Examination Intensive Care & Anaesthesia book cover

Examination Intensive Care & Anaesthesia

A Guide to Intensivist and Anaesthetic Training

This text has been designed to guide Intensive Care and Anaesthetic trainees in their approach to the clinical components of the Fellowship examinations of the Australian and New Zealand College of Anaesthetists (ANZCA) and Joint Faculty of Intensive Care Medicine (JFICM). Examination Intensive Care and Anaesthesia comprises three sections. Section 1 deals with the Intensive Care Fellowship Examination: training requirements, performance strategies, OSCE, hot cases and reference articles. Section 2 deals with the final Anaesthetic Fellowship Examination: training requirements, performance strategies, anaesthetic and medical vivas and review articles. Section 3 comprises a structured approach to interpretation of data and investigations for both examinations.

Audience
Intensive Care and Anaesthesia trainees preparing for their Fellowship examination. JMOs, final year medical students, specialist trainees on rotation (non training registrars doing mandatory terms – eg., emergency medicine trainees).

Paperback, 340 Pages

Published: May 2007

Imprint: Churchill Livingstone

ISBN: 978-0-7295-3802-2

Contents

  • Foreword
    Preface
    How to use this book

    Section I Examination Intensive Care
    Chapter 1 JFICM Training Requirements

    Core knowledge and resources • Presenting for the examination • Format of the final examination • The written examination • The oral examination • Marking components
    Chapter 2 Performance Strategies for the JFICM Examination
    Timing • The Joint Faculty website • Looking after yourself • Study groups • Cold cases • Hot cases • The vivas • Creating the right impression • Travel considerations • On the day • Coping with failure • Preparation courses • ANZICS Intensive Care Registrars course • The Victorian Regional Committee of the Joint Faculty of Intensive Care Medicine course • Australasian Donor Awareness Programme (ADAPT)—training workshop • Advanced Paediatric Life Support (APLS) course • Early Management of Severe Trauma (EMST) course • Courses for the oral examination
    Chapter 3 The Objective Structured Clinical Examination (OSCE)
    Overview • Communication station • Procedure station • Equipment station • Cold cases • Data interpretation stations
    Chapter 4 Hot cases
    A generic approach to the hot case • Introduction • Environmental clues • Systematic clinical examination • Presenting to the examiners • Diagnostic problems • 1. Why does this patient have severe respiratory failure? • 2. Why is this patient failing to wean from ventilation? • 3. Can you extubate this patient? • 4. Why is this patient shocked? • 5. Why is this patient not passing urine? • 6. Why is this patient jaundiced? • 7. Why is this patient not waking up? • 8. Why is this patient weak? • 9. Is this patient brain dead? • 10. Why is this patient febrile? • 11. What injuries has this multiple-trauma patient sustained? • 12. How is this patient with multi-organ failure progressing? • Specific patient groups • 1. The patient with chronic obstructive pulmonary disease • 2. The post-cardiac surgical patient • 3. The cardiac arrest survivor • 4. The patient with an intra-abdominal catastrophe • 5. The patient who has had an abdominal aortic aneurysm repair • 6. The patient with a subarachnoid haemorrhage • 7. The patient with a head injury • 8. The patient with a spinal injury • 9. The patient with burns • 10. The transplant patient • 11. The obstetric patient • 12. The long-stay patient
    Chapter 5 Intensive Care References and Review Articles
    Cardiology • Acute coronory syndromes • Cardiac arrest • Cardiogenic shock • Arrhythmias • Heart failure • Surgery • Fluids and electrolytes • Gastroenterology • Feeding • Gastrointestinal bleeding • Pancreatitis • Glucose control • Haematology • Monitoring devices • Neurology • Guillain-Barré syndrome • Hypoxic–ischaemic brain injury • Sedation • Stroke • Subarachnoid haemorrhage • Obstetrics and gynaecology • Renal medicine • Respiratory medicine • Acute respiratory distress syndrome • Non-invasive ventilation • Nosocomial pneumonia • Thromboembolism • Tracheostomy • Weaning • Sepsis • Toxicology • Trauma • Burns • Spinal injury • Traumatic brain injury • Evidence-based medicine • Useful reference material
    Section II Examination Anaesthesia
    Chapter 6 ANZCA Training Requirements

