Critical Care Medicine — Academic days

The ABCD Bundle

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
1.3.6. Pharmacology
1.3.6.1. Agents used for neuromuscular blockade
1.3.6.2. Antimicrobial therapies
1.3.6.3. Common intoxicants and poisons, and specific antidotes or supportive therapies
1.3.6.4. Sedatives and analgesics
1.3.6.5. Vasoactive agents
1.4. Perform appropriately timed clinical assessments with recommendations that are presented in an organized manner
2. Perform a patient-centred clinical assessment and establish a management plan
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
4. Establish plans for ongoing care and, when appropriate, timely consultation
4.1. Implement a patient-centred care plan that supports ongoing care, follow-up on investigations, response to treatment, and further consultation
5. Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety
5.1. Recognize and respond to harm from health care delivery, including patient safety incidents
5.2. Adopt strategies that promote patient safety and address human and system factors
5.2.1. Apply the principles and techniques of infection prevention and control, including those for the protection of health care workers
1. Establish professional therapeutic relationships with patients and their families
1.1. Communicate using a patient-centred approach that encourages patient trust and autonomy and is characterized by empathy, respect, and compassion
1.1.1. Address the impact of the unique and stressful environment of the critical care unit for patients and their families
1.2. Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety
1.4. Respond to a patient’s non-verbal behaviours to enhance communication
1.6. Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances
2. Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families
2.1. Use patient-centred interviewing skills to effectively gather relevant biomedical and psychosocial information
2.1.1. Gather information about the patient’s and family’s perspectives and values for end-of-life care
2.2. Provide a clear structure for and manage the flow of an entire patient encounter
4. Engage patients and their families in developing plans that reflect the patient’s health care needs and goals
4.2. Assist patients and their families to identify, access, and make use of information and communication technologies to support their care and manage their health