Critical Care and Perioperative Medicine Curriculum


1. Central Nervous System

a. Altered mental status

i. Coma PMBoxed

ii. Delirium

iii. Hallucinations/Agitation PMBoxed

iv. Other (e.g., hypoxic/metabolic encephalopathy) 

b. Brain Death PMBoxed

c. Degenerative Disease of the Brain PMBoxed

d. Head Injury, Closed or Open PMBoxed

e. Infectious

i. Abscess 

ii. Encephalitis PMBoxedPMBoxed

iii. Meningitis/Ventriculitis PMBoxed

f. Neuromuscular Disorders

i. Critical Illness Polyneuropathy PMBoxed

ii. Demyelinating/Guillain-Barré Syndrome 

iii. Myasthenia Gravis 

iv. Myopathy 

g. Seizures and Status Epilepticus 

h. Spinal Cord Injury 

i. Stroke

1. Embolic/Thrombotic 

2. Hemorrhagic (Subarachnoid, Subdural, Epidural) PMBoxed

3. Ischemic PMBoxedPMBoxed

j. Subarachnoid, Subdural, Epidural Hematoma PMBoxedPMBoxed

k. Vascular Malformations (e.g., Aneurysms, AVMS) 

l. Pituitary Disorders (e.g., Acromegaly, Sheehan’s Syndrome) 

2. Cardiovascular 

a. Cardiac Transplantation, Rejection, Complications PMBoxed

b. Congenital Heart Disease in Adults PMBoxed

c. Coronary Artery Disease, Myocardial Ischemia/Infarction PMBoxed

d. Hypertension

1. Pulmonary Hypertension PMBoxed

2. Systemic Hypertension PMBoxed

e. Infectious

1. Endocarditis 

2. Myocarditis 

3. Pericarditis 

f. Myocardial Function/Dysfunction

1. Left Ventricular 

2. Right Ventricular 

g. Peripheral Vascular Disease 

1. Aneurysms, Thoracic, Abdominal PMBoxed

2. Dissections 

h. Rhythm Disturbances

1. Atrial Flutter/Fibrillation PMBoxedPMBoxed

2. Heart Block, Asystole, Pulseless Electrical Activity, Supraventricular Tachycardia, Ventricular Tachycardia/Fibrillation PMBoxed

i. Shock States 

1. Cardiogenic

2. Distributive (Sepsis, Neurogenic, Anaphylactoid)

3. Hypovolemic (e.g., Hemorrhagic Shock)

4. Obstructive (e.g., Pulmonary Embolism)

j. Structural PMBoxedoa_notext_small_tm

1. Cardiac Contusion 

2. Stress-Induced Cardiomyopathy (Takosubo Syndrome) 

3. Acquired ASD, VSD 

4. Cardiomyopathy 

5. Noninfectious Myocarditis 

6. Pericardial 

7. Valvular 

l. Circulatory Support Systems

1. ECMO 

2. Pacemakers/Defibrillators 

3. Left or Right Ventricular Assist Device 

4. Intraaortic Balloon Pump 

3. Pulmonary

a.  Airway Diseases 

1. Obstructive

2. Reactive

3. Restrictive

b. Airway Disruption (e.g., Pneumothorax) 

c. Aspiration 

d. Chest Trauma (e.g., Pulmonary Contusion, Flail Chest) 

e. Embolic Disorders (Air, Fat, Thromboembolic) 

f. Infection

1. Empyema/Abscess 

2. Mediastinitis 

3. Pneumonia

i. Community-Acquired 

ii. Health Care/Ventilator Associated 

4.  Tracheobronchitis 

g.  Lung Transplantation, Rejection, Complications PMBoxed

h. Pleural Effusion PMBoxed

i. Respiratory Failure

1. ARDS PMBoxed

2. TRALI PMBoxed

j. Volutrauma/Barotrauma AbstractPMBoxed

k.Ventilatory Support PMBoxed

1. Invasive Ventilation Modes PMBoxedPMBoxedPMBoxed

2. Noninvasive PMBoxedPMBoxedPMBoxed

3. Spontaneous Breathing Trials PMBoxed

4. Other Ventilator Strategies

a. Differential Lung Ventilation PMBoxed

b. Positioning (e.g., Prone) PMBoxed

4. Renal

a. Infection PMBoxed

b. Renal Failure PMBoxedPMBoxed

c. Renal Trauma PMBoxed

d. Renal Transplantation (e.g., Rejection) PMBoxed

e. Management Strategies

f. Fluid and Electrolyte Management PMBoxedArticle

g. Pharmacologic Therapies PMBoxed

i. Antimicrobials/Antifungals

ii. Buffers

iii. Diuretic Therapy

h. Renal Replacement Therapies: Ultrafiltration, Intermittent Hemodialysis, Peritoneal Dialysis PMBoxedPMBoxed

