CRITICAL CARE MEDICINE
(02MI711)
Fort Wayne Medical Education Program
Dr. Edward Lelonek
Units: 1 Full Time
Max Students Per Unit: 1
Available: All year
Prerequisites: Fourth year status only
90% Clinical; 5% Lecture; 5% Library
The primary objective of this course is to provide the senior medical student with knowledge, skills, and attitudes in handling seriously ill patients, requiring care in the ICU/CCU units. The senior student should develop a basic understanding of the seriously ill patient, including the pathophysiology of disease, with its psycho-social implications. Assessment for admission, including preparation and transfer to the ICU/CCU units is an integral part of such a course.
Specific objectives include:
The development of skills in coordinating care, when multiple specialties are involved.
The learning of procedures unique to ICU/CCU management of patients including:
| a. |
Insertion of chest tube |
| b. |
Pericardiocentesis |
| c. |
Paracentesis |
| d. |
Thoracentesis |
| e. |
Endotracheal intubation |
| f. |
Insertion of Swan-Ganz catheter |
| g. |
Insertion of hyperalimentation cath |
| h. |
Ventilator management |
| i. |
Insertion of central lines and arterial lines |
Learning of the care of serious diseases including:
| a. |
Cardiac arrhythmias |
| b. |
Acute hypertensive crisis |
| c. |
Congestive heart failure |
| d. |
Cardiogenic shock |
| e. |
Renal failure |
| f. |
Respiratory insufficiency/failure |
| g. |
Coma of unknown etiology |
| h. |
Multiple organ trauma or failure |
| i. |
Metabolic derangements |
| j. |
Acute myocardial infarction |
| k. |
Diabetic ketoacidosis, severe |
| l. |
Overdosage of drugs or medications |
| m. |
Septic shock |
| n. |
Learn to work with family of patient in ICU/CCU, handling psycho-emotional reaction to severe illness |
Training for this course will take place at St. Joseph Medical Center in the ICU and CCU departments. With the proper identification and development of leadership in the other community hospitals (Parkview and Lutheran Hospitals), this course may be expanded. |
