A free online resource for Intensive Care Medicine.
An unofficial Fellowship Exam (CICM Part 2) preparation resource.
Deranged Physiologyis a slowly growing archive of discussions and study notes relevant (or if not relevant, then at least interesting) to the practice of intensive care medicine. The content provides an introduction to the fundamental themes in intensive care: mechanical ventilation, vasopressors, electrolyte management, hemodynamic monitoring, dialysis, and so forth. Attention is directed at equipment in intensive care, and there are attempts to revisit interesting pharmacology and physiology. The aim of this resource is to supplement the bedside teaching of senior staff, and to consolidate resources for intensive care trainees in the initial stages of their training.
Offered below is an organised list of summaries on the topic of acid-base disorders from the Critical Care Compendium, courtesy of LITFL. Given the mixture of topics, the ideal audience for this material is the final stage exam candidate pursuing dual CICM and ACEM fellowship qualifications.
Intrathoracic organ transplantation has received little attention from the CICM examiners, with the exception of one SAQ (Question 22 from the first paper of 2009) which asks the candidate to "discuss the clinical issues specific to the heart lung transplant" in a patient with pneumonia.
This is a condensed revision of Ray Raper's chapter on post-op management of cardiothoracic surgical patients in the ICU. It has been expanded upon by details from the 2004 update to the 1999 AHA guidelines relating to the management of patients recovering from coronary artery bypass graft surgery.
These concepts seem to suffer from an excess of experts. Each expert creates their own definition, and then argues strenuously that it is valid. For instance in 2001 James Norton identified about 30 textbooks each with a slightly different definition. In his anger and frustration, he spawned a series of his own definitions: