Sepsis, ARDS, trauma, and drowning: The most important topics to be read for your EDAIC examination.

Sepsis, ARDS, trauma, and drowning are the most important topics and need to be thoroughly read. Case scenarios and questions based on these topics are among the most frequently assessed areas in both parts of the EDAIC examinations. . This list includes the most common exam questions that you are likely to be asked in the EDAIC examination. Although the examiner is at liberty to test or ask anything, there are all-time favourites that you must know.

To make the challenging terrain a little less painful, we have tried to compile a list of the most important topics to be read from these systems, a bare minimum yet essential topics’ compilation.

Targetedaic recommends: What to read in the sepsis, ARDS, trauma and drowning

Sepsis

• Definition and criteria. Recent updates
• Septic shock
• Sepsis guidelines
• Sepsis guidelines and management. Including antibiotics and blood transfusion trigger.
• Management of septic shock
• Nutrition requirements in a septic patient.
• Severity grading scores used for ICU patients.

Case scenarios:

• 65 yrs. pt. was transferred to ICU after a successful distal esophagectomy. He was stable and extubated. On the 1st postop day, he became tachypneic tachycardiac and feverish: your management.
• A 45-year-old male diabetic patient with a forearm abscess has been unwell for the last 2 days. He was admitted to the ICU. Causes, diagnosis & management (sepsis in details, ARDS)
• 5 days after trauma, a post laparotomy patient is on mechanical ventilation with fever, reduced UOP): -What are the features of ARDS. A full discussion about sepsis. Which antibiotics are commonly used in such cases and different cases? Most common organisms, gram -ve, Vancomycin complications.
• Acute pancreatitis patient. Acute and chronic complications. Severity scores.
• Post laparotomy multiorgan failure -DD, SEPSIS/PE.
• 65-year-old man, 3 days post-resection colon. He in ICU on oxygen support via nasal canula (3 L), tachypneic, BP 90/50, HR 110, temp 39^oC. His urine output for the last 24 hours is 200ml. How will you manage this case?

ARDS

• Definition. Pathophysiology. Baby lung concept
• Lung protective ventilation
• Management strategies
• Role of antibiotics and steroids
• recent guidelines and updates

Drowning

• Pathophysiology
• Hypothermic drowning
• Dry and near-drowning
• How will you do CPR on a patient rescued from drowning
•  4-year-old child found drowning in pool brought to ER unconscious HR less than 50 and irregular. What’s your immediate management. Enyumerate the complications of drowning. Can the patient dvelop ARDS and discuss lung protective strategies and CPR?

Burns

• Types of burns
• Pathophysiological changes in body post burns
• Inhalatonal injury in burns patient
• Flame burns
• A 27-y old male patient was found unconscious in a closed space during a burn accident. There were burns to his face with soot around his mouth. (Discussion went through management of inhalational burn, complications and anaesthesia for such patients.
• You are asked to assess a 25-year-old male admitted to the Emergency Department with 30% burns from a house fire. What signs in the patients would suggest significant inhalational injury? How will you assess or investigate the case (concerning the severity of the inhalational injury), and what are the likely findings in severe injury? List the indications for early tracheal intubation to secure the airway. How do burn injuries influence the use of suxamethonium?
• A  30-year-old man is brought to the emergency department after being rescued from drowning. What are the relevant questions you would ask the rescue team? He has a Glasgow Coma Score of 13 but an arterial oxygen partial pressure of 6kPa (45mmHg) breathing 4L of oxygen via a variable performance mask. Outline your initial management of this patient.
•  Describe how you would do RSI in a patient with facial/ neck burns.

Nosocomial pneumonia

• Definition and types of pneumonia
• Causing organisms
• Management and prevention
• Types of antibiotics and inflammatory markers. –
• Ventilator care bundle. –
• Prevention of infection in ICU.
• Case scenario: 30 y old female admitted to ICU following 2 days of fever, cough and no response to penicillin. on examination the lower left lung fields have bronchial breathing. What is your daignosis and management?

Polytrauma

• Polytrauma management in the ED and ICU
• FAST and FATE scans
• ATLS guidelines
• Male patient 28-year-old driving car RTA brought to ER initial assessment HR 130 b/min bl/pr 70/40 GCS 4/15, absent femoral pulse bilaterally -What are injures could be present in the patient -What is your management progressed to the definition of shock, types of shock, type of fluids of resuscitation type of blood products transfusion, desired blood pressure for this patient drugs could be given to the patient and investigations to be done and also when to operate dissecting aortic aneurysm.
• Management of flail chest. Pain management.

Perioperative management of an HIV positive patient

Needle prick protocol

FOR MUST-READ TOPICS IN THE RESPIRATORY SYSTEMS, CLICK HERE.

FOR MUST-READ TOPICS IN THE NERVOUS SYSTEM, CLICK HERE.

FOR MUST-READ TOPICS IN THE  ENDOCRINE, METABOLIC AND NEUROMUSCULAR SYSTEMS, CLICK HERE.

FOR MUST-READ TOPICS IN THE PAIN AND REGIONAL ANAESTHESIA, CLICK HERE.

FOR MUST-READ TOPICS IN THE PHARMACOLOGY, CLICK HERE.

FOR MUST-READ TOPICS IN THE CRITICAL CARE AND EMERGENCY, CLICK HERE.

FOR MUST-READ TOPICS IN THE PREGNANCY, OBSTETRICS AND PAEDIATRICS CLICK HERE.

JOIN OUR FACEBOOK GROUP TO STAY UPDATED WITH OUR UPDATES AND UPLOADS.