Objective Structured Clinical Examination in Intensive Care Medicine

✍ Scribed by Jeyasankar Jeyanathan, Daniel Owens

• Publisher: TFM Publishing
• Year: 2016
• Tongue: English
• Leaves: 330
• Edition: 1
• Category: Library

✦ Synopsis

The objective structured clinical examination (OSCE) has become widely employed in intensive care medicine (ICM) exams such as the UK Final Fellowship of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care (EDIC) exam, or the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM).

This book is not only an essential tool for the rehearsal of OSCEs in preparation for these exams, but also for American and Indian exams, and any other exams within the field of intensive care medicine. The OSCE is a style of examination that requires the candidate to present specific information in a short space of time matched to a prescriptive mark scheme. This book allows candidates preparing for an ICM OSCE to format their knowledge for this type of examination whilst practising and rehearsing against time.

The 60 OSCE stations provide a broad array of topics from past exams ranging across the training ICM curriculums. The mark schemes are presented in a short, punctuated form allowing the candidate access to important points, ideal at the sharp end of an exam campaign. The 5 sets of OSCE exams are designed to run as a set of 12. Each set will have an array of clinical scenarios requiring swift assessment, diagnosis, recommendations for investigations and management, whilst also exploring aspects of pathophysiology. There are a number of data-interpretation tools that are incorporated into clinical scenarios as well as standalone stations for electrocardiogram and radiology analysis.

This book is an important preparatory tool crucial to the armamentarium of any candidate preparing for an ICM exam.

✦ Table of Contents

Preface
Abbreviations
Interpreting a standard electrocardiogram (ECG)
Acknowledgements
Dedication
Chapter 1
Acute respiratory distress syndrome (ARDS)
Cardiac output monitoring
Tracheostomy emergency
Corticosteroids in the leu
Blood product transfusion
Diabetic ketoacidosis
Professionalism - critical incident reporting
Equipment
Community-acquired pneumonia
Guillain-Barre syndrome and plasmapheresis
Electrocardiography - set 1
Radiology - set 1
Chapter 2
Capnography
Hepatic failure and ascitic tap
Compartment syndrome
Intra-aortic balloon pump
Delirium
Infective endocarditis
Disseminated malignancy
Professionalism - failed discharge
Lumbar puncture
Local anaesthetic toxicity
Electrocardiography - set 2
Radiology - set 2
Chapter 3
Burns 121
Myasthenic crisis 125
Equipment 129
Necrotising fasciitis 133
Paracetamol overdose 138
Professionalism - refusal of treatment 143
Pleural effusion 148
Acute respiratory distress syndrome (AROS) 153
Panton-Valentine leukocidin (PVL) pneumonia and antibiotics 159
Renal replacement therapy 166
Electrocardiography - set 3 171
Radiology - set 3 176
Chapter 4
Rhabdomyolysis
Professionalism - NG tube in the lung
Acute pancreatitis
Pulmonary infiltrates
Septic shock and fluids
Refeeding syndrome
SIAOH, cerebral salt wasting and DI
Subarachnoid haemorrhage
Tetanus
Equipment
Electrocardiography - set 4
Radiology - set 4
Chapter 5
Trauma - massive blood transfusion 241
Stroke 246
Trauma - diaphragmatic rupture 250
Thrombotic thrombocytopaenic purpura in pregnancy 254
Traumatic brain injury and management of raised ICP 258
Warfarin 262
Tumour lysis syndrome 267
Professionalism - omission of low-molecular-weight heparin 272
Brainstem death testing 274
Abdominal compartment syndrome 277
Dermatology - toxic epidermal necrolysis 283
Viral haemorrhagic fever - Ebola 291
Index

✦ Subjects

Intensive Care Medicine; Critical Care; Anesthesiology; Immunology; Pain Medicine