General Critical Care & Resuscitation
ICU sedation, delirium, nutrition, vascular access, ECMO fundamentals, and airway emergencies.
Core Topics
4 topicsAirway Management & Rapid Sequence Intubation
The 7 Ps of ICU intubation, the physiologically difficult airway, BOUGIE/DEVICE video laryngoscopy trials, hemodynamic optimization, waveform capnography, and scalpel-bougie cricothyroidotomy.
Central Venous & Arterial Access: ICU Safety & Complications
Ultrasound-guided vascular access, sterile insertion, tip/position confirmation, and rapid recognition of line-related mechanical and infectious complications.
Chest Tube & Pleural Drain Management
Ultrasound-guided pleural drain selection, insertion safety, troubleshooting and complication management in critically ill adults.
Tracheostomy & Difficult Ventilator Liberation
Systematic evaluation of failed liberation, tracheostomy timing/selection, cuff and secretion management, and multidisciplinary weaning.
Clinical Problems & Bedside Triage
8 guidesSudden Ventilator Deterioration & High Airway Pressures
Algorithmic troubleshooting of acute patient-ventilator collapse: the DOPE framework, peak vs plateau pressure differentiation, auto-PEEP evaluation, and manual bagging separation.
Acute Severe Respiratory Distress
Bedside management of the gasping, tachypneic patient: work-of-breathing assessment, accessory muscle use, P-SILI prevention, and timely intubation vs noninvasive support.
New or Massive Hemoptysis
Airway preservation and bleeding localization: non-massive vs massive hemoptysis (> 100–200 mL/hr), lateral decubitus positioning, isolation of the bleeding lung, and endovascular/bronchoscopic intervention.
Refractory Anaphylaxis / Anaphylactic Shock
Airway, bronchospastic or circulatory collapse not responding to initial anaphylaxis therapy.
Deterioration After Central/Arterial Line Placement
Acute hypoxemia, hypotension, bleeding, arrhythmia, limb ischemia or line malfunction after vascular access.
Deterioration with a Pleural Drain
New hypoxemia, air leak, bleeding or poor drainage in a patient with a chest tube.
Repeated Failure to Liberate from Ventilation
Persistent ventilator dependence requiring a cause-based liberation and airway plan.
Difficult Airway & Failed Intubation
Oxygenation-first rescue after difficult or failed intubation: optimized attempts, supraglottic rescue, deliberate wake-up decisions, and immediate front-of-neck access for CICO.