variables.
  
• Continuous renal replacement therapy.
  
• Recognition and understanding of the correct use of drugs and therapies within the ICU pharmacopoeia: analgesics, sedatives, muscle relaxants, inotropic agents, antidysrhythmia drugs, including digoxin, diuretics, antibiotic drugs and fluids for resuscitation.
  
• Recognition of the value and limitations of currently available monitoring methods, invasive and noninvasive devices, parameters, alarms and false alarms.
  
• Use of laboratory and other services (including radiology) and understanding the need for consultation and referral.

Practical Skills for all Trainees

• Bag and mask ventilation.
  
• Endotracheal intubation.
  
• Tube thoracostomy.
  
• Mechanical ventilation, including a range of ventilatory modes and strategies.

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