Special Critical Care
ECMO, major burns, abdominal compartment syndrome, and anaphylactic shock.
Core Topics
9 topicsECMO: Physiology, Bedside Management & Troubleshooting
Specialist-level VV/VA ECMO bedside management: selection, cannulation, gas exchange, hemodynamics, anticoagulation, circuit troubleshooting, organ support, ultrasound, ECPR, weaning and decannulation.
Burns & Major Burn Critical Care
Inhalation injury management, endpoint-driven fluid resuscitation, avoidance of fluid creep, bedside escharotomy, and hypermetabolic catabolism support.
Abdominal Compartment Syndrome (ACS)
Recognition and treatment of intra-abdominal hypertension and abdominal compartment syndrome: bladder pressure, perfusion, decompression, fluids, ventilation, and organ failure.
Anaphylaxis & Refractory Anaphylactic Shock
Immediate epinephrine-first management of airway edema, bronchospasm, vasoplegia and refractory anaphylactic shock in the ICU.
Goals of Care, Treatment Limitation & Palliative Critical Care
Structured ICU communication, surrogate decision-making, treatment-limitation decisions, symptom control, and compassionate withdrawal of life-sustaining treatment.
Organ Donation & Donor Management
Ethically separated death determination, timely organ-procurement referral, and physiology-focused donor support after BD/DNC or planned donation after circulatory death.
Post-ICU Syndrome, Survivorship & Rehabilitation
Prevention, recognition and follow-up of physical, cognitive and psychological morbidity after critical illness, including ICU-acquired weakness and family impact.
Polytrauma & Damage-Control Critical Care
ICU priorities after major multisystem trauma: hemorrhage control, damage-control resuscitation, TBI-aware perfusion, coagulopathy correction, compartment syndromes and staged definitive care.
High-Risk Postoperative ICU Care
Systematic postoperative ICU surveillance for bleeding, respiratory failure, myocardial injury, AKI, delirium, infection, pain, nutrition and safe device removal.
Clinical Problems & Bedside Triage
3 guidesRefractory Shock Despite High-Dose Vasopressors
Advanced multimodal hemodynamic rescue: second-line vasopressors (vasopressin, angiotensin II), inotropic augmentation, stress-dose steroids, metabolic correction, and mechanical circulatory support evaluation.
Rising Airway Pressure + Oliguria + Distended Abdomen
Recognize pressure-mediated multiorgan failure and move from measurement to decompression.
Refractory Anaphylaxis / Anaphylactic Shock
Airway, bronchospastic or circulatory collapse not responding to initial anaphylaxis therapy.