{"title":"Trauma and Disaster Management","authors":"Joshua D. Person, L. Kao","doi":"10.1093/med/9780190908041.003.0005","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0005","url":null,"abstract":"Trauma patients are seen at nearly every facility with varying degree of intensity and frequency, and management of the trauma patient is reliably within the expected knowledge and scope of a perioperative intensivist. The range of clinical issues potentially seen in the trauma patient span all systems and frequently necessitate a risk benefit assessment in a systematic manner in order to optimal manage a complex patient. Keeping that in mind, there are fundamental concerns that are frequently encountered in trauma patients, and a systematic and thorough approach to this population is necessary in order to provide excellent care. This chapter is structured to provide a review of common concerns in the management of trauma and to reveal common pitfalls of trauma and disaster management that are easily testable.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"331 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133431636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunology and Infectious Diseases","authors":"J. Mucci","doi":"10.1093/med/9780190908041.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0009","url":null,"abstract":"An understanding of infectious diseases and immunology has a substantial role in the practice of critical care medicine, most commonly seen in sepsis or postoperative care. Infectious diseases are not a subject heavily emphasized in core anesthesiology training (the other being nutrition). In many instances, the intricate details of immunologic management are frequently relegated to consulting subspecialists by the average practicing intensivist. Familiarity with the content of this chapter allows an intensivist to demonstrate detailed knowledge of the management of patients with this pathology and of organ transplant recipients. This chapter has an additional emphasis on clinically challenging concepts that likely prepare the reader for practice as well as abstruse questions that could be present on the examination.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130580840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hematology and Oncology","authors":"Talia K. Ben-Jacob, Danielle Behrens, C. Potestio","doi":"10.1093/med/9780190908041.003.0003","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0003","url":null,"abstract":"Hematologic and oncologic disorders pose unique challenges, particularly in the setting of chronic disease. Many of the pathological states in this chapter are seen in subspecialized practice settings but are required knowledge universally because of the frequency of such patients suddenly deteriorating as disease and age progress. The rise of novel oral anticoagulants and their reversal agents adds to the complexity of this topic. The surgical population in particular requires the application of this knowledge set for safe patient care. As result, coagulopathy is definitively in the wheelhouse of every perioperative physician and can be expected to have daily application in practice.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132961626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiovascular II","authors":"Jonathan Klick","doi":"10.1093/med/9780190908041.003.0013","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0013","url":null,"abstract":"Cardiac dysfunction and hemodynamic instability comprise another hallmark pathology seen in the intensive care unit. Some could argue that cardiovascular compromise is the most common indication for intensive care management. This chapter aims to emphasize more non-traditional means of managing the patient with cardiac dysfunction up to and including mechanical devices. Additionally, the reader will find cases involving echocardiography which is commonly tested and growing in importance, particularly in the surgical population as volume assessment is challenging when only conventional means are applied. It is our hope that by the end of this chapter, the reader will have experienced a 360 degree perspective of the range of cardiac disease questions with an eye towards the types of questions which may be on the horizon for future examinations.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114473940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical Care Review","authors":"J. Cross, T. George, Todd F Huzar","doi":"10.1093/med/9780190908041.003.0006","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0006","url":null,"abstract":"Thermal and inhalational injuries pose unique challenges in critical care that extend far beyond volume resuscitation. The inflammatory nature of a burn injury, along with the unique ongoing management of such injuries from a wound care and pain control perspective, necessitate a precisely calibrated approach to this population. As thermal injury frequently involves compromise to the integumentary system and interaction with the extracorporeal environment, questions within this domain can easily span from dermatologic lesions and images to systemic inflammation. Therefore, this topic frequently tangentially spans cardiovascular, immunology, infectious diseases, renal and pulmonary disease. This chapter provides salient clinical insight into the management of these patients, the thought process involved with this type of clinical presentation and offers a well-rounded review for the certification examination.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134369736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiovascular I","authors":"L. W. Young","doi":"10.1093/med/9780190908041.003.0012","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0012","url":null,"abstract":"Cardiovascular disease management is a hallmark skill in critical care medicine, and the most common data source includes the classic electrocardiogram (ECG); as such, ECG findings are frequently used in this chapter. Critical care board examinations frequently require the examinee to be able to recognize various key illnesses, sometimes with limited information; in order to solve such problem, gleaning an appropriate differential diagnosis from the question stem is needed in order to generate the correct solution. Reflecting this concept, images provided on an exam may be of limited diagnostic value and of low quality. This chapter aims to provide the reader with an experience in this realm that would be useful for success on the examination and at the bedside.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115199738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Procedures","authors":"N. Grewal","doi":"10.1093/med/9780190908041.003.0015","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0015","url":null,"abstract":"Procedures are a significant part of what drives physicians to choose to practice critical care medicine. Intensivists from every background commonly describe the expectation to perform procedures under pressure and with accuracy as means through which they gain satisfaction from their profession. Understanding the myriad of possible indications and complications of the procedures that we are called on to perform as intensivists is clearly critical to the safe practice of intensive care medicine, and the reader can expect questions pertaining to this content of the examination. The authors strive to include clinical scenarios that could practically be seen at the bedside and on the examination. A healthy amount of humility is required to perform procedures as safely as possible; if the authors are successful, following reading this chapter, the readers will more likely exhibit such humility than afore.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131183966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastroenterology","authors":"Naveen Kukreja","doi":"10.1093/med/9780190908041.003.0004","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0004","url":null,"abstract":"Gastrointestinal and hepatic disease is seen as a complicating factor for some of the most acute and chronically ill patients in the intensive care domain. These patients are not only academically challenging but also clinically challenging and commonly fall into the practice of general surgery as well as hepatology. This chapter reviews the laboratory and clinical presentations of these patients, along with discussion pertaining to common sources of morbidity. Furthermore, scoring systems and acuity markers for these patients are reviewed, along with practical management approaches. Disturbances in the gastrointestinal system are a hallmark of the perioperative patient and should be expected on the examination and in practice.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123737840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Statistics, Ethics, and Management","authors":"George W. Williams","doi":"10.1093/med/9780190908041.003.0010","DOIUrl":"https://doi.org/10.1093/med/9780190908041.003.0010","url":null,"abstract":"While regulatory, management, and statistics concepts are commonly considered pertinent primarily for examinations, the mastery of this skillset allows for effective leadership in an intensive care unit. In the modern multidisciplinary model of critical care, an intensivist needs to be comfortable interpreting quality metrics as well as medical literature. Additionally, an understanding of the regulatory role of government and how such policies affect the care of patients is directly pertinent to interactions with hospital administrators and peers of other specialties. This chapter provides a general overview of these concepts for the examination, but the reader is encouraged to read more into the background of these topics in order to gain a practical mastery of these concepts for practice.","PeriodicalId":325709,"journal":{"name":"Anesthesiology Critical Care Board Review","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133051708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}