Medical Student Curriculum
If you've never rotated in an ICU it can be an intimidating place. There are machines and medications that we use in the ICU that aren't found elsewhere in the hospital. Throughout the month there are a variety of topics we want you to become familiar with so by the end of your rotation you'll better understand the way we care for critically ill patients.
| MS4 Checklist |
Ventilator Management and Modes
Discuss ventilator settings (FiO2, PEEP, RR, TV, I:E, triggers, etc)
Discuss ventilator modes (ACVC, ACPC, SIMV, etc)
Discuss how to adjust the ventilator for hypoxemia, hyper/hypocarbia
Discuss ventilator alarms and troubleshooting (eg: high PIP alarms)
Pressors and Inotropes
Discuss the difference between pressors and inotropes
Discuss situations in which certain pressors are preferred
Discuss escalation and de-escalation strategies for pressors
Shock
Discuss the pathophysiology of shock and different types
Discuss the diagnosis, differential, and management of the different kinds of shock
Pain, Anxiety, and Delirium
Discuss medications used in the ICU for these conditions and how to titrate them
Discuss the assessment of delirium in the ICU
Renal Replacement Therapy
Discuss the difference between intermittent and continuous hemodialysis and situations in which each is preferred
Discuss different types of CRRT (CVVH, CVVHD, CVVHDF)
Intravascular Support and Monitoring Devices
Discuss the indications, contraindications, and management of IABP, impella, LVAD
Discuss the difference between VV and VA ECMO
Discuss the placement and information gathered from a pulmonary artery catheter (Swan-Ganz)
Palliative Care
Discuss how to approach end of life discussions with patients and patients’ families
Discuss medications and strategies used during comfort care
ICU procedures
Discuss indications for intubation, central line placement, chest tubes, para/thoracentesis, bronchoscopy, arterial line
Discuss the steps of the above listed procedures
Discuss ventilator settings (FiO2, PEEP, RR, TV, I:E, triggers, etc)
Discuss ventilator modes (ACVC, ACPC, SIMV, etc)
Discuss how to adjust the ventilator for hypoxemia, hyper/hypocarbia
Discuss ventilator alarms and troubleshooting (eg: high PIP alarms)
Pressors and Inotropes
Discuss the difference between pressors and inotropes
Discuss situations in which certain pressors are preferred
Discuss escalation and de-escalation strategies for pressors
Shock
Discuss the pathophysiology of shock and different types
Discuss the diagnosis, differential, and management of the different kinds of shock
Pain, Anxiety, and Delirium
Discuss medications used in the ICU for these conditions and how to titrate them
Discuss the assessment of delirium in the ICU
Renal Replacement Therapy
Discuss the difference between intermittent and continuous hemodialysis and situations in which each is preferred
Discuss different types of CRRT (CVVH, CVVHD, CVVHDF)
Intravascular Support and Monitoring Devices
Discuss the indications, contraindications, and management of IABP, impella, LVAD
Discuss the difference between VV and VA ECMO
Discuss the placement and information gathered from a pulmonary artery catheter (Swan-Ganz)
Palliative Care
Discuss how to approach end of life discussions with patients and patients’ families
Discuss medications and strategies used during comfort care
ICU procedures
Discuss indications for intubation, central line placement, chest tubes, para/thoracentesis, bronchoscopy, arterial line
Discuss the steps of the above listed procedures