#operation FFICM
The unofficial guide
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The Official Guide
The Curriculum
1. Resuscitation and initial management of the acutely ill patient
1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
1.2 Manages cardiopulmonary resuscitation – ALS recommended
1.3 Manages the patient post-resuscitation
1.4 Triages and prioritises patients appropriately, including timely admission to ICU
1.5 Assesses and provides initial management of the trauma patient
1.6 Assesses and provides initial management of the patient with burns
1.7 Describes the management of mass casualties
2. Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
2.1 Obtains a history and performs an accurate clinical examination
2.2 Undertakes timely and appropriate investigations
2.3 Performs electrocardiography (ECG / EKG) and interprets the results
2.4 Obtains appropriate microbiological samples and interprets results
2.5 Obtains and interprets the results from blood gas samples
2.6 Interprets imaging studies
2.7 Monitors and responds to trends in physiological variables
2.8 Integrates clinical findings with laboratory investigations to form a differential diagnosis
3. Disease Management
3.1 Manages the care of the critically ill patient with specific acute medical conditions
3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
3.3 Recognises and manages the patient with circulatory failure
3.4 Recognises and manages the patient with, or at risk of, acute renal failure
3.5 Recognises and manages the patient with, or at risk of, acute liver failure
3.6 Recognises and manages the patient with neurological impairment
3.7 Recognises and manages the patient with acute gastrointestinal failure
3.8 Recognises and manages the patient with acute lung injury syndromes (ALI / ARDS)
3.9 Recognises and manages the septic patient
3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
3.11 Recognises life-threatening maternal peripartum complications and manages care under supervision
4. Therapeutic interventions / Organ support in single or multiple organ failure
4.1 Prescribes drugs and therapies safely
4.2 Manages antimicrobial drug therapy
4.3 Administers blood and blood products safely
4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation
4.5 Describes the use of mechanical assist devices to support the circulation
4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
4.7 Initiates, manages, and weans patients from renal replacement therapy
4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
4.9 Co-ordinates and provides nutritional assessment and support .
5. Practical procedures
5.1 Administers oxygen using a variety of administration devices
5.2 Performs emergency airway management
5.3 Performs difficult and failed airway management according to local protocols
5.4 Performs endotracheal suction
5.5 Performs fibreoptic bronchoscopy and BAL in the intubated patient
5.6 Performs percutaneous tracheostomy
5.7 Performs chest drain insertion
5.8 Performs arterial catheterisation
5.9 Describes ultrasound techniques for vascular localisation
5.10 Performs central venous catheterisation
5.11 Performs defibrillation and cardioversion
5.12 Performs transthoracic cardiac pacing, describes transvenous
5.13 Describes how to perform pericardiocentesis
5.14 Demonstrates a method for measuring cardiac output and derived haemodynamic variables
5.15 Performs lumbar puncture (intradural / ‘spinal’) under supervision
5.16 Manages the administration of analgesia via an epidural catheter
5.17 Performs abdominal paracentesis
5.18 Describes Sengstaken tube (or equivalent) placement
5.19 Performs nasogastric tube placement
5.20 Performs urinary catheterisation
6. Perioperative care
6.1 Manages the pre- and post-operative care of the high risk surgical patient
6.2 Manages the care of the patient following cardiac surgery under supervision
6.3 Manages the care of the patient following craniotomy under supervision
6.4 Manages the care of the patient following solid organ transplant under supervision
7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
7.2 Manages the assessment, prevention and treatment of pain and delirium
7.3 Manages sedation and neuromuscular blockade
7.4 Communicates the continuing care requirements, including rehabilitation, of patients at ICU discharge to health care professionals, patients and relatives
7.5 Manages the safe and timely discharge of patients from the ICU
7. Comfort and recovery
8. End of life care
8.1 Manages the process of withholding or withdrawing treatment with the multi- disciplinary team
8.2 Discusses end of life care with patients and their families / surrogates
8.3 Manages palliative care of the critically ill patient
8.4 Performs brain-stem death testing
8.5 Manages the physiological support of the organ donor
8.6 Manages donation following cardiac death
9. Paediatric care
9.1 Describes the recognition of the acutely ill child and initial management of paediatric emergencies .
9.2 Describes the national legislation and guidelines relating to child protection and their relevance to critical care
10. Transport
10.1 Undertakes the transport of the mechanically ventilated critically ill patient outside the ICU
11. Patient safety and health systems management
11.1 Leads a daily multidisciplinary ward round
11.2 Complies with local infection control measures
11.3 Identifies environmental hazards and promotes safety for patients and staff
11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
11.5 Organises a case conference
11.6 Critically appraises and applies guidelines, protocols and care bundles
11.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload
11.8 Demonstrates an understanding of the managerial and administrative responsibilities of the ICM specialist
12. Professionalism
12.1 Communicates effectively with patients and relatives
12.2 Communicates effectively with members of the health care team .
12.3 Maintains accurate and legible records / documentation
12.4 Involves patients (or their surrogates if applicable) in decisions about care and treatment
12.5 Demonstrates respect of cultural and religious beliefs and an awareness of their impact on decision making
12.6 Respects privacy, dignity, confidentiality and legal constraints on the use of patient data
12.7 Collaborates and consults; promotes team-working
12.8 Ensures continuity of care through effective hand-over of clinical information
12.9 Supports clinical staff outside the ICU to enable the delivery of effective care
12.10 Appropriately supervises, and delegates to others, the delivery of patient care
12.11 Takes responsibility for safe patient care
12.12 Formulates clinical decisions with respect for ethical and legal principles
12.13 Seeks learning opportunities and integrates new knowledge into clinical practice
12.14 Participates in multidisciplinary teaching
12.15 Participates in research or audit under supervision
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