Fundamental Critical Care Support Course DATE AND TIME: February 1st to 3rd. 2019 (Friday, Saturday & Sunday): 7am - 5pm Location: Faculty of Medicine, University of Jaffna, Jaffna, Sri Lanka. COURSE DIRECTOR & Course Consultant: Dr. Sri Sujanthy Rajaram, (Associate Professor of Medicine), Hackensack UniversityMedicalCenter,Hackensack, NJ,USA ASSOCIATE DIRECTORS: Dr. S.Premakrishna (Jaffna Teaching Hospital Sri Lanka Dr. S.Mathanalagan - Batticalo Teaching Hospital, Sri Lanka Dr. P.Thamil Vaanan - Emergency Physician, FCCS Instructor, Canada Dr. Malathy Varatharaja - JMFOA - President USA Dr. Kandasamy Rajaram, Nephrology - USA INSTRUCTORS: USA/ CANADA Dr.Anusuya Jeyakumar, USA Dr.Sathya Nagesparan, USA INSTRUCTORS: SRI LANKA Dr.Janaki Arulmoli, Consultant Anesthetist, Teaching Hospital Jaffna. Dr.N.Sooriyakumar, Consultant Anesthetist, Teaching Hospital Jaffna. Dr.Vasumathy Devanesan,Consultant Anesthetist, Teaching Hospital Jaffna. Dr.Geetha Sathiadas, Consultant Paediatrician, Teaching Hospital, Jaffna Dr.T.Kumanan, Consultant Physician, Teaching Hospital, Jaffna Dr.Ajini Arasalingam, Consultant Neurologist, Teaching Hospital Jaffna. Dr.S.T.Sharma, Consultant Surgeon, Teaching Hospital, Jaffna. Dr.N.Saravanabhava, Consultant Obstetrician &Gynecologist, Base Hospital, Tellippallai. Dr.S.Gobishankar, Consultant Surgeon, Teaching Hospital, Jaffna. Dr.P.Lakshman, Consultant Cardiologist, Teaching Hospital, Jaffna. Dr.K.Muhunthan, Consultant Obstetrics & Gynecologist Teaching Hospital, Jaffna. Dr.K.Guruparan, Consultant Obstetrics & Gynecologist Teaching Hospital, Jaffna. Dr.V.Sujanitha, Consultant Physician, Teaching Hospital, Jaffna. Dr.Nalagini Jegatheesan, Consultant Physician, Base Hospital, Point Pedro. Fundamental Critical Care Support Course FIRST DAY 7:00 a.m. Registration and continental breakfast. 7.00 - 8.00 Participants must take or hand in pre test. Pre Test 1: FCCS (20 questions) Pre Test 2: FCCS- Obstetrics (20 questions) 7:50 - 8.00 Welcome address, announcements and overview. Dr.S.Premachandran, 8.00 - 8.30 Recognition and Assessment of the Seriously Ill Patient. Dr.Sujanthy Rajaram, Lecture 1 8:30 - 9.10 Diagnosis and Management of Acute Respiratory Failure. Dr.Thamil Vaanan, Lecture 2 9.10 - 9.50 Mechanical Ventilation 1 Dr.Janaki Arulmoli, Lecture 3 9.50 - 10.30 Mechanical Ventilation 2 Dr.Janaki Arulmoli 10.30 - 10.45 Break Skill Station 1: 10.45 - 11.45: A. Mechanical Ventilation I (3 Cases) B. Recognition and Assessment of the Seriously Ill Patient (3 Cases) Lecture 4 11.45 - 12.30 Physiologic Changes in Pregnancy. Dr.Malathy Varatharajah, 12.30 - 1.30 Lunch Break Lecture 5 1.30 - 2.00 Hemodynamic Monitoring. Dr.Sujanthy Rajaram, Lecture 6 2.00 - 2.30 Airway Management/ Airway Management in Pregnancy. Dr.Thamil Vaanan, Lecture 7 2.30 - 3.10 Monitoring Oxygen Balance and Acid-Based Status Dr.N.Sooriyakumar. 3.10 - 3.30 Break Lecture 8 3.30 - 4.10 Diagnosis and Management of Shock. Dr.Vasumathy Devanesan, Skill Station2 4.10 - 5.00 A Integrated Skill station 1 Assessment of Seriously Ill Patient (2 Cases) B Non Invasive Positive Pressure Ventilation (2 Cases) 5.00 Adjourn Fundamental Critical Care Support Course 2ND DAY 7:15 a.m. Registration and continental breakfast 7:30 - 8.00 Pre-Test Discussion. Lecture 9 8.00 - 8.40 Management of Life-Threatening Electrolyte and Metabolic Disturbances (Including glucose Metabolism.) Dr.V.Sujanitha, Lecture 10 8.40 - 9.10 Special considerations: Management of Critically ill - Thromboembolic events, Gastrointestinal hemorrhage, Poisoning and Temperature related illness. Dr.Nalagini Jegatheesan, Lecture 11 9.10 - 9.40 Pregnancy related Acute Kidney Injury. Dr. Kandasamy Rajaram, Lecture 12 9.40 - 10.10 Life- Threatening Infections: Diagnosis and antimicrobial therapy selection. Dr.T.Kumanan, 10.10 - 10.30 Break Lecture 13 10.30 - 11.00 Neurologic Support Dr.Ajini Arasalingam, Lecture 14 11.00 11.30 Acute Coronary Syndromes.selection Dr.P.Lakshman, Lecture 15 11:30 - 12.00 Basic Trauma and Burn Support. Dr.S.T.Sharma, Lecture 16 12.00 - 12.30 Sepsis in Pregnancy. Dr.Sujanthy Rajaram, 12:30 - 1.30 Lunch Break. Lecture 17 1:30 - 2.00 Ethics in Critical Care Medicine. Dr.K.Muhunthan, Lecture 18 2.00 - 2.30 Critical Care in Infants and Children: The Basics. Dr.Geetha Sathiadas, Skill Stations 3 2.40 - 3.30 A Severe Sepsis Scenario A B Severe Sepsis Scenario B. C Urosepsis complicated by Acute Respiratory Distress Syndrome in Pregnancy Scenario. 3.30 - 3.45 Break Skill Stations 4 3:45 - 4.30 A Integrated Hemorrhagic Shock. B Integrated Traumatic Brain Injury Scenario. C Airway Mangement. Fundamental Critical Care Support Course 3RD DAY 7:15 a.m. Registration and continental breakfast. 7:30 - 8.00 Post Test Discussion. (FCCS) Lecture 19 8:00 - 8.30 Pre-eclampsia and Eclampsia. Dr.K.Muhunthan, Lecture 20 8:30 - 9.00 Thromboembolism Disease and Pregnancy. Dr.N.Saravanabhava Lecture 21 9.00 - 9.30 Management of Delivery and Newborn. Dr.K.Guruparan, Lecture 22 9.30 - 10.00 Fetal Evaluation and Fetal Concerns in the Seriously Ill Pregnant Patient. Dr.K.Guruparan, 10.00 - 10.15 Break Lecture 23 10.15 - 10.45 Obstetric Hemorrhage. Dr.K.Guruparan, Lecