Respiratory

1. Respiratory physiology, pathophysiology, therapy

2. Pulmonary mechanics, gas exchange

3. Hypoxemic and hypercapneic respiratory failure

4. Acute on chronic respiratory failure

5. Oxygen therapy, nitric oxide, heliox

6. Airway management, endotracheal intubation

7. Tracheostomy - open, percutaneous

8 Conventional mechanical ventilation – indications, hazards

9. Ventilation, peep, IMV, IRV, PSV, PCV, AC

10. Non conventional mechanical ventilation, HFOV, split lung

11. Non invasive positive pressure ventilation

12. Barotrauma, volutrauma

13. Permissive hypercapnea

14. Prone ventilation

15. ECMO

16. Weaning criteria and techniques

17. Empyema, massive effusion, pneumothorax, hemothorax

18. Pulmonary hemorrhage and massive hemoptysis

19. Pulmonary embolism thrombus, air, fat, amniotic fluid

20. Status asthmaticus

21. Smoke inhalation , airway burns

22. Aspiration

23. Flail chest, chest trauma, pulmonary contusion

24. Bronchopulmonary infections

25. Upper airway obstruction

26. Near drowning

27. Hyperbaric oxygen

28. Ventilator associated pneumonia

Cardiovascular

1. Cardiovascular physiology, pathophysiology, & therapy

2. Shock and its complications

3. Cardiopulmonary resuscitation

4. Acute coronary syndromes

5. Cardiac rhythm & conduction disturbances

6. Pacemaker types & indications

7. Pulmonary edema, cardiac & noncardiac

8. Cardiac tamponade & other acute pericardial diseases

9. Acute & chronic life threatening valvular disorders

10. Acute complications of cardiomyopathies and myocarditis

11. Acute aortic & peripheral vascular disorders & A - V fistulas

12. Vasoactive & inotropic therapy

13. Pulmonary hypertension & cor pulmonale

14. Oxygen transport & utilization

15. Perioperative management of cardiac surgery patients

16. Angioplasty & complications

Neurological and Neurosurgical Disorders

1. Coma, metabolic, traumatic, infectious, ischemic, drugs, mass

2. Status epilepticus

3. Psychiatric emergencies

4. Subarachnoid, intracerebral, and other intracranial hemorrhage

5. Diagnosis and management of persistent vegetative state

6. Hydrocephulus

7. Management of increased ICP including monitoring

8. Perioperative management of patients undergoing neurosurgery

9. Guillian – Barre Syndrome

10. Amyotrophic lateral sclerosis

11. Myasthenia Gravis

12. Polyneuropathy of critical illness

13. Prolonged effects of neuromuscular blockade

Renal Disorders

1. Evaluation of oliguria

2. Renal failure, pre renal, renal, post renal

3. Interpretation of urine electrolytes

4. Derangement secondary to alterations in fluid and electrolytes

5. Acid base disorders and their management

6. Principles of hemodialysis, pd, ultrafiltration, CVVHDF

7. Drug dosing in renal failure

8. Rhabdomyolysis

Gastrointestinal Disorders

1. Acute pancreatitis

2. Acute GI bleeding including variceal

3. Lower GI bleeding

4. Toxic megacolon

5. Acute perforation of GI tract

6. Ruptured esophagus

7. Acute inflammatory disease of intestine

8. Acute vascular disease of intestine, incl. mesenteric infarction

9. Stress ulcer prophylaxis

10. Perioperative management of surgical patients

11. Postop. complications, fistulas, wound infection, evisceration

Hepatic Dysfunction

1. Acute and fulminant hepatic failure

2. Drug dosing in liver failure

3. Perioperative management of patients with liver transplantation

4. Acalculous cholecystitis

5. Multiorgan failure

Hematologic Disorders

1. Thrombocytopenia, HITT, thrombocytopathy

2. DIC

3. Anticoagulation, thrombolytic, fibrinolytic therapy

4. Blood component therapy

- RBCs' platelets, plasma, coagulation factors, albumin, cryoppt.

5. Acute hemolytic disorders, including thrombotic angiopathies

6. Acute neoplastic and chemotherapeutic syndromes

7. Sickle cell crises

8. Plasmaphoresis

9. Prophylaxis against thrombotic disease

Endocrine Disorders

1. Thyroid storm, myxedema coma, sick – euthyroid syndrome

2. Adrenal crises

3. Disorders of ADH metabolism

4. Ketotic and non ketotic hyperosmolar coma

5. Hypoglycemia

6. Pheochromocytoma

7. Insulinoma

8. Disorders of calcium and magnesium

Trauma

1. Initial approach to manage of multiple system trauma

2. Brain and spinal cord trauma

3. Skeletal trauma, including spine and pelvis

4. Chest trauma, bunt and penetrating

5. Abdominal trauma, blunt and penetrating

6. Crush injury

Sepsis

1. Hospital acquired & opportunistic infections in critically ill

2, Evaluation of fever in critically ill

3. Anerobic infections

4. SIRS systemic inflammatory response syndrome

5. Tetanus

6. Antibiotics

7. Antifungal, antituberculosis, antiparasitic, and antiviral agents

8. Adverse reactions and resistance to antimicrobial agents

9. Universal precautions

10.Isolation and reverse isolation

11. Infectious risk to health care workers

12. SARS

13. West Nile Virus

Intoxication

1. Drug overdose and withdrawal including:

- barbiturates

- narcotics

- salicylates

- alcohols

- cocaine

- tricyclic antidepressants, acetaminophen

- acetaminophen

2. Evenomation

3. Hypothermia

4. Hyperthermia

Burns

1. Burns

2. Electrical injury

3. Toxic epidermal necrolysis

4. Other

Nutritional Support

1. Evaluation of nutritional needs, including indirect calorimetry

2. Enteral and parenteral nutrition

Pharmacotherapy

1. Pharmacokinetics, drug levels

2. Sedation, Analgesia, Neuromuscular Blocking Agents

Transportation

1. Transport of the critically ill

2. Trauma transport

Transplantation

1. Brain Death Criteria

2. Maintenance of the Organ Donor

3. Postoperative Care of the Transplant Patient

Liver, Heart, Lung, Kidney, Small Bowel, Bone Marrow

4. Immunosuppression and Rejection

5. Infections in the Transplant Patient

End of Life Issues

1. Ethical, Medical, Legal – End of Life Issues

2. Family Support in the ICU

Critical Illness in Pregnancy

1. Hematological Disorders in Pregnancy

2. Cardiovascular Disorders in Pregnancy

3. Respiratory, Hepatic & Renal Disorders in Pregnancy