Table of CICM Part 2 SAQs

Acute management of spinal cord injury, with a digression regarding the role of steroids

Physiological consequences of spinal cord transection: diaphragmatic breathing

Ventilator-associated pneumonia

Weaning from mechanical ventilation in a patient with a high spinal cord injury

Futile and non-beneficial care in the ICU

Interpretation of abnormal coagulation studies: thrombin time

Interpretation of abnormal coagulation studies:heparin resistance

Status asthmaticus: non-ventilatory strategies

Management of DKA

Ventilator cycling, and is relationship to patient-ventilator dyssynchrony

VT storm: management of the refractory VT

Quality of a systematic review: what to look for

Assessment and management of AKI in a septic patient 

Pericarditis following cardiac surgery

Multiple myeloma: classical biochemistry findings

Morphological abnormalities of red blood cells: macrocytosis

Interpretation of abnormal coagulation studies: APLS

Legionella species: transmission, diagnosis, management, prevention.

Hand washing: how to make your staff wash their filthy hands

Complications of percutaneous tracheostomy

Massive lower GI bleeding: definitive management options

Pneumocystis jirovecii pneumonia

Corticosteroids in community-acquired pneumonia

ABG interpretation: HAGMA with a raised osmolar gap

ABG interpretation

Sepsis in the peripartum and postpartum period

Transport of the critically ill patient

Meningococcal sepsis: risk factors, features, management, complications

Mixed metabolic and respiratory acidosis due to sympathomimetic toxidrome

Beer potomania. also, management of hyponatremia

Causes of renal failure: interstitial nephritis due to β-lactams

Analgesic techniques for multiple rib fractures including ORIF

Post intensive care syndrome (PICS)

Care for the post-pneumonectomy patient

Preparation for the difficult airway: Ludwig's angina

The child with shock: this time, burns

Propofol infusion syndrome

Hepatic encephalopathy

Non-convulsive status epilepticus: definition, diagnosis, risk factors, management.

Complications of endotracheal intubation: "what could go wrong?"

Two weird rare trauma issues: traumatic asphyxia and resuscitative thoracotomy

Assessment of poisoning in pregnancy, in childhood, and in old age with renal impairment

Design and staffing of intensive care units: single rooms

Carcinoid syndrome; specifically, clinical features, and diagnostic biochemistry.

Autoimmune haemolytic anaemia; smudge cells on a blood film.

Thrombocytopenia with evidence of peripheral destruction

Cardiac biomarkers in the diagnosis of myocardial infarction.

Medical gas supply testing

Immune suppression: timing of infection following transplant

Urinalysis in a neutropenic patient

Weird body fluids; or, "why is this urine so red"

Hypernatremia - diagnosis of central diabetes insipidus

Causes of metabolic acidosis - toxic alcohol ingestion

Polyuria following traumatic brain injury. What has caused it?

Causes of lactic acidosis in sepsis

Characteristic electrolyte derangement patterns

Causes of lactic acidosis in sepsis  (and causes of lactic acidosis in general)

A summary of toxins and their antidotes

Abdominal compartment syndrome

Rhabdomyolysis as a cause of acute kidney injury

Stress-related gastric ulceration in critical illness

Management of raised intracranial pressure

High anion gap (lactic acidosis), with respiratory alkalosis and metabolic alkalosis.

Respiratory acidosis and metabolic alkalosis: eg. an exacerbation of COPD.

Normal anion gap metabolic acidosis due to normal saline.

Causes of lactic acidosis following abdominal surgery and seizures

Causes of metabolic acidosis : a normal anion gap metabolic acidosis.

Base excess and standard base excess

Antiarrhythmic drugs in resuscitation of cardiac arrest.

High altitude pulmonary oedema

 Meta-analysis: advantages and disadvantages. Also, the funnel plot

Illness severity scoring systems

Factors influencing intensive care outcome: genetic influences

"What's That Rash?" 

