ISCCM 8th Year Critical Care Refresher Course 2020

Mafayilo Amakanema

MUDZAKHALA KUKHALA KUKHALA KUKHALA KULIMBIKITSA KULIMBIKITSA KULIMBIKITSA (FAST SPEED) MUTHA KULIPIRA

Indian Society of Critical Care Medicine idakhazikitsidwa pa 9th Okutobala, 1993, ku Mumbai, India. Ndiwo bungwe lalikulu kwambiri lopanda phindu la Indian Physicians, Nurses, Physiotherapists ndi ena ogwira nawo ntchito zaumoyo omwe akugwira nawo ntchito yosamalira odwala. ISCCM yomwe idayambitsidwa ndi gulu laling'ono la alangizi, ochokera ku Mumbai, tsopano ili ndi mamembala a 12046, okhala ndi nthambi zamizinda 87 kudera lonse la India ndi likulu lawo ku Mumbai
Maphunziro a masiku asanu a Capsule omwe amafotokoza mbali zosiyanasiyana za Kusamalira Kwambiri.
Zothandiza pakukonzekera ISCCM, National Board ndi EDIC Theory & Practical Examination
Mutu: 
Tsiku 1: 
1 Kuwunika kwa hemodynamic - zoyambira
2 Guillian Barre Syndrome ndi Myasthenia Gravis
Zida 3 zowonjezera zowonjezera zamoyo
4 Wodwala amatenga cholimba cholimba
5 Wodwala wanga ali ndi GI magazi a Variceal Non-variceal
Zida 6
7 Wodwala wodwala wapakati
8 Wodwala wa polytrauma
9 Wodwala wodwala mutu mwadzidzidzi koma woyipa kwambiri pamoyo wake
10 Mankhwala opha tizilombo
11 Thrombocytopenia ndi coagulopathies ku ICU
12 Chophimba pamakona opumira ndi malupu
13 Khungu ndi minofu yofewa nthawi yatsoka ndiyochepa kuchiza
Kuwunika kwa hemodynamic ya 14 - kupitirira zoyambira
Matenda a fungal 15 ku ICU - mutu watsopano
16 Kugwidwa ndi odwala kwambiri

tsiku 2 
1 Wodwala wokhala ndi mimba yovutikira, zipsinjo zazikulu kapena zopanda ziwalo
2 Dysnatremias ku ICU ndidasokonezedwabe
3 Ma anticoagulants atsopano pakamwa - chiopsezo cha mankhwala osokoneza bongo komanso kuwongolera magazi
4 Wodwala yemwe ali ndi AKI - ndimayimba bwanji komanso liti dialyze
5 Kulumidwa ndi njoka yapoizoni
6 Ndani ndi momwe angadyetse wodwala modwala Kodi adzafika pomubwezera choipa
7 Mankhwala osokoneza bongo osadziwika ndimatha bwanji
8 Mfundo zakuchiritsira aerosol mosamala kwambiri
9 Ndikumasulira bwanji ABG yanga
10 Kulephera kwa mtima kumalimbitsa owopsa
Kujambula koyenera pa chisamaliro chofunikira
12 Wopereka ziwalo ku ICU ndimakwanitsa bwanji
Zidzidzidzi za Hyperglycemic mu chisamaliro chofunikira
Kuyankha kwamadzimadzi kupitilira 14mlkg
15 Kodi wodwalayo ali ndi HAPVAP Ngati inde ndingatani?
Zipangizo 16 zothandizira oxygen ku ICU
tsiku 3 
1 Kusinthana kwa plasma mosamalitsa - liti komanso momwe mungachitire
2 Kutulutsa ubongo ndimatha bwanji kuwongolera
3 Masoka am'mimba m'chipinda cha anthu odwala mwakayakaya
4 Malungo a m'dera lotentha mosamala kwambiri
5 Kuzindikiritsa pachimake kwa kapamba
6 Mankhwala a maantimicrobial osamalidwa bwino
7 Zoyenera kuchita mutamangidwa kwamtima TTM ndikutumiza chisamaliro chakumangidwa kwamtima
8 Momwe mungayesere pepala lofufuzira
9 Wodwala malungo adasintha sensorium kapena samakomoka
10 Intracranial hypertension tanthauzo la pathophysiology njira zoyezera ndi kutanthauzira
11 Kutulutsa mpweya kumapangitsa kuvulala kwamapapu ndimapewa bwanji
12 Wodwala amene walephera mtima kapena wopanda mtima
Kulemba kwa PEEP m'matenda osiyanasiyana mosamala kwambiri
14 Wodwala yemwe ali ndi chisokonezo chachikulu ku ICU
Ubongo umayesa kuwunika kwaimfa ndikufotokozera
16 Kutsika m'thupi ndi kasamalidwe
Tsiku 4: 
Kuvulala koopsa kwa ubongo
2 Wodwala wanga akupitilizabe kukhala wopanda nkhawa ndimatha bwanji
3 Kusokonekera kwa ma elektrolyte kupatula sodium inde tili
4 Wodwala amene wayamba kuyankhula mwadzidzidzi ali ndi zofooka m'miyendo
5 Wodwala yemwe amapuma movutikira kapena alibe mbiri yakusuta komanso kutayika
6 Wodwala wodwala matenda a jaundice coagulopathy komanso encephalopathy
7 Wodwala yemwe amamva kupweteka kwadzidzidzi m'miyendo ndikugwa kwa magazi
8 Wodwala yemwe ali ndi kuthamanga kwambiri kwa magazi kapena alibe ziwalo
Kunenepa Kwambiri ndi Matenda Oopsa pali chifukwa chochitira mantha
Zadzidzidzi za 10 za Endocrine posamalidwa - ndizosowa koma zowopsa
Yesetsani kusintha maphunziro mosamala - I
12 Wodwala wofooka wopanda ma neutrophil
Yesetsani kusintha maphunziro mosamala -II
14 Wodwala wodwala matenda a chiwindi ku ICU yanga
15 Wodwala woyaka ku ICU
16 Kodi ndimamasulira bwanji ECG yanga
Tsiku 5:
1 Mpweya wosasokoneza ndi mawonekedwe a Bipap kuwongolera
2 Njira zosiyanasiyana zomwe ndingamusiyitsire wodwala wanga kwa mpweya wabwino
3 AKI Tanthauzo la pathophysiology kuzindikira ndi kupewa
4 Njira yovuta kuyenda mosayembekezereka yopita ku icu
Zadzidzidzi za Hematological ku icu kuphatikiza HLH
6 Wodwala wodwala chifuwa amapumira ndipo amalowa mu xray
7 Kuopsa kwa magazi kukha mwazi koopsa koopsa kwa zoopsa komanso kuthiridwa magazi kwakukulu mu icu
8 Mpweya wabwino kupitirira zoyambira
9 Mankhwala II
10 Kutentha kwamatenda ndi kutentha kwa HAPE AMS ndi HACE
11 Poizoni wa OP
12 Matenda ovuta polyneuromyopathy Zowopsa zowunikira ndikuwongolera