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POST MBBS CERTIFICATE COURSE IN CRITICAL CARE

Critical care is an upcoming speciality and presently has a huge shortage of trained dedicated manpower. MBBS doctors are a major workforce in ICU teams. This course has been proposed to impart structured critical care training to MBBS doctors to improve patient management skills.

Eligibilty: MBBS or equivalent allopathic medical degree with valid MCI registration.

Course duration: 2 years

Registration: Before Feb 28th every year for January batch
                         Before Aug 31st every year for July batch



Fee details: Rs 25,000 at the time of registration and mandatory ISCCM Associate Life Membership

They shall have no voting rights nor shall they contest any position in the Executive Committee.

Candidates selection process: Candidates may directly apply to the accredited Institute where they would like to pursue training.

Institute accredition criteria: All institutes accreditated for IDCCM from the date of approval.

Candidate assessment:
  • Exit exam will be conducted at the completion of two years of training and will comprise of theory exam of 100 MCQ’s. Practical exam to be given by only those candidates who pass theory exam. Practical exam will comprise of 2 cases (history taking, examination & documentation), 3 tables (1. Basics of ABG, ECG, Drugs, Radiology, 2. ACLS, 3. Airway & Basics of ventilation)
  • Successful candidates will be given certificate of completion of Critical Care certificate course and can proceed to do IDCCM if they wish.They will be considered on par with Diploma candidates and should pursue IDCCM training for two years.

SYLLABUS

Theory courses:

Resuscitation of critically ill patient
  • Airway, breathing and circulation during CPR
  • Pathophysiology and Management of shock
  • Acid base Disorders and Electrolyte Management
  • Blood transfusion and fluid therapy

Fundamentals of ICU Management
  • Sedation and Analgesia in ICU
  • Nutrition and Ulcer prophylaxis
  • Coagulation and DVT prophylaxis
  • Approach to fever in ICU
  • Sepsis and multiple organ dysfunction syndrome

Monitoring
  • ECG and diagnosing arrhythmias
  • Hemodynamic monitoring
  • Basics of Echocardiography and Ultrasound

Respiratory disorders
  • Oxygen therapy & Mechanical Ventilation
  • Acute Lung Injury and Acute respiratory distress syndrome
  • Chronic obstructive pulmonary diseases & Asthma
  • Pneumonia - community acquired & nosocomial
  • Pulmonary embolism

Cardiovascular diseases
  • Acute Myocardial infarction
  • Acute Myocardial infarction
  • Acute heart failure
  • Pericardial diseases
  • Intensive care after cardiac surgery

Central nervous system
  • Management of stroke and cerebrovascular complications
  • Seizures in critically ill
  • Brain death
  • Neuromuscular disorders in ICU
  • Psychiatric issues in ICU

Hepatic & Gastroenterological disorders
  • Acute gastrointestinal bleeding
  • Severe acute pancreatitis
  • Hepatic failure
  • Peritonitis and intra abdominal infections

Renal disorders
  • Acute renal failure
  • Acute renal failure

Haematology and Oncology problems in ICU
  • Anaemia and bleeding disorders
  • Haematological malignancies
  • Oncologic emergencies

Endocrine problems in Intensive care
  • Management of diabetes in critically ill patients & Diabetic emergencies
  • Thyroid emergencies
  • Adrenocortical insufficiency in critical illness

Obstetric problems in Intensive care
  • Obstetric emergencies in ICU
  • Obstetric emergencies in ICU

Surgical problems in Intensive care
  • Management of post operative cardiac patient
  • The acute abdomen
  • Pressure sore prevention, Necrotizing fasciitis and soft tissue infections

Transplants in Intensive care
  • Organ donation
  • ICU care of post transplant patients

Critical Care of a Trauma Patient
  • Traumatic brain and spine injury
  • Thoracic trauma
  • Abdominal and pelvic injury
  • Disaster management
  • Transport of a critically ill patient

Environmental injuries
  • Burns and hypothermia
  • Near drowning
  • Management of acute poisoning

Infections
  • Central nervous system infections
  • Pneumonia
  • Infective endocarditis and infections of Prosthetic valves
  • Tropical diseases
  • Infections in Immunocompromised patient
  • Fungal infections

Hospital Acquired infections
  • Prevention and control of Nosocomial Infections in ICU

Principles of Antimicrobial use

The critically ill child
  • Paediatric cardiopulmonary resuscitation
  • Care of a critically ill child
  • Paediatric emergencies
  • Fluid and electrolyte therapy in children

Severity of illness and likely outcome from critical illness
  • Scoring systems in ICU
  • End of Life care