Ventilator-associated pneumonia: nebulised antibiotics

Pharmacology of immunosuppressants: pred, myco and tac

Sedation monitoring and dexmedetomidine done three ways

Stress ulceration - risk factors for it, and strategies for prevention

Videolaryngoscopy vs direct laryngoscopy  

Causes of metabolic alkalosis

Causes of respiratory alkalosis (but pregnancy)

Monitoring blood lactate levels in the critically ill

Immune Reconstitution Inflammatory Syndrome

The Glasgow Coma Scale in the assessment of consciousness: its utility and its limitations.

Creme de la misc:  systemic sclerosis

Viscoelastic tests of clotting function: use of TEG to guide transfusion

Severe asthma in pregnancy

Tension-based and content-based indices of oxygenation: A-a gradient vs. PaO₂/FiO₂

Serotonin syndrome vs. neuroleptic malignant syndrome 

Ventilation strategies for ARDS

Management of superior vena cava obstruction

Tests of statistical significance: Chi-squared test, Fisher’s Exact Test and logistic regression.

NAGMA: Ureteric diversion and renal tubular acidosis

Hypocaloric enteral nutrition: permissive underfeeding and "trophic" feeding

Central and mixed venous saturation monitoring

The utility of somatosensory evoked potentials (SSEPs) in post-arrest prognostication

Applications of ECMO; also some literature supporting the use of ECMO.

A critique of the RIFLE classification system.

Allocation concealment , block randomisation, stratification, minimisation algorithm.

Assessment of nutritional status; also, pathophysiology of refeeding syndrome

The "Sedation Holiday" - useful? Discuss.

Critique of the Surviving Sepsis guidelines

Causes and management of methaemoglobinaemia.

Infection control measures for different organisms

Complications attributed to the cardiopulmonary bypass circuit

Clearance of the C-spine in the unconscious patient

"Does this CSF look infected to you?" .. an infected EVD

Care of the brain-dead organ donor. 

Parametric and non-parametric analytical tests

Complications of cardiopulmonary bypass

Transpulmonary pressure, its uses and limitations

Frusemide in critical care

Encephalitis of unknown aetiology: diagnostic workup and management

Determinants of central venous pressure and its utiility  in the ICU

Storage lesions of refrigerated packed red blood cells.

Benefits of leukodepleted blood.

Bronchiolitis in the infant. Assessment and management.

Factors which influence intensive care outcome; specifically age-related changes in physiology

Inhaled and systemic pulmonary vasodilators for ARDS: nitric oxide

Definitions: relative risk, absolute risk, NNT and study power.

General principles of antibiotic use: factors which influence the choice of agent

Perioperative care for the partial hepatectomy patient

Transport of the critically ill patient

Your ICU is a filthy zoo. Discuss strategies to prevent the transmission of MROs.

Pulseless electrical activity, cardiac tamponade and pericardiocentesis technique.

Principles of HFOV; also Physiology of gas exchange in HFOV

Routine clinical examination of the ICU patient: is there a point?

Biomarkers of sepsis: procalcitonin in some detail

Another game of "Name That ECG Abnormality"- HOCM

Another game of "Name That ECG Abnormality"- complete heart block

Graft versus host disease

Corrosive ingestion

Differentials for pre-eclampsia and eclampsia

Management strategies for bronchopleural fistula: advantages and disadvantages

Conventional CPR vs. compression-only CPR.

Sepsis in the heart-lung transplant recipient; also, complications of this transplant.

Severe pancreatitis in ICU: causes, complications, role of antibiotic prophylaxis.

Troubleshooting the temporary pacemaker

Comparison of peripheral, central and mixed venous oxygen saturation.

Methods of intracranial pressure monitoring and indications for intracranial pressure monitoring

 Meta-analysis:  features suggestive of "high quality".

Blood transfusion in ICU.

Causes of unconsciousness: with extensor plantar responses

Spinal injury localisation: where's the lesion?