    Core knowledge and resources • Format of the final examination in anaesthesia • The written examination • The clinical examination • Marking components of the final examination
    Chapter 7 Performance Strategies for the ANZCA Examination
    Philosophy • Timing • Study groups • Courses • Looking after yourself • General examination strategies • Written examination • Clinical examination • Coping with failure
    Chapter 8 The Anaesthetic Vivas
    Overview • Anaesthetic viva topics • Airway management • Ambulatory anaesthesia/day surgery • Anaesthesia equipment • Cardiac anaesthesia • Critical incidents/complications • Ear, nose and throat surgery and anaesthesia • Fluid replacement and transfusion medicine • General surgical anaesthesia • Medical assessment and perioperative medicine • Monitoring • Neuroanaesthesia • Obstetric anaesthesia • Ophthalmic surgery and anaesthesia • Orthopaedic anaesthesia • Paediatric anaesthesia • Pain management • Pharmacology • Regional anaesthesia • Remote location anaesthesia • Safety in the operating theatre • Statistics and research • Thoracic anaesthesia • Trauma and burns • Transplantation anaesthesia • Urological surgery and anaesthesia • Vascular anaesthesia • Welfare issues in anaesthesia
    Chapter 9 The Medical Vivas
    Overview • Patient assessment stations • 1. The diabetic patient • 2. The patient with aortic valve stenosis • 3. The patient with ischaemic heart disease • 4. The patient with chronic lung disease • 5. The hypertensive patient • 6. The patient with chronic renal impairment • 7. The patient with morbid obesity/obstructive sleep apnoea • 8. The patient with a permanent pacemaker/implantable defibrillator • 9. The patient with chronic liver disease • 10. The spinally injured patient • 11. The patient with an organ transplant • 12. The patient with trisomy 21 • 13. The patient with thyroid disease • 14. The patient with rheumatoid arthritis
    Chapter 10 Anaesthesia References and Review Articles
    Airway management and spinal injury • Allergy and anaphylaxis • Anaesthesia and coexisting disease • Cardiac anaesthesia • Cardiovascular risk and myocardial protection in anaesthesia • Coagulation and transfusion medicine and anaesthesia • Complications and consent in anaesthesia • Endocrine disease and anaesthesia • Monitoring in anaesthesia • Muscle disorders and anaesthesia • Neuroanaesthesia • Obstetric anaesthesia • Ophthalmic anaesthesia • Paediatric anaesthesia • Pain management • Pharmacology and anaesthesia • Regional anaesthesia • Remote locations and anaesthesia • Thoracic anaesthesia • Vascular anaesthesia • Reference texts
    Section III Common Ground: Data Interpretation
    Chapter 11 Data Interpretation for Intensive Care and Anaesthesia

    1. Imaging studies • Chest X-rays • CT scan—chest and neck • Abdominal X-rays • Abdominal ultrasound • CT scan—abdomen • CT scan—head • Skeletal and soft tissue X-rays • Other imaging modalities • 2. Electrocardiography • 3. Haemodynamic monitoring • Central venous pressure waveforms • Arterial waveforms • Intra-aortic balloon pump waveforms • Pulmonary artery catheters and newer haemodynamic measurement devices • Echocardiography • 4. Respiratory function tests • Spirometry • Diffusion studies • Flow–volume loops • Pressure–volume loops • 5. Ventilator waveforms • 6. Indirect calorimetry • 7. Capnography • 8. Biochemistry tests • Arterial blood gas analysis • Biochemistry data sets • Other biochemistry investigations • 9. Haematology • 10. Analysis of body fluids • 11. Microbiology • Multi-resistant bacteria • Some other select bacteria • Obligate intracellular organisms • Select mycobacteria • Some important protozoans • Some important fungal infections • Select important viruses • Select important parasites • Select Rickettsieae • Select spirochaetes • Differential diagnosis • Essential definitions • 12. Transcranial Doppler studies • 13. Electroencephalography • 14. Intracranial pressure monitoring • 15. Cardiotocography • References

    Appendix
    Commonly used abbreviations
    Index

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