FICM “Top 30” Cases Trainee name……………...…………………………
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Illustrative Cases exact clinical details will vary: trainees do not have to exactly match the cases |
Personal Evidence WPBAs/Case summaries etc |
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General Approach |
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1. |
Recognition, assessment and management of the acutely ill adult presenting with respiratory failure. |
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Respiratory Failure |
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2. |
Acute exacerbation of COPD with type 2 respiratory failure. Requires ventilation: NIV or intubation and ventilation. |
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3. |
ARDS: titration of optimal ventilator strategies. |
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Shock/CVS |
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4. |
Shock due to acute severe haemorrhage e.g. upper GI bleed incorporating major haemorrhage management and definitive diagnosis and treatment. |
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5. |
Low flow shock due to pulmonary embolism or acute MI: thrombolysis and /or PCI. |
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6. |
Acute left ventricular failure: emergency department presentation or post-op surgical patient with fluid excess and recently stopped epidural. Could be in GI, vascular, cardiac surgical context. |
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7. |
Post cardiac arrest, cooling and cardiorespiratory support. |
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8. |
New atrial fibrillation in the ICU patient: assessment and management. |
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Sepsis & GI |
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9. |
Septic shock presenting de novo. Assessment, management, diagnostic work up. |
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10. |
Acute GI perforation/sepsis including use of TPN. |
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11. |
Acute pancreatitis with pre-renal AKI. |
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12. |
Acute liver failure following paracetamol overdose. |
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Reduced conscious level/Neuro |
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13. |
Acute meningitis/encephalitis. |
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14. |
Traumatic brain injury in ED, low GCS needs intubated, ventilated, transfer to scan, acute SDH: evacuated and now in ICU, post-op management. |
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15. |
Subarachnoid haemorrhage, coning, organ donation (BSD or following cardiac death). |
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16. |
Acute onset peripheral muscle weakness with respiratory failure: Guillain Barre Syndrome, myasthenia gravis, botulism, tetanus. |
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17. |
Status epilepticus following self-poisoning. |
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Paediatric ICM |
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18. |
One week old baby collapse at home. Diagnosis, immediate management and stabilisation. |
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19. |
10 year with severe cerebral palsy, severe kyphoscolisios. Respiratory deterioriation despite maximal oxygen by facemask. Further management, including discussion with paediatricians/parents about appropriate management. |
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20. |
Collapse of 18 month old ex-prem (24 weeks). Diagnosis and further management. |
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Cardiac ICM |
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21. |
Patient post cardiac surgery on balloon assist with renal failure. |
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22. |
Aortic dissection. |
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23. |
Acute rhythm disturbance requiring pacemaker. |
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24. |
Post operative patient following lung resection surgery. |
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25. |
Cardiothoracic trauma case. |
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Specialist |
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26. |
HELLP syndrome. |
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27. |
Acquired immune deficiency. |
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28. |
Diabetic patient with ketoacidosis precipitating cause. |
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29. |
Trauma to leg with compartment syndrome, rhabdomyolysis, hyperkalaemia and AKI requiring renal replacement therapy and surgery. |
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30. |
Neutropenic sepsis in patient with haematological malignancy. |
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