Effect of miscellaneous multi-system disease: Parkinson's disease

"Guess That ECG": left ventricular aneurysm

"Guess That ECG": atrial flutter with 1:1 conduction

"Guess That ECG": RBBB plus bifascicular block

Stroke syndromes: lateral medullary syndrome

Hepatic encephalopathy

Penetrating neck injury

How to manage multidrug-resistant Gram-negatives

The Kehoe principle and the Precautionary principle

Penetrating neck injury

The Standardised Mortality Ratio (SMR)- interpretation of an SMR funnel plot

Laryngoscopy devices: videolaryngoscopy

Pulse oximetry - principles, and sources of error

Blinding and allocation concealment

What are the different causes of shock (in this pancreatitis patient)?

Critical evaluation of procalcitonin; a variant of the biomarkers of sepsis

Prognosis in moderate brain injury: ICU vs HDU admission

Pseudobulbar palsy; Important spinal cord injury syndromes

Fluid resuscitation for septic shock

Osmotherapy for management of raised intracranial pressure: hypertonic saline.

Illness severity scoring systems: what is the point of them?

End-tidal CO2 monitoring: "critically evaluate" its role in the ICU.

The utility of the EEG and of Somatosensory Evoked Potentials (SSEPs) in the ICU.

Cardioversion: "critically evaluate" its use in the ICU

Hyponatremia with hypervolemia; with a focus on SIADH and CSW.

Influence of chronic renal failure on critical illness

Clinical trial methodology: a list of memorised definitions

A diagnostic approach to metabolic alkalosis

Define intention to treat analysis and randomisation.

Sodium valproate toxicity.

DKA (or HHS?...))

Antibiotic dosing in renal failure and during dialysis

Non-infectious pneumonia:  management and investigations of COP

Surgical abdominal catastrophe: management of enterocutaneous fistula

Pulmonary complications of liver disease and hepatorenal syndrome

Cardiac arrest in pregnancy: especially, peri-mortem Caesarian

Pharmacokinetic changes in critical illness: absorption and clearance

Heat stroke, broadly (pathophysiology, diagnosis, management, prognosis)

Brain herniation: radiological and clinical features

OR, RRR, NNT and other measures of efficacy

Random investigations: GBS, meningitis, PRES, B12 deficiency and ankylosing spondylitis

A comparison of states of persistent unconsciousness

Vancomycin-Resistant Enterococcus (VRE)

The diagnostic utility of urinary electrolytes

Endovascular clot retrieval for early ischaemic stroke

Retrieval and management of a patient with a cerebral arterial gas embolism

Hypertonic saline: indications, mechanisms of action, evidence

Prognostication following cardiac arrest - factors which confound it

Clearance of the C-spine in the unconscious patient

 Influence of chronic renal failure on critical illness

Preparation for an awake fiberoptic intubation.

Safe prescribing and minimisation of medication error

Prognostication following cardiac arrest: "useful information" in determining prognosis. 

The Standardised Mortality Ratio (SMR)

Primary tertiary and secondary survey: Initial management

Secondary survey in trauma; following damage control surgery.

Physiological consequences of spinal cord transection:

Pressure area care prevention and management in the ICU

Cost-benefit analysis: adoption of new components of care

Causes of renal failure and the diagnostic workup of nephritis

OR, RRR, NNT and other measures of efficacy

Pulmonary embolism: a comparison of TTE, CTPA, troponin and D-dimers.

The dermatomes - "Name This Dermatome"

Cranial nerve lesions: CN IX, CN XII, CN VII, CN VI.

Examination of the cranial nerves: CN VI

Management of raised intracranial pressure. Also, risk factors for post-traumatic seizures.

Comparative pharmacology of inotropes and vasopressors

Fluid resuscitation and assessment of fluid responsiveness

Fiberoptic bronchoscopy: Bronchoscopic anatomy of the bronchial tree

Eponymous spinal fractures: Jefferson's, Hangman's and Clay Shoveller's.

Mixed respiratory acidosis and lactic acidosis; also ventilation strategies in asthma.

Management of Status Epilepticus in ICU

Non-invasive mechanical ventilation and oesophageal perforation

The child with shock: principles of management

Community-acquired pneumonia: critically evaluate the role of steroids

Use of neuromuscular junction blockers in the management of ARDS

Whipple's pancreaticoduodenohorrendoplasty

Heat stroke

Grading of subarachnoid haemorrhage severity - WFNS vs Fisher score

Clinical testing for brain death: preconditions for clinical testing

Radiological diagnosis of brain death.

