CICM SAQ 2010.1 Q26
Outline the relative advantages and disadvantages of thoracic epidural analgesia compared to systemic opioid analgesia via a PCA (Patient Controlled Analgesia) for her pain management.
Month January 2019
Patient Safety
Patient safety is defined as the “absence of adverse events” and often extended to include the activities involved in preventing adverse events, including adherence to quality standards and access to healthcare services
Warfarin deliberate self poisoning
A 30 year-old female is brought into the ED by her husband. The couple had a heated argument which ended with the patient swallowing ~2mg/kg warfarin.
Citalopram overdose
26 year-old female who claims to have ingested 40 x citalopram hydrobromide tablets (40mg each) about 3 hours ago - what do you do next?
Necrotic arachnidism?
A 40 year-old man presents to the 'fast-track' area of your emergency department. He has a ulcerating sore on his right arm. He says its been getting worse over the past 2 weeks.
Thyroxine overdose
A 34 year-old female with a past medical history of Hashimoto's thyroiditis (currently taking thyroxine 200 mcg daily) who took an overdose of 60 x 200 mcg thyroxine 6 hours ago
Chloral hydrate overdose
A 25 year-old woman with a history of depression was found by her flatmate. An empty 200mL bottle of chloral hydrate was present at the scene. She arrived at your emergency department with the following vital signs...
Supratherapeutic INR
A 70 year-old man has presented to your emergency department to get his INR checked. It is markedly elevated - how should you manage this?
Tricyclic antidepressant toxicity
A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 70 x 50mg amitriptyline. He is tachycardic (HR 120) with an otherwise 'normal' ECG (QRS 95 ms) but is becoming drowsy. You are called to the resuscitation room to assess him.
Calcium, Digoxin Toxicity and ‘Stone Heart’ Theory
Administration of intravenous calcium has traditionally been considered a contra-indication for the treatment of hyperkalemia in the presence of digoxin toxicity. This is based on the ‘Stone Heart’ Theory: calcium may lead to an irreversible non-contractile state, due to impaired diastolic relaxation from calcium-troponin C binding
CICM SAQ 2015.1 Q6
Outline the key issues in the management of acute right ventricular failure in an ICU patient with moderate to severe pulmonary hypertension.
Funtabulously Frivolous Friday Five 118
Funtabulously Frivolous Friday Five 118 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.