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.
The acidity of your precious bodily fluids is a carefully guarded parameter. To allow this parameter to deviate out of a very narrow range would massively impair your capacity to continue living. Basic molecular services would break down. Cellular anarchy would ensue. In order for the ICU physician to wrest a form of order from this chaos, a reasonable grasp of basic acid-base chemistry is expected. An excellent medically themed foundation for acid-base chemistry is laid by Kerry Brandis in a highly acclaimed series of online articles, to which I will constantly refer. It is not my intention to supercede this resource, as it remains canonical for all critical care trainees.