Examination Intensive Care & Anaesthesia

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