Critical Care Medicine — Academic days

Hemodynamics

This academic day will cover the following topics:
1. Fundamental of hemodynamics
2. Pressure/Volume loops
3. Heart-lung interaction
4. Monitoring equipment for hemodynamics
5. Vasopressors and inotropes
6. Journal club: SAFE trial

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
1.3. Apply knowledge of the clinical and biomedical sciences relevant to Critical Care Medicine
1.3.7. Principles and practice of resuscitation
1.3.9. Principles and methods of invasive and/or non-invasive monitoring
1.3.9.1. Respiratory status
1.3.9.2. Hemodynamic status
1.3.9.3. Neurologic status
1.3.9.4. Nutritional status
2. Perform a patient-centred clinical assessment and establish a management plan
2.1. Prioritize issues to be addressed in a patient encounter
2.1.1. Recognize, resuscitate, and stabilize patients sustaining, or at risk of, cardiopulmonary arrest or other life-threatening conditions
2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion
2.2.1. Interpret results of invasive and non-invasive monitoring
2.2.1.1. Hemodynamic
2.2.1.2. Neurologic
2.2.1.3. Respiratory
2.2.2. Interpret diagnostic imaging examinations, including general radiography, computerized tomography (CT), and point of care ultrasound
2.4. Establish a patient-centred management plan, for the following
2.4.1. Shock: distributive; hypovolemic; cardiogenic; obstructive
2.4.2. Acute critical illness of any etiology
2.4.2.1. Single or multiple organ dysfunction
2.4.2.2. Oncologic emergencies
2.4.2.3. Trauma and environmental injuries
2.4.2.4. Sepsis
2.4.2.5. Intoxication
2.4.2.6. Perioperative care
2.4.3. Chronic critical illness
2.4.4. Pain and symptom control
2.4.5. End of life, including goal-directed life-sustaining therapies
2.4.6. Organ and tissue donation
2.4.7. Critical illness in pregnancy
2.4.8. Perioperative risk optimization
3. Plan and perform procedures and therapies for the purpose of assessment and/or managemen
3.1. Determine the most appropriate procedures or therapies
3.1.1. Blood component therapy, and alternatives
3.1.2. End of life care
3.1.3. Hemodynamic support
3.1.4. Invasive and non-invasive ventilation
3.1.5. Medical equipment and monitoring device application
3.1.6. Nutritional therapy: enteral and parenteral
3.1.7. Pharmacotherapy
3.1.8. Renal replacement therapy
3.1.9. Supportive care
3.1.10. Surgical intervention
3.4. Perform diagnostic and therapeutic procedures in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstance
3.4.1. Diagnostic and monitoring procedures
3.4.1.1. Use, zero, and calibrate transducers
3.4.1.2. Use monitoring equipment
3.4.1.2.1. Cardiac output
3.4.1.2.2. Intra-abdominal pressure
3.4.1.2.3. Intracranial pressure (ICP)
3.4.1.2.4. Peripheral nerve stimulation for neuromuscular blockade
3.4.2. Use point-of-care ultrasound (POCUS) assessment for
3.4.2.1. Ascites
3.4.2.2. Cardiac ventricular size and function
3.4.2.3. Identification of a pneumothorax
3.4.2.4. Pericardial effusion
3.4.2.5. Pleural effusion
3.4.2.6. Vascular access, including central venous access
3.4.2.7. Intravascular volume status
3.4.6. Circulation
3.4.6.1. Cardiopulmonary resuscitation
3.4.6.2. Insertion of arterial catheters
3.4.6.3. Insertion of central venous catheters
3.4.6.4. Intraosseous vascular access if available
3.4.6.5. Insertion of a pulmonary artery catheter
3.4.6.6. Defibrillation
3.4.6.7. Elective cardioversion
3.4.6.8. Transcutaneous pacing
3.4.6.9. Insertion and management of a transvenous pacemaker