The Final FFICM Structured Oral Examination Study Guide (MasterPass)

577 Pages·2023·16.086 MB·English

by  Eryl Davies

The Final FFICM
Structured Oral
Examination Study Guide
This book is the definitive guide to the Final Fellowship of the Faculty of Intensive Care Medicine (FFICM)
Structured Oral Examination. With a broad coverage of the clinical curriculum, it equips candidates to
tackle this challenging examination. Each chapter contains sample questions with concise answers, focus-
ing on key concepts to facilitate deeper understanding. The content is organised by subject, enabling more
structured revision in an easy-to-use format. This text provides references to guidance that will remain rel-
evant in the ever-changing landscape of intensive care medicine. Not only is this book an essential resource
for studying intensivists but it also forms a useful reference for any professional encountering the world of
critical care in their practice.
Eryl Davies is a dual trainee in Intensive Care Medicine and Anaesthesia. She is based in the North West
of England and holds a postgraduate qualification in medical education. Her experiences with the FFICM,
FRCA, and MRCP examinations have allowed her to tailor this study guide to the FFICM candidate.
Taylor & Francis
Taylor & Francis Group
http://taylorandfrancis.com
The Final FFICM
Structured Oral
Examination Study Guide
Edited by
Eryl Davies BSc (Hons) MBChB PGCert FRCA FFICM
Manchester, UK
First edition published 2023
by CRC Press
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and by CRC Press
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© 2023 Taylor & Francis Group, LLC
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ISBN: 9781032153421 (hbk)
ISBN: 9781032114590 (pbk)
ISBN: 9781003243694 (ebk)
DOI: 10.1201/9781003243694
Typeset in Minion Pro
by KnowledgeWorks Global Ltd.
DEDICATION
To Aleksandr, who told me to dedicate this to myself.
To Alys, Hee Yen and Elgan. Blood is thicker than Hartmann’s.
Taylor & Francis
Taylor & Francis Group
http://taylorandfrancis.com
CONTENTS
Foreword xiii
Preface xv
Contributors xvii
Acknowledgements xix
Abbreviations xxi
Introduction xxxi
SECtIon 1: organisational Issues
Chapter 1 PRoVISIon oF SERVICES 1
Chapter 2 SCoRInG SYStEMS 3
Chapter 3 tRAnSPoRt oF tHE CRItICALLY ILL PAtIEnt 6
Chapter 4 CRItICAL InCIDEntS 9
Chapter 5 MAJoR InCIDEntS 12
Chapter 6 FIRE 16
SECtIon 2: organ Support
Chapter 7 MECHAnICAL VEntILAtIon 19
Chapter 8 PRonInG 23
Chapter 9 ECMo AnD ECCo R 26
2
Chapter 10 WEAnInG 32
Chapter 11 FLUIDS 37
Chapter 12 MECHAnICAL CIRCULAtoRY SUPPoRt 40
Chapter 13 PACInG 43
Chapter 14 SEDAtIon 47
Chapter 15 CEREBRAL MonItoRInG 51
Chapter 16 tEMPERAtURE ContRoL 55
Chapter 17 nUtRItIon 58
Chapter 18 StRESS ULCER PRoPHYLAXIS 62
Chapter 19 EXtRACoRPoREAL LIVER SUPPoRt 64
Chapter 20 REnAL REPLACEMEnt tHERAPY 65
Chapter 21 PLASMAPHERESIS 71
Chapter 22 REHABILItAtIon 73
vii
SECtIon 3: on the ICU
Chapter 23 ARDS 77
Chapter 24 oXYGEn toXICItY 81
Chapter 25 VEntILAtoR-ASSoCIAtED PnEUMonIA 83
Chapter 26 SEPSIS 86
Chapter 27 oUt-oF-HoSPItAL CARDIAC ARRESt 94
Chapter 28 PRoPoFoL InFUSIon SYnDRoME 98
Chapter 29 DELIRIUM 100
Chapter 30 ICU-ACQUIRED WEAKnESS 103
Chapter 31 oPHtHALMoLoGICAL DISoRDERS 105
SECtIon 4: toxicology
Chapter 32 PoISonInG oVERVIEW 107
Chapter 33 MEntAL HEALtH AnD CRItICAL CARE 110
Chapter 34 PSYCHIAtRIC MEDICAtIonS 113
Chapter 35 RECREAtIonAL DRUGS 116
Chapter 36 SERotonIn SYnDRoME 120
Chapter 37 CARDIoVASCULAR MEDICInES 123
Chapter 38 LoCAL AnAEStHEtIC SYStEMIC toXICItY 125
Chapter 39 EnVIRonMEntAL PoISonS 127
SECtIon 5: Airway
Chapter 40 DIFFICULt IntUBAtIon 131
Chapter 41 StRIDoR 134
Chapter 42 AnAPHYLAXIS 137
Chapter 43 ASPIRAtIon AnD CHoKInG 141
Chapter 44 InHALAtIonAL InJURY 143
Chapter 45 LUDWIG’S AnGInA 146
Chapter 46 MASSIVE HAEMoPtYSIS 148
Chapter 47 tRACHEoStoMY EMERGEnCIES 150
Chapter 48 LARYnGEAL InJURY 154
SECtIon 6: Resuscitation
Chapter 49 MAJoR tRAUMA 159
Chapter 50 CoMPLEX InJURIES 164
viii Contents
Chapter 51 MAJoR HAEMoRRHAGE 167
Chapter 52 tRAnSFUSIon REACtIonS 174
Chapter 53 DRoWnInG 176
Chapter 54 BURnS 179
Chapter 55 ELECtRICAL InJURY 183
Chapter 56 GAS EMBoLISM 185
Chapter 57 FAt EMBoLISM SYnDRoME 188
Chapter 58 HYPotHERMIA 190
Chapter 59 MALIGnAnt HYPERtHERMIA 192
SECtIon 7: Surgery
Chapter 60 EMERGEnCY LAPARotoMY 197
Chapter 61 SPLEnIC InJURY 199
Chapter 62 ACUtE PAnCREAtItIS 201
Chapter 63 BoWEL oBStRUCtIon AnD ILEUS 203
Chapter 64 nECRotISInG FASCIItIS 205
Chapter 65 BoERHAAVE SYnDRoME 207
Chapter 66 ABDoMInAL AoRtIC AnEURYSM 210
Chapter 67 CoMPARtMEnt SYnDRoMES 213
Chapter 68 IntEStInAL FAILURE 216
Chapter 69 tHE PoSt-oP FREE FLAP PAtIEnt 218
Chapter 70 tHE PoSt-tRAnSPLAnt PAtIEnt 220
SECtIon 8: Cardiothoracics
Chapter 71 CARDIAC ADVAnCED LIFE SUPPoRt 223
Chapter 72 CARDIAC tAMPonADE 225
Chapter 73 HYPERtEnSIon 227
Chapter 74 InFECtIVE EnDoCARDItIS 230
Chapter 75 ACUtE CoRonARY SYnDRoMES 233
Chapter 76 ARRHYtHMIAS 239
Chapter 77 CARDIoMYoPAtHIES 243
Chapter 78 HEARt FAILURE 247
Chapter 79 PULMonARY HYPERtEnSIon 253
Chapter 80 AoRtIC DISSECtIon 257
Chapter 81 AIR LEAK SYnDRoME 259
Contents ix