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, focusing 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 relevant 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.
Contents
FOREWORD
PREFACE
CONTRIBUTORS
ACKNOWLEDGEMENTS
LIST OF ABBREVIATIONS
INTRODUCTION
SECTION 01 ORGANISATIONAL ISSUES
Eryl Ann Davies and Katherine Phillips
Provision of services
Scoring systems
Transport of the critically ill patient
Critical incidents
Major incidents
Fire
SECTION 02 ORGAN SUPPORT
Eryl Ann Davies, Ozerah Choudhry, Samuel Ford, and Nina Hjelde
Mechanical ventilation
Proning
ECMO and ECCO2R
Weaning
Fluids
Mechanical circulatory support
Pacing
Sedation
Cerebral monitoring
Temperature control
Nutrition
Stress ulcer prophylaxis
Extracorporeal liver support
Renal replacement therapy
Plasmapheresis
Rehabilitation
SECTION 03 ON THE ICU
Eryl Davies, Samuel Ford, Jessica Davis
ARDS
Oxygen toxicity
Ventilator-associated pneumonia
Sepsis
Out-of-hospital cardiac arrest
Propofol infusion syndrome
Delirium
ICU-acquired weakness
Ophthalmological disorders
SECTION 04 TOXICOLOGY
Eryl Davies
Poisoning overview
Mental health and critical care
Psychiatric medications
Drugs of abuse
Serotonin syndrome
Cardiovascular medicines
Local anaesthetic systemic toxicity
Environmental poisons
SECTION 05 AIRWAY
Eryl Davies and Jessica Davis
Difficult intubation
Stridor
Anaphylaxis
Aspiration and choking
Inhalational injury
Ludwig's angina
Massive haemoptysis
Tracheostomy emergencies
Laryngeal injury
SECTION 06 RESUSCITATION
Eryl Davies and Katherine Phillips
Major trauma
Complex injuries
Major haemorrhage
Transfusion reactions
Drowning
Burns
Electrical injury
Gas embolism
Fat embolism syndrome
Hypothermia
Malignant hyperthermia
SECTION 07 SURGERY
Eryl Davies
Emergency laparotomy
Splenic injury
Acute pancreatitis
Bowel obstruction and ileus
Necrotising fasciitis
Boerhaave syndrome
Abdominal aortic aneurysm
Compartment syndromes
Intestinal failure
The post-op free flap patient
The post-transplant patient
SECTION 08 CARDIOTHORACICS
Eryl Davies
Cardiac advanced life support
Cardiac tamponade
Hypertension
Infective endocarditis
Acute coronary syndromes
Arrhythmias
Cardiomyopathies
Heart failure
Pulmonary hypertension
Aortic dissection
Air leak syndrome
SECTION 09 NEUROSCIENCES
Eryl Davies and Ozerah Choudhry
Subarachnoid haemorrhage
Traumatic brain injury
Intracerebral haemorrhage
Ischaemic stroke
Cerebral venous sinus thrombosis
Disorders of consciousness
Status epilepticus
Meningitis
Encephalitis
Tetanus and botulism
Guillain-Barré syndrome
Myaesthenia gravis
Other neuromuscular disorders
Spinal cord injury
The post-op major spinal patient
SECTION 10 OBSTETRICS
Claire Knapp and Eryl Davies
The pregnant critical care patient
Hypertensive disorders of pregnancy
Major obstetric haemorrhage
Maternal sepsis
Amniotic fluid embolism
Obstetric cardiac arrest
SECTION 11 PAEDIATRICS
Eryl Davies
Bronchiolitis
Congenital heart disease
Diabetic ketoacidosis in children
Neonatal life support
Paediatric resuscitation
Paediatric sepsis
Paediatric trauma
PIMS-TS
Toxic shock syndrome
SECTION 12 MICROBIOLOGY
Eryl Davies, Katherine Phillips, Nina Hjelde
Antimicrobial stewardship
Bacterial infection
Viral infection
Fungal infection
Nosocomial infection
HIV
Malaria
Other rare infections
SECTION 13 MEDICINE
Eryl Davies, Samuel Ford, Nina Hjelde, Katherine Phillips
Respiratory
Asthma
Bronchiectasis
Community-acquired pneumonia
COPD
COVID-19
Pleural effusion
Pulmonary embolism
Restrictive lung disease
Sleep breathing disorders
Tuberculosis
Renal
Acute kidney injury
Chronic kidney disease
Electrolyte disorders
Rhabdomyolysis
Sodium disorders
Gastroenterology
Acute liver failure
Chronic liver disease
Diarrhoea
Inflammatory bowel disease
Gastrointestinal haemorrhage
Refeeding syndrome
Haematology
Bleeding and clotting disorders
Haematological malignancy
Haemoglobinopathies
Haemophagocytic lymphohistiocytosis
Heparin induced thrombocytopaenia
Porphyria
Thrombotic thrombocytopaenic purpura
Endocrinology
Adrenocortical disorders
Diabetes emergencies
Phaeochromocytoma
Pituitary disease
Thyroid crises
Other
Dermatology
Rheumatology
Oncology
SECTION 14 PALLIATIVE CARE
Eryl Davies and Jessica Davis
Prognostication
Withdrawal of life-sustaining treatment
Death
Diagnosis of death by neurological criteria
Donation after brain-stem death
Donation after circulatory death
Biography
Eryl Davies BSc (Hons) MBChB PGCert FRCA FFICM is a dual trainee in Intensive Care Medicine and Anaesthesia. She is based in the North West and holds postgraduate qualifications in medical education. Her experiences with the FFICM, FRCA and MRCP examinations have allowed her to tailor this study guide to the FFICM candidate.