5. Hematologic/Oncologic

a. Bone Marrow/Stem Cell Transplantation PMBoxedPMBoxed

b. Coagulopathies Abstract

i. Acquired

a. DIC PMBoxed

b. Isolated Factor Abnormalities

ii. Congenital

c. Fibrinolysis PMBoxed

d. Hemoglobin Abnormalities

i. Anemia PMBoxed

ii. Polycythemia PMBoxed

iii. Carboxyhemoglobin PMBoxed

iv. Methemoglobin PMBoxed

v. Hemoglobinopathies (Sickle Cell Disease, Thalassemia) PMBoxed

e. Hypercoagulable State PMBoxedPMBoxed

f. Platelet Abnormalities

i. Thrombocytopenia (Including HIT) PMBoxedPMBoxed

ii. Thrombocytosis PMBoxedPMBoxed

iii. Other (Thrombocytopenic Purpura, ITP) PMBoxed

g. Tumor Lysis Syndrome PMBoxed

6. Obstetric PMBoxedPMBoxedPMBoxedPMBoxedPMBoxed

a. Coagulopathy, Bleeding Disorders

b. Emboli (Amniotic Fluid, Thromboemboli, Other)

c. Liver Function Abnormalities (e.g., Acute Fatty Liver, HELLP)

d. Pre-Eclampsia/Eclampsia

e. Peripartum Infection PMBoxed

7. Endocrine

a. Adrenal

1. Adrenal Insufficiency PMBoxed

2. Cushing Syndrome PMBoxed

3. Pheochromocytoma PMBoxed

b. Diabetes Mellitus PMBoxed

1. Hyperglycemia, Including Diabetic Ketoacidosis (DKA), Non-Ketotic Hyperglycemic Coma (NKHC) PMBoxedPMBoxed

2.  Hypoglycemia PMBoxed

c. Pituitary

1. Cerebral Salt Wasting PMBoxed

2. Diabetes Insipidus Including Central, Nephrogenic PMBoxedPMBoxed

3. SIADH PMBoxed

d. Thyroid Function Abnormalities PMBoxed

1. Critical Illness Effects on Thyroid Function

2. Hyperthyroidism, Including Thyroid Storm

3. Hypothyroidism, Including Myxedema

8. Gastrointestinal

a. Abdominal Compartment Syndrome PMBoxedPMBoxed

b. Bowel Disorders PMBoxed

c. Gall Bladder Disease & Cholangitis PMBoxedPMBoxed

d. Stomach

e. GI Hemorrhage PMBoxedPMBoxed

f. GI Motility Dysfunction, GERD PMBoxed

g. Pancreas PMBoxed

h. Hepatic

1. Dysfunction/Failure, Acute and Chronic PMBoxedPMBoxedArticle

2. Hepatic Encephalopathy PMBoxed

3. Hepatorenal Syndrome PMBoxed

4.Liver Transplantation, Rejection, Complications PMBoxed

5. Cirrhosis, Ascites; Paracentesis PMBoxed

9. Dermatologic

a. Allergic Reactions PMBoxed

b. Disruption Of The Skin Barrier, Including Decubiti, Stevens-Johnson Syndrome PMBoxedPMBoxed

c. Infection PMBoxed

d. Wound Care (Surgical and Other) PMBoxedPMBoxedPMBoxed

10. Immune/Infectious Disease

a. Sepsis PDFArticle

b. Autoimmune PMBoxedPMBoxed

c. Graph vs. Host Disease PMBoxed

d. Immune Suppression

i. Acquired


 ii. Congenital PMBoxed

11. Acid-Base and Electrolyte Abnormalities Abstract

12. Specialized Areas

a. Burns PMBoxed

i. Complications

ii. Electrical Burns

iii. Inhalation Injury

b. Disaster Management Article

i. Biologic, Chemical, and Nuclear Exposures

ii. Epidemic (e.g., SARS, Bird Flu, Toxic Exposures)

c. Drowning, Fatal, Near-Drowning PMBoxed

13. ICU Ethics

a. Brain Death PMBoxedPMBoxed

b. End-Of-Life, Futility Abstract

c. Living Will/DPOA/Healthcare Surrogate PMBoxedPMBoxed

d. Organ Donation PMBoxed

e. Palliative Care, Hospice PMBoxed

14. ICU Management and Organization

a. Clinical Care Bundles (e.g., Sepsis, Catheter Management) PMBoxedPMBoxed

b. Daily Wake-Up Test PMBoxed

c. ICU Transport PMBoxed

d. Outcome and Performance Measures (HCAHPS) Article

e. QA/QI (Patient Safety) PMBoxedPMBoxedPMBoxed

f. Scoring Systems (e.g., Apache) PMBoxed

g. Sedation/Analgesia/Delirium Assessment (e.g., CAM, RASS) Abstract

15. Infection Control PMBoxedPDF

a. Environmental Exposures Video icon

b. Isolation Techniques

c. Nosocomial Infections

i. Catheter Associated Infections PMBoxedPDF

ii. Pneumonia (Ventilator Associated, Hospital Associated) PMBoxed

iii. UTI, Catheter-Associated UTI PMBoxed

16. Life Support and Resuscitation (ACLS, BLS, PALS, ATLS, ENLS) SupplmentSupplmentArticleWebsite

17. Nutrition Management

a. Enteral and Parenteral Nutrition (Formula, Caloric Intake) PMBoxedPMBoxedArticle

b. Enteral Tubes PMBoxed

c. Metabolic Assessment (Basal and Stress Energy Requirements) Article

d. Re-Feeding Syndrome PMBoxedPMBoxed

18. Pharmacology (Indications, Contraindications, and Complications) PMBoxed

a. Antimicrobials PMBoxed

b. Genetic Considerations PMBoxed

c. Pharmacokinetics, Pharmacodynamics, and Drug Metabolism PMBoxed

d. Neuromuscular Blocking Drugs PMBoxedPMBoxedAbstract

e. Sedatives/Hypnotics PMBoxedPMBoxedPMBoxed

19. Poisonings, Toxic Ingestion, Overdoses PMBoxed

 20. Thermoregulation

 a. Hyperthermic States PMBoxedPMBoxed

 b. Hypothermia- Environmental & Therapeutic PMBoxedPMBoxed