Online Critical Care Medicine Course

Critical Care Medicine Academy – Learning Objectives

Session 1: Introduction – Respiratory Failure and Mechanical Ventilation

  • Summarize the indications for mechanical ventilation and ventilation goals
  • Describe basic lung mechanics
  • Recognize and prevent ventilator-induced lung injury
  • Appreciate the benefits and deleterious effects of PEEP and auto-PEEP
  • Understand modes of mechanical ventilation
  • Manage ventilator-patient asynchrony and basic ventilator alarms
  • Differentiate between weaning and extubation strategies
  • Describe the principles of non-invasive ventilation

Session 2: Pulmonary Emergencies: ARDS, Pulmonary Embolism and Pneumothorax

  • Describe clinical, radiographic, pathologic and physiologic characteristics of ARDS
  • Recognize types of ventilator-induced lung injury (VILI)
  • Apply ventilator strategies to minimize VILI
  • Understand therapeutic options for advanced therapy for patients with severe ARDS
  • Appreciate the clinical manifestations, diagnostic algorithm, and management of pulmonary emboli and pneumothorax

Session 3: Acid-Base Disorders and Acute Renal Insufficiency

  • Identify a simple (single) acid-base disorder
  • Understand the appropriate acute and chronic compensation to single disorder
  • Discern difference between uncompensated, acutely compensated, partially compensated and fully compensated disorders
  • Recognize a second primary (double) disorder
  • Expose “hidden” and “complex” acid-base disorders
  • Know the differential diagnosis of the six primary acid-base disorders
  • Use patient history to more accurately identify acid-base disorders
  • Appreciate the pathophysiology, diagnostic strategy, and management of acute lung injury in the ICU setting

Session 4: Sepsis Syndrome, Septic Shock and ICU infections

  • Recall the international consensus definition of sepsis and septic shock
  • Describe the continuum of sepsis from mild to shock
  • Understand the recommendations from the Surviving Sepsis Campaign
  • Synthesize these recommendations to competently manage patients with sepsis
  • Appreciate the pathophysiology, diagnostic strategy, and management of nosocomial ICU infections

Session 5: Cardiovascular Emergencies

  • Understand the physiology and application of invasive hemodynamic monitoring and its application to fluid and vasoactive support
  • Competently interpret EKGs and recognize ischemia, injury and infarction
  • Define HTN emergency and its management
  • Recognize common brady and tachyarrhythmias
  • Understand the pathophysiology and management of CHF

Session 6: Point of Care Ultrasound

  • Understand the underlying physics, transducers and orientation of ultrasound
  • Identify normal anatomic structures on cardiac and pulmonary ultrasound
  • Recognize basic sonographic pathology for cardiac and lung imaging
  • Putting it altogether with POCUS cases

Session 7: Neurologic Emergencies in the ICU

  • Understand treatment of the patient with traumatic brain injury (TBI)
  • Develop skills to workup and treat patient with status epilepticus
  • Recognize time sensitive steps in managing patient with acute stroke syndrome
  • Differentiate the causes and management of neuromuscular disease in the ICU patient
  • Describe criteria for establishing brain death

Session 8: GI and Hematologic/Oncologic Emergencies

  • Prioritize management of acute GI bleed
  • Differentiate the approach in managing acute and chronic liver failure
  • Understand assessment and treatment of acute pancreatitis
  • Understand appropriate indications for blood product replacement and reversing coagulopathy
  • Review treatment for sickle cell crises
  • Recognize oncologic related emergencies and how to initiate the appropriate therapy

Session 9: Endocrine Emergencies

  • Understand management of hyperglycemia and hypoglycemia in hospitalized patients
  • Recognize clinical presentation and treatment priorities for patients with life-threatening diseases of the pituitary, adrenal, and thyroid glands
  • Understand the causes and acute management of electrolyte derangements in ICU patients

Session 10: Critical Care Medicine – Potpourri

  • Recognize patients in ICU at specific outcome risk based on nutritional status
  • Understand the strategies in providing nutrition that impact on outcome
  • Review advantages of enteral over parenteral nutrition in first several days of critical illness
  • Understand changing nutritional requirements over first several days in ICU
  • Recognize the role of the palliative care team in supporting patients in ICU as well as their caregivers
  • Understand specific ICU patients who will derive most benefit from these services
  • Appreciate barriers to providing this care
  • Review outcomes that improve with Palliative Care integration into critical care team