The difficulty in making a diagnosis of sepsis; also, lets talk about biomarkers of sepsis

Another game of "Name That ECG Abnormality"- hypokalemia with u-waves

The ventilated patient with idiopathic pulmonary fibrosis

Discuss the role of interventional radiology in the management of the critically ill.

Cytomegalovirus

Cranial nerve signs: medullary infarct, CN III, bulbar palsy, mydriasis, 

Snake bite envenomation - a brown snake, probably Pseudonaja textilis

Positioning and immobilisation of a critically ill trauma patient

Differential diagnosis of diffuse pulmonary infiltrates (is it ARDS?)

Automated chest compression devices and their role in resuscitation

Differential diagnosis of ARDS in an AML patient receiving ATRA

Underwater seal chest drain systems

Acute management of stroke in the ICU - supportive and definitive.

Facilitating speech in a patient with a tracheostomy

Causes of respiratory failure: differential diagnosis of ARDS

The heat and moisture exchange filter (HME)

Dual lumen endotracheal tube - indications for use.

The Passy-Muir Valve- contraindications to its use.

 Iatrogenic drug withdrawal in ICU 

 Decompressive craniectomy for malignant MCA infarction

Perioperative management of the liver transplant recipient

Interpretation of formal pulmonary function tests

Lactic acidosis and respiratory acidosis after seizures

Acute management of the drowned patient.

Pre-dilution and post-dilution replacement fluid: advantages of pre-dilution.

 Troubleshooting the dialysis circuit (very negative access pressure alarm)

Troubleshooting the dialysis circuit (blood leak into the effluent)

Strategies to optimise solute clearance

Define base excess; discuss why it may change independently from the anion gap.

Regional anaesthesia in the ICU: "outline the role"

Prevention of acute renal failure (contrast-induced nephropathy) in AAA repair.

A diagnostic approach to metabolic alkalosis

Warm autoimmune haemolytic anaemia

Morphological abnormalities or RBCs and RBC inclusion bodies post splenectomy

Plasmacytosis and the hypergammaglobulinaemia hyperviscosity syndrome

 Electrical injuries - examination findings and complications

A 75-year-old patient is admitted to intensive care following endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (AAA). On day 2 of admission the patient develops bloody diarrhoea. Ischaemic colitis is suspected.

a. Outline the mechanisms that may contribute to bowel ischemia in this setting (3 marks)

b. Outline the investigations that would be useful in evaluating this patient for ischemic colitis. In your answer, include the expected investigation findings (3 marks)

Aspergillosis: specifically, issues related to its diagnosis

Non-inferiority trials

Cluster randomisation and non-inferiority trials

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Cachexia: a definition, risk factors, and consequences.

Hypercapneic respiratory failure in a comatose fat man.

Evaluation of aortic dissection: TOE vs CT vs MRI vs aortogram.

Pharmacology of antiarrhythmic drugs: compare lignocaine, amiodarone and magnesium sulfate.

A comparison of renal replacement therapy modalities: CVVHF vs SLED vs IHD

Toxic antiarrhythmic polypharmacy: calcium channel blocker and beta blocker overdose

Causes and management of massive haemoptysis

Theophylline overdose

Myotonic dystrophy: one of the weirdopathies

Acromegaly: another one of the miscellaneous multi-system diseases

Causes of hepato-splenomegaly

Heart failure: methods of assessment of right ventricular failure

Complaint resolution process

Diastolic heart failure

Management of postpartum haemorrhage

Diagnosis of hyponatremia and correction of sodium deficit

Leptospirosis, in frightening detail

Crush injury and rhabdomyolysis

Ovarian hyperstimulation syndrome

Heparin resistance

Von Willebrand disease

Thyrotoxicosis and myxoedema coma

All about the significance of the endothelial glycocalyx in sepsis.

Plasmapheresis: principles of use, indications and complications.

Utility of serum ammonia and BNP (see Cardiac biomarkers)

Atrial fibrillation: management of AF in the ICU

Heparin resistance: diagnostic features and management strategies.

