• Syllabus/ Competencies
  • The candidate must have gained experience in the diagnosis and treatment of patients with serious medical and surgical disease including coronary artery disease and neurosurgical disease. The present document defines the minimum content of these 2 years of training in critical care medicine and deals with two aspects – The knowledge about pathophysiology, diagnosis and treatment of a series of disease processes and a list of specific procedures and interventions that the candidate must be able to perform. The ISCCM CoBaTrICE competencies have been compiled in the CoBaFolio record which should be filled by all IDCC & IFCC candidates.

• Theoretical Knowledge
  • The critical care specialist must understand the pathophysiology, construct a differential diagnosis and apply the appropriate prophylactic and therapeutic interventions in the following disorders. This list is not comprehensive.
    
    
  • Respiratory
    Management of airways (including respiratory arrest, upper airways obstruction, smoke or burns airways damage), pulmonary edema, adult respiratory distress syndrome and hypercapnic respiratory failure, severe asthma, chest trauma, respiratory muscle disorders, thoracic surgery.
    
    
  • Cardiovascular
    Haemodynamic instability and shock, cardiac arrest acute myocardial infarction and unstable angina severe heart failure, common arrhythmias and conduction disturbance, specific cardiac disorders (cardiomyopathies, valvular heart disease, atrial or ventricular septal defects, myocarditis), cardiac tamponade, pulmonary embolism, aortic dissection, hypertensive crisis, peripheral vascular diseases. Cardiovascular surgery. Cardio pulmonary resuscitation (CPR) Training in Basic Life Support (BLS), and Advance Life Support (ALS)
    
    
  • Neurology
    Coma, head trauma, intracranial hypertension, cerebrovascular accidents, cerebral vasospasm, meningo-encephalitis, acute neuromuscular disease (including myasthenia & Guillain Barre syndrome), post anoxic brain damage, acute confusional states, spinal cord injury, neurosurgery, brain death.
    
    
  • Renal
    Oliguria. Acute renal failure, renal replacement therapy
    
    
  • Metabolic & Nutritional
    Fluid electrolyte and acid-base disorders, endocrine disorders (including diabetes), nutritional requirements, monitoring of nutrition.
    
    
  • Haematological
    Disseminated intravascular coagulation and other coagulation disorders, haemolytic syndromes, acute and anaemia, blood component therapy, immune disorders.
    
    
  • Infections
    Severe infection due to aerobic and anaerobic bacteria, viruses, fungal and parasites, nosocomial infection, infection in the immunocopromised, tropical disease, antimicrobial therapy, immunotherapy.
    
    
  • Gastro-intestinal
    Inflammatory bowel diseases, pancreatitis, acute and chronic liver failure, prevention and treatment of acute G.I. Bleeding (including variceal bleeding) peritonitis, mesenteric infarction, perforated viscus, bowel obstruction, abdominal trauma, abdominal surgery.
    
    

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