Certificate in Critical care

Module 1: Introduction and Foundation

• Introduction to Critical Care Medicine
• History of Critical Care
• Patient Evaluation and Assessment
• Assessment and Differential diagnosis
• Identification of the Critically Ill Patient
• Resuscitation and initial management of acute ill patient
• ICU structure, Team roles, Monitoring levels, Triage

Module 2: Physiology in Critical Illness

• General Principles of Physiology in Critical Illness
• Cardiovascular Physiology, Respiratory Physiology
• Central Nervous System Physiology
• Renal Physiology
• Endocrine and Metabolic Physiology
• Hematologic and Microcirculatory Physiology, Fluid and Electrolyte Physiology
• Immunologic and Inflammatory Physiology
• Gastrointestinal and Hepatic Physiology
• Cellular and Molecular Physiology
• Integrated Organ Failure Physiology

Module 3: Hemodynamic Monitoring

• Introduction and Principles, Goals of Hemodynamic Monitoring
• Basic Hemodynamic Concepts and Variables
• Physiologic Determinants of Cardiac Output and Perfusion
• Types of Hemodynamic Monitoring
• Arterial Pressure Monitoring, Central Venous Pressure (CVP) Monitoring
• Pulmonary Artery Catheter (Swan–Ganz) Monitoring
• Cardiac Output Measurement Techniques
• Dynamic Markers of Fluid Responsiveness
• Echocardiography in Hemodynamic Assessment
• Noninvasive Hemodynamic Monitoring
• Microcirculatory and Tissue Perfusion Monitoring
• Hemodynamic Targets in Shock and Resuscitation
• Complications and Limitations of Hemodynamic Monitoring
• Future Directions and Advanced Technologies

 Module 4: Fluids, Electrolytes & Acid-Base Management

• Fluid types, Correction strategies
• Electrolytes- Potassium, Magnesium, Calcium, Phosphorus, Sodium
• ABG analysis and common derangements
• Acid-Base Analysis
• Metabolic Acidosis, Metabolic Alkalosis, Respiratory Acidosis, Respiratory Alkalosis, Osmotic Disorders

Module 5: Respiratory Support: Management of Airway

• Recognizing Clinical signs & Management of Airway Obstruction
• Recognizing Clinical signs & Management of Difficult Airway
• Cardiopulmonary resuscitation (CPR), Bag valve mask ventilation, Laryngeal Mask Airway, Cricothyrotomy, Percutaneous tracheostomy
• Do not attempt and Resuscitate (DNAAR)
• Nasotracheal and RapidSequence Intubation
• Video Laryngoscopy and Fibreoptic Assisted Tracheal Intubation
• Oxygen and oxygen delivery devices

Module 6: Respiratory diseases Management and Emergencies

• Assessment of Respiratory Failure
• Pathophysiology, Diagnostics, and Berlin Criteria for ARDS
• Pneumonia
• Acute exacerbation of Asthma, COPD
• Acute exacerbation of ILD and bronchiectasis, lung cancer, occupational lung diseases
• Management of Massive Haemoptysis in ICU and critical care
• Thromboembolism- (Venous and Fat), Acute inhalational injury
• Clinical assessment of trauma to thorax/lungs and Assessment of flail chest
• Needle Thoracocentesis and Intercostal drain, Diagnostic Bronchoscopy
• Inhaled antibiotics, Steroids, Bronchodilators, Mucolytics
• ECMO principles
• Hepatopulmonary syndrome, Bronchopleural fistula

Module 7: Oxygen support devices&Non-Invasive Ventilation

• Oxygen delivery systems, Nebulizers and Humidification systems
• Oxygen cylinder, Capnograph, Laryngoscopes and airway adjuncts
• High flow oxygen systems, Transport ventilators and circuits, High Frequency Oscillators
• Non-Invasive Ventilation interface and circuits

Module 8: Mechanical Ventilation: Basics and Advanced Concepts

• Modes (Basic and Advanced) ,Settings, Indications, and Initiation
• Troubleshooting, Waveforms, PEEP titration, Weaning
• Disease specific ventilation
• Esophageal pressure monitoring
• Difficult weaning
• Prone ventilation

Module 9: Infections, Sepsis and Septic Shock: Definitions and Management

• Shock and Classification of Shock
• Hypovolemic/Cardiogenic/Obstructive/Septic/Neurogenic/Anaphylactic
• Surviving Sepsis Guidelines 2024, vasopressors, source control
• Systemic Inflammatory Response Syndrome (SIRS)

Module 10: Antibiotic Stewardship& Organism specific infectious diseases in ICU

• Introduction to microbiology in ICU
• Antibiotic stewardship in critical care
• Empirical vs targeted therapy, de-escalation, resistance patterns
• Inhaled antibiotics in ICU
• Diagnosis and Management of Gram negative, Gram positive, atypical bacterial infections
• Diagnosis and Management of invasive fungal infections
• Diagnosis and management of mycobacterial and viral infections
• Diagnosis and management of Rickettsial fever/ other tropical illnesses

Module 11: Nosocomial Infections, Infection Control and Preventive Practice in ICU

• Common Pathogens, Infectious Diseases, Treatment and Control of Infection
• Ventilator acquired pneumonia (VAP), Central line associated blood stream infection (CLABSI), Catheter associated urinary tract infections (CAUTI), Isolation protocols,Management of nosocomial infections - VAT / CRBSI / Surgical site infections
• Fall Prevention, Medication Safety
• Occupational Exposures
• Coagulopathy, long COVID considerations
• SARS, Influenza, MRSA
• HSV encephalitis, Osteomyelitis, Staphylococcus related skin disorders
• Pneumococcal infection in HIV, HSV, CMV
• Management of skin and soft tissue infections – Cellulitis, Necrotising fasciitis with/without myonecrosis
• Management of postoperative sepsis

Module 12: Neurological Emergencies & Brain Death

• Targeted Temperature Management (TTM) In Neurological Injury
• Encephalitis and Meningitis
• Status epilepticus, Raised intra cranial pressure (ICP), Glasgow coma scale (GCS), Coma Management, Head Trauma, Stroke, Hydrocephalus
• Acute back pain and acute spinal cord compression
• Spinal Cord Injuries, Subdural Hematoma
• Sedation and Delirium Management Protocols