The LITFL Critical Care Compendium is a living resource built around the knowledge base needed for the FCICM exam, but extends far beyond those conservative boundaries.
Here is a quick summary of what is new and what has been significantly revised:
- A still neglected cause of morbidity and mortality in traumatic brain injury (TBI) that mandates immediate prehospital intervention.
- Apnoea – along with catecholaminergic surge – is part of the ‘critical phase’ of TBI. This condition inspired the GoodSam app. We recently discussed this in RAGE Session Four.
- You don’t see it often, but when you (in the FCICM exam for instance) you need to know what to do!
- These pages have needed a tidy for some time – now it is done!
- You suspect severe sepsis, but no source identified? Send off a ferritin and think of HLH.
- An explanation of PEEPi or autoPEEP, otherwise called ‘gas trapping’ which can result from dynamic hyperinflation or ‘breath stacking’. What it is, how to measure it, the causes and consequences.
- Sedation is not sleep. Sleep disturbance is ubiquitous in ICU, and is probably a major contributor to ICU delirium. Know what causes sleep disruption in the critically ill and how to minimise it.
- Health professionals are expected to speak up about their concerns to ensure patient safety. Yet we’re not very good at it. This page outlines the importance of speaking up, the barriers, how to do it, and how we can facilitate it.
Remember there is a CCC quick link in the menu bar at the top of every LITFL page. As always, I want to know of any errors, clarifications or requests for topics/ updates so that I can make the CCC even better. Just leave a comment at the bottom of this post or the ‘offending’ CCC page.
Vive la FOAM!