DM Critical Medicine is a demanding branch. Only tough MD Aspirants would like to pursue care in Critical Care Medicine.
Recently lots of changes have been introduced in the Critical Care curriculum.
MD candidates will see increase in competition in Critical care though lots of new institutions add DM Critical care seats but still there exists a lot of congestion in Critical care seats throughout the country.
The prospectus of DM branches in foreign countries like UK , USA , Australia is also on the rise and students preparing for DM may need to requalify the foreign exams but nonetheless experience can give them an edge along with good percentile.
Emergency medicine preparation is not a cakewalk and students need to be well prepared. Luck is not the option in most cases. Now questions are more realistic and concept oriented along with full details.
DM Critical care medicine aspirants should have full knowledge of below topics:
- Critical care use of PROPOFOL
- Critical care use of FENTANYL
- Critical care use of ALFENTANIL
- Using Naltrexone and Nalmefene in Critical care settings
- Physiology of Enkephalins
- Physiology of Endorphins
- Physiology of Dynorphins
- Pancuronium and its use in High Dependency units
- Pipecuronium and its use in High Dependency units
- Doxacurium and its use in High Dependency units
- Vecuronium and its use in High Dependency units
- Rocuronium and its use in High Dependency units
- Atracurium and its use in High Dependency units
Essential knowledge of Drugs used in Critical Care medicine
- Pharmacology of drug like DOXACURIUM
- Pharmacology of drug like ALCURONIUM
- Pharmacology of drug like GANTACURIUM
- Pharmacology of drug like Neostigmine
- Pharmacology of drug like Pyridostigmine
- Pharmacology of drug like Edrophonium
- Pharmacology of drug like Physostigmine
- Pharmacology and Emergency use of Procaine
- Pharmacology and Emergency use of Benzocaine
- Pharmacology and Emergency use of Cocaine
- Pharmacology and Emergency use of Lignocaine
- Pharmacology and Emergency use of Mepivacaine
- Pharmacology and Emergency use of Prilocaine
- Pharmacology and Emergency use of Levo bupivacaine
- Pharmacology and Emergency use of Tetracaine (Amethocaine).
- Pharmacology and Emergency use of Etidocaine.
- Pharmacology and Emergency use of Dibucaine:
- Pharmacology and Emergency use of Ropivacaine.
DM Critical Care Aspirant essentials
- Interpretation of Regular respiration with adequate tidal volume Spontaneous eye opening.
- Interpretation of Spontaneous limb movements.
- Recovery of upper airway reflexes like cough and swallowing.
- Use of Atropine / Glycopyrolate
- Use of Opoids
- Use of Thiopentone
- Use of Sodium nitroprusside
- Use of Halothane
- Use of Ganglion blockers
- How to assess STELLATE GANGLION BLOCK
- TRIGEMINAL NERVE BLOCK
- BRACHIAL PLEXUS BLOCK
- EPIDURAL (EXTRADURAL) blocks
- Special indications for use of Mephenteramine.
- Special indications for use of Methoxamine.
- Special indications for use of Phenylephrine.
- Special indications for use of Metaraminol.
- Special indications for use of Epinephrine
- Visual analogue scale
- McGill pain questionnaire (MPQ)
- Managing Type 1 or Oxygenation Failure
- Managing Type II or Hypercapnic Ventillatory Failure
Essentials of Ventilation and other Support systems needed in Critical Care Medicine
- Controlled mode ventilation (CMV)/ intermittent positive pressure ventilation (IPPV)
- Synchronized intermittent mandatory ventilation (SIMV)
- Continuous Positive Airway Pressure (CPAP)
- Inverse ratio ventilation (IRV)
- Pressure support ventilation (PSV)
- Pressure controlled ventilation (PCV)
- Bi-level positive airway pressure (BIPAP)
- Airway pressure release ventilation (APRV)
Miscellaneous and Recently asked Topics in DM Critical Care Medicine
- IPPV and PEEP
- Weaning from Ventilator
- Method of Weaning
- Diagnosis of ARDS
- Dead space.
- Monitoring and interpreting pO2 (arterial oxygen)/FIO2
- Monitoring and interpreting PAOP (PCWP)
- Interpreting X – ray chest
- Managing Hypoventilation
- Managing Hypoxia.
- Ryle’s tube aspiration (loss of HCl).
- Infant chest thrust
- How to Do Heimlich maneuver
- Chest thrust
- Performing Cricothyroidotomy
- Managing Airway obstruction
- ADRENALINE and its use
- NORADRENALINE and its use
- EPHEDRINE and its use
- DOPAMINE and its use
- DOBUTAMINE and its use
- DOXAPRAM and its use
- ETHAMIVAN and its use
These are some updates from Experts in DM Critical care medicine. Our aim is to provide the latest and the most updated information for aspiring DM students wanting to make a future in Critical care medicine. We suggest Aspirants to be well versed with the topics mentioned above and revise them from standard text in addition to online examinations from standard sources.
We wish DM critical care aspirants good luck and hope that our programme benefits you to the maximum.
For more info visit www.medexamsprep.com