Von Willebrand disease: characteristic laboratory features and diagnosis.

"What's Wrong With These Coags?" - Interpretation of mixing studies.

Aerial transport of a critically ill patient.

Prevention of contrast-induced nephropathy

Critically evaluate the clinical information system (CIS) in intensive care

Calcium channel blocker overdose ... compared with a beta-blocker overdose.

Community acquired pneumonia: specifically, historical features of special relevance.

Outcomes in adult ARDS

Inotropes in resuscitation of septic shock: comparison of adrenaline, dopamine and dobutamine.

Severe hypothermia and management of hypothermic cardiac arrest

Sympathomimetic toxicity - this time, MDMA

Posterior reversible leukoencephalopathy syndrome (PRES)

Resuscitation of the septic shock patient

Weaning from ventilation, assessment of extubation readiness and extubation on to NIV.

Strategies to prolong the lifespan of the CRRT circuit

Capnometry and the arterial-expired carbon dioxide gradient

Indications for ECMO, and specifically the relative merits of VV and VA ECMO.

Radiological diagnosis of brain death- when clinical diagnosis is impossible

Complications of oesophageal perforation: tracheo-oesophageal fistula

Analysis of clinical trials: overall assessment of quality

List the techniques to assess the circulatory system.

Calculation of the Oxygen extraction ratio (OER)

Discuss the role of interventional radiology in the management of the critically ill.

Cardiac biomarkers: specifically, critically evaluate the use of troponin.

Prognostication following cardiac arrest: the utility of various parameters.

Another game of "Name That ECG Abnormality"

Troubleshooting the temporary pacemaker: failure to sense the atrium

Another game of "Name That ECG Abnormality"

Indications for intracranial pressure monitoring

Normal anion gap metabolic acidosis with hypokalemic rhabdomyolysis.

Pharmacokinetics of antibiotics in critical illness: specifically, in septic shock

Cardiac tamponade: with a focus on pulsus paradoxus

Haemostatic resuscitation: how to reduce the use of PRBCs

Massive haemoptysis

Rhabdomyolysis and crush injury

Causes of shock in burns: a variant of causes of shock in trauma

Anterior spinal artery syndrome 

Decompressive craniectomy for malignant MCA infarction; also generic management of stroke.

Assessment and management of bronchiolitis.

Diagnosis and management of metabolic alkalosis

Cardiac failure in pregnancy, or possibly respiratory failure.... 

Complications of tracheostomy: a case of dislodged tracheostomy

Optimal PEEP for open lung ventilation in ARDS

Definitions of terms in statistics: prevalence, relative risk and attributable risk

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Vancomycin-Resistant Enterococcus (VRE)

Design and staffing of intensive care units

Monitoring for vasospasm following SAH: advantages and disadvantages of various techniques.

Interpretation of PA catheter data, including the calculation of SVR

Ventilation strategies for COPD

Interpretation of iron studies: diagnosis of anaemia in ICU (inflammatory)

Interpretation of iron studies: diagnosis of anaemia in ICU (iron deficiency)

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

Communication with patients as part of care in the ICU

Radiological findings in hypoxic ischaemic encephalopathy

 Causes of lactic acidosis

Haemodialysis in a patient with traumatic brain injury

Causes of acute liver failure and management of acute liver failure

Permissive hypotension,  haemostatic resuscitation and damage control surgery.

Biomarkers in assessment of acute kidney injury, eg urea:creatinine ratio

Paediatric intubation: practical approach.

Propofol infusion syndrome. Risk factors, laboratory evidence, management.

Tumour lysis syndrome.

Cardiovascular physical examination: auscultation of ASD, VSD and PDA.

Visual fields and lesions of the visual pathways (CN II)

Ascites: the "fluid thrill", an obscure clinical test for massive ascites.

Temperature monitoring techniques: different sites for monitoring

How the blood gas analyser measures ABG variables

Ventilation strategies for ARDS:  significance of the tidal volume

Prognostication after cardiac arrest

Inhaled pulmonary vasodilators: nitric oxide

Plasmapheresis - indications and complications

Phaeochromocytoma: clinical features, investigations and management

Causes of respiratory failure: Troubleshooting a suddenly difficult ventilation scenario

Management of hyponatremia and intracranial pressure with hypertonic saline

Critical incident debrief.

ABO blood grouping: a transfusion reaction (mismatched transfusion)

ABO blood grouping: which of these products require a crossmatch?

"What's Wrong With This Blood Film?" - Heinz bodies

The paediatric airway: a practical discussion of intubation.

Causes of hypoxia in the post-bypass patient

Plasmapheresis: indications, advantages, disadvantages. "Critically evaluate".

Clearance of the C-spine in the unconscious patient

Definitions of terms relevant to the monitoring of pressure

Palliative medicine in the ICU

Complications of tracheostomy: tracheo-innominate fistula

Isosomolar hyponatremia - TURP syndrome

Donation after circulatory determination of death

Reversal agents for anticoagulants

Rheumatoid arthritis: how it makes intubation difficult, and how it complicates ICU management.

Salicylate overdose, with a characteristic blood gas

Haemoptysis in an abattoir worker; another game of "Name That Microbe".

Veno-occlusive disease of the liver: diagnosis and management options.

Thrombotic thrombocytopenic purpura or the differential diagnosis thereof

Utility of the routine daily chest Xrays - "critically evaluate" this pointless practice

Primary tertiary and secondary survey: ICU care after damage control surgery

Limitations of CT in assessment of traumatic brain injury

Features which influence prognosis following cardiac arrest

Clinical signs of valve disease: AR severity, indications for AVR, causes of systolic murmur.

Another game of "Name That ECG Abnormality"- WPW, this time in AF

Another game of "Name That ECG Abnormality"- epicardial pacing lead reveresal

Another game of "Name That ECG Abnormality"- RV hypertrophy

Creating a Rapid Response Service (RRS) - a bureacratic quagmire

Salicylate toxicity in unusual detail

Management of bronchopleural fistula following lobectomy

Coagulase-negative staphylococci and the meaning of positive blood cultures

ECG criteria for distinguishing VT from SVT 

Cardiac arrest post cardiac surgery: differences in management

Management of delirium, or more accurately aggressive psychosis

Causes of renal failure and timing of dialysis

ICU exit block

Elements of randomisation

Nutrition for the morbidly obese ICU patient. Also, effects of obesity on metabolism.

Stewart's physicochemical approach to acid-base analysis

Anatomy of the PA catheter. Also, directly measured and derived PA catheter variables

Endotracheal tube: specifically, the above-cuff suction port.

Nitric oxide supply systems; what might you monitor during nitric oxide therapy?

Assessment of oxygen delivery to the tissues.

Assessment of extubation readiness: a case of "at-risk" extubation

Infectious and non-infectious causes of fever: a post-operative scenario

Interpretation of deranged LFTs

Prone ventilation for ARDS: specifically, effects on oxygenation.

The Standardised Mortality Ratio (SMR)

Causes of metabolic acidosis: severe pneumonia with a raised lactate

Causes of deranged LFTs. Also, causes of metabolic acidosis.

Causes of pancytopenia in a patient with sepsis and MOSF

Massive upper GI haemorrhage

Mesenteric ischaemia

Standardised Mortality Ratio

Decannulation of tracheostomy

Prediction scoring systems in the ICU

Definitions of CRRT terminology; also the CVVHDF circuit diagram

The morbidly obese multi-trauma patient

Paracetamol toxicity, management of acute liver failure, and criteria for transplantation.

Diabetic ketoacidosis vs. HONK: distinguishing features and management of HONK.

Management of a burns patient:  classification of burns and estimation of %BSA

Arterial waveforms at different positions in the vascular tree

Information derived from the arterial line square wave test

Broadly, what information can be derived from the arterial line waveform?

Approach to the unconscious patient in the ICU

Causes of respiratory failure: trauma patient with post-operative hypoxia

Directly measured and derived PA catheter variables

Mixed venous saturation - why might it be 86%?

Another game of "Name That ECG Abnormality"

Definitions of CRRT terminology

Trauma in children: crucial differences when compared to adult trauma

Therapeutic hypothermia in cardiac arrest, brain injury and other "extended indications"

Ventilator-associated pneumonia (VAP): organisation-level strategies for prevention

Care for the patient with oesophageal perforation

Sepsis in the heart and lung transplant recipient - a pneumonia, of course

ECG interpretation - polymorphic VT

ECG interpretation: broad complex regular tachycardia

Hypernatremia - central vs. nephrogenic DI

Neuromonitoring in severe brain injury

Bronchopleural fistula

Optimal PEEP in ARDS

Another game of "Name That ECG Abnormality"

Ventilator-associated lung injury

Critique of the Surviving Sepsis Guidelines

Assessment of nutritional status

Chylothorax- diagnosis and management

 Necrotising soft tissue infections

Policymaking in intensive care: specifically, policies to improve CLABSI rate

Enteral nutrition in critical illness

Abnormal coags and a metabolic acidosis

Tumour lysis syndrome

Fluid resuscitation of the burns patient

Preparation for a difficult intubation

Methaemoglobinaemia due to dapsone

Another game of "Name That ECG Abnormality"

Interpretation of  Directly measured and derived PA catheter variables

Another game of "Name That ECG Abnormality"

Another game of "Name That ECG Abnormality"

"Name That Microbe":  Gram-positive bacillus in the CSF

Acronymous organisms: ESCAPPM and HACEK organisms again.

"Name That Microbe": Pneumonia arthralgia and a new murmur in a cattle farmer

Interpretation of iron studies: causes of a massively elevated serum ferritin

"What's Wrong With These Coags?" - causes of an elevated APTT

Thrombotic thrombocytopenic purpura

Fluid resuscitation and assessment of fluid responsiveness

Assessment of oxygenation from ABG data: a gas taken at high altitude.

Assessment of oxygenation from ABG data:  a left-shifted p50

Assessment of oxygenation from ABG data:  a pulmonary embolism.

Definitions Relative risk, absolute risk, NNT, and the power of a study.

Respiratory failure and ARDS in pregnancy

Assessment of fluid balance in the critically ill patient

When and how to start Total Parenteral Nutrition (TPN)

Physiotherapy in the ICU: risks and benefits

Cardiovascular physical examination: causes of a pansystolic murmur.

Comparative pharmacology of sedatives and analgesics: ketamine vs. morphine vs. dexmedetomidine.

Pulmonary embolism: role of thrombolysis

Immunosuppressants in a solid organ transplant recipient

Pleural effusion: what analysis of the fluid can reveal

Haemolytic anaemia - investigations and management

 Patient self-inflicted lung injury (P-SILI)

Preparation for the difficult airway (anaphylaxis)

Complications of angiography - diagnosis and management

Acalculous cholecystitis

Pyroglutamic acidosis, with a specific focus on the risk factors which predispose to it.

Functional status and outcome in ICU. Tools to assess functional status of survivors.

Definitions: Type 1 error, type 2 error, study power, sample size and effect size.

Mixed metabolic and respiratory acidosis due to sympathomimetic toxidrome

Beer potomania. also, management of hyponatremia

Causes of renal failure: interstitial nephritis due to β-lactams

Hypoosmolar hyponatremia - postpartum hypopituitarism, Sheehan's syndrome

Pre-eclampsia and HELLP syndrome

The value of post-arrest angiography

Empyema; also vancomycin vs. linezolid

Transthoracic echo: focused bedside TTE vs. formal TTE

Contents and properties of the parenteral nutrition mixture

Pulmonary embolism: critically evaluate the role of thrombolysis

Logistics of inter-hospital transfer: what issues would you need to consider?

Endobronchial blocker: indications, advantages, limitations.

 Underwater seal chest drain system: explain how it works.

Care of the brain-dead organ donor. 

Enteral vs parenteral nutrition; specifically in the context of pancreatitis

Acute supportive management for stroke in the ICU

The utility of the EEG in the ICU

End-tidal capnometry traces and analysis of ventilator waveforms

Clinical features and management of hypocalcemia

Causes of a high anion gap and high osmolar gap

Causes of a normal anion gap and high osmolar gap

Estimation of energy expenditure in critical illness;

Stress-induced hyperglycaemia: mechanisms, consequences and management.

Analgesic techniques for multiple rib fractures: advantages and disadvantages of thoracic epidural

Aerial transport of a critically ill patient.

"What's Wrong With These Coags?" Antiphospholipid syndrome.

Approach to the ICU patient with generalised weakness:  GBS, myasthenia gravis and MND.

Adverse drug reactions

Platform trials - definition, advantages, disadvantages

Clearance of the C-spine: CT vs MRI

Flow-volume loops - variable intrathoracic obstruction

Causes of shock: cardiogenic shock following myocardial infarction

Clinical signs of cardiac disease: right heart failure

Management of hyponatremia in a patient requiring dialysis

Clostridium difficile again: risk factors, diagnosis, complications, prevention, treatment.

Clinical policymaking in intensive care: how to revise a transfusion policy

CREST syndrome

Renal failure: protection from contrast, antibiotic dosing, indications for dialysis

Clinical signs: basal ganglia bleed, C5 injury, critical illness myopathy

 Cellulitis, but more broadly, ICU admission decisionmaking

Antimicrobial resistance in the ICU

Sympathomimetic toxicity - methamphetamine

The child with shock: principles of management

Hypophosphataemia - causes

Hypocalcemia- causes and investigations

Nutrition in the ICU: a generic approach

The physiologically difficult airway

Complications of arterial line insertion: a pale ischaemic limb

Causes of thrombocytopenia. Also, lets talk about the management of HITTS. 

Respiratory failure in children

The Thrombophilic Screen: Factor V Leiden

Care for the patient with oesophageal perforation

"What's That Rash?" 

Horner's Syndrome; specifically, the anatomical sites where the lesion may have occurred.

Complications of arterial cannulation: a trashed limb post angiography.

Oculocephalic reflex (CN III, IV, VI and VIII) - what does a normal one tell you?

Phaeochromocytoma. Investigations, management, complications.

Outline the potential roles for the use of ultrasound  in the critically ill patient.

Corticosteroids in septic shock

Comparison of the common colloid resuscitation fluids

Hypomagnesaemia: "write a short note".

Another game of "Name That ECG Abnormality"

Extended indications for therapeutic hypothermia - not limited to cardiac arrest.

Acute supportive management for stroke in the ICU (specifically, a brainstem stroke).

High anion gap metabolic acidosis in HONK.

Femoral vein anatomy for central line insertion

Critical Care Outreach and the Medical Emergency Team (MET)

Assessment of acid-base compensation: Boston and Copenhagen methods

Lung biopsy: specifically, indications for open lung biopsy

Cardiac biomarkers of myocardial ischaemia: troponin vs. CKMB

Evidence against the use of high-volume haemofiltration

Capnometry: advantages and limitations.

Pneumonia in the immunocompromised host: specifically, in AIDS.

Perioperative management of the liver transplant recipient

Causes of lactic acidosis

Causes of lactic acidosis... also, hypomagnesemia as a cause of seizures

Resuscitative endovascular balloon occlusion of the aorta

Care for the post-pneumonectomy patient

Toxic Epidermal Necrolysis (TENS)

Approach to the undifferentiated shock patient

Community acquired pneumonia, which is not resolving

Ventilation strategies for COPD: assessment of the severity of COPD

Breaking bad news.

Management of acute high spinal cord injury

Nutrition for the morbidly obese patient

Fluid resuscitation for the burns patient: causes of shock

Causes and workup for metabolic alkalosis

Tetanus, again!

Heparin-induced thrombocytopenia

Acute haemolytic transfusion reaction 

Colonic pseudo-obstruction

Polyuria in the neurosurgical patient

Mesenteric ischaemia

Adrenal insufficiency: causes, biochemistry and management

Causes of metabolic acidosis 

Hypocalcemia: post-operative hypoparathyroidism again