CT Critical Care Management Documentation
Select the patients who best represent all the essential aspects of intensive care unit management. Each resident is to develop a CT Critical Care Index Case (CCIC) log of at least twenty patients who best represent the full breadth of critical care management. At least two out of the seven categories listed below should be applicable to each chosen patient. The completed CCIC log should include experience, with at least one patient, in all seven of the following essential categories:
1. Ventilatory Management
a. Etiology/indications
b. Ventilatory modes/techniques
c. Ventilator days
d. Weaning method
2. Bleeding (non-trauma) greater than 3 units necessitating transfusion/monitoring in ICU setting
a. Etiology
b. Coagulopathy: yes no
c. Hypothermia: yes no
d. Autotransfusion: yes no
3. Hemodynamic Instability
a. Etiology
b. Volume resuscitation
c. Inotropic/pressure support: yes no
d. Mechanical assistance of cardiac failure: (IABP, LVAD, BiVAD)
4. Organ Dysfunction/Failure (etiology/mode of management)
a. Pulmonary
b. Renal
c. Hepatic
d. Central nervous system
e. Endocrine (Hypothyroidism, Adrenal insufficiency, Panhypopituitarism, Diabetes insipidus, SIADH)
5. Dysrhythmias
a. Etiology
b. Drug management
c. Therapeutic interventions
d. Monitoring
6. Invasive Line Management/Monitoring
a. Arterial cannulation
b. Pulmonary artery catheter
c. Intracardiac catheter
d. Complications
7. Nutrition
a. Route (parenteral/enteral)
b. Indications/contraindications