The Final FFICM Structured Oral Examination Study Guide

This book is the definitive guide to the Final Fellowship of the Faculty of Intensive Care Medicine (FFICM) Structured Oral Examination. With a broad coverage of the clinical curriculum, it equips candidates to tackle this challenging examination. Each chapter contains sample questions with concise answers, focusing on key concepts to facilitate deeper understanding. The content is organised by subject, enabling more structured revision in an easy-to-use format. This text provides references to guidance that will remain relevant in the ever-changing landscape of intensive care medicine. Not only is this book an essential resource for studying intensivists but it also forms a useful reference for any professional encountering the world of critical care in their practice.

Contents FOREWORD PREFACE CONTRIBUTORS ACKNOWLEDGEMENTS LIST OF ABBREVIATIONS INTRODUCTION SECTION 01 ORGANISATIONAL ISSUES Eryl Ann Davies and Katherine Phillips Provision of services Scoring systems Transport of the critically ill patient Critical incidents Major incidents Fire SECTION 02 ORGAN SUPPORT Eryl Ann Davies, Ozerah Choudhry, Samuel Ford, andNina Hjelde Mechanical ventilation Proning ECMO and ECCO2R Weaning Fluids Mechanical circulatory support Pacing Sedation Cerebral monitoring Temperature control Nutrition Stress ulcer prophylaxis Extracorporeal liver support Renal replacement therapy Plasmapheresis Rehabilitation SECTION 03 ON THE ICU Eryl Davies, Samuel Ford, Jessica Davis ARDS Oxygen toxicity Ventilator-associated pneumonia Sepsis Out-of-hospital cardiac arrest Propofol infusion syndrome Delirium ICU-acquired weakness Ophthalmological disorders SECTION 04 TOXICOLOGY Eryl Davies Poisoning overview Mental health and critical care Psychiatric medications Drugs of abuse Serotonin syndrome Cardiovascular medicines Local anaesthetic systemic toxicity Environmental poisons SECTION 05 AIRWAY Eryl Davies and Jessica Davis Difficult intubation Stridor Anaphylaxis Aspiration and choking Inhalational injury Ludwig's angina Massive haemoptysis Tracheostomy emergencies Laryngeal injury SECTION 06 RESUSCITATION Eryl Davies and Katherine Phillips Major trauma Complex injuries Major haemorrhage Transfusion reactions Drowning Burns Electrical injury Gas embolism Fat embolism syndrome Hypothermia Malignant hyperthermia SECTION 07 SURGERY Eryl Davies Emergency laparotomy Splenic injury Acute pancreatitis Bowel obstruction and ileus Necrotising fasciitis Boerhaave syndrome Abdominal aortic aneurysm Compartment syndromes Intestinal failure The post-op free flap patient The post-transplant patient SECTION 08 CARDIOTHORACICS Eryl Davies Cardiac advanced life support Cardiac tamponade Hypertension Infective endocarditis Acute coronary syndromes Arrhythmias Cardiomyopathies Heart failure Pulmonary hypertension Aortic dissection Air leak syndrome SECTION 09 NEUROSCIENCES Eryl Davies and Ozerah Choudhry Subarachnoid haemorrhage Traumatic brain injury Intracerebral haemorrhage Ischaemic stroke Cerebral venous sinus thrombosis Disorders of consciousness Status epilepticus Meningitis Encephalitis Tetanus and botulism Guillain-Barré syndrome Myaesthenia gravis Other neuromuscular disorders Spinal cord injury The post-op major spinal patient SECTION 10 OBSTETRICS Claire Knapp and Eryl Davies The pregnant critical care patient Hypertensive disorders of pregnancy Major obstetric haemorrhage Maternal sepsis Amniotic fluid embolism Obstetric cardiac arrest SECTION 11 PAEDIATRICS Eryl Davies Bronchiolitis Congenital heart disease Diabetic ketoacidosis in children Neonatal life support Paediatric resuscitation Paediatric sepsis Paediatric trauma PIMS-TS Toxic shock syndrome SECTION 12 MICROBIOLOGY Eryl Davies, Katherine Phillips, Nina Hjelde Antimicrobial stewardship Bacterial infection Viral infection Fungal infection Nosocomial infection HIV Malaria Other rare infections SECTION 13 MEDICINE Eryl Davies, Samuel Ford, Nina Hjelde, Katherine Phillips Respiratory Asthma Bronchiectasis Community-acquired pneumonia COPD COVID-19 Pleural effusion Pulmonary embolism Restrictive lung disease Sleep breathing disorders Tuberculosis Renal Acute kidney injury Chronic kidney disease Electrolyte disorders Rhabdomyolysis Sodium disorders Gastroenterology Acute liver failure Chronic liver disease Diarrhoea Inflammatory bowel disease Gastrointestinal haemorrhage Refeeding syndrome Haematology Bleeding and clotting disorders Haematological malignancy Haemoglobinopathies Haemophagocytic lymphohistiocytosis Heparin induced thrombocytopaenia Porphyria Thrombotic thrombocytopaenic purpura Endocrinology Adrenocortical disorders Diabetes emergencies Phaeochromocytoma Pituitary disease Thyroid crises Other Dermatology Rheumatology Oncology SECTION 14 PALLIATIVE CARE Eryl Davies and Jessica Davis Prognostication Withdrawal of life-sustaining treatment Death Diagnosis of death by neurological criteria Donation after brain-stem death Donation after circulatory death

Eryl Davies BSc (Hons) MBChB PGCert FRCA FFICM is a dual trainee in Intensive Care Medicine and Anaesthesia. She is based in the North West and holds postgraduate qualifications in medical education. Her experiences with the FFICM, FRCA and MRCP examinations have allowed her to tailor this study guide to the FFICM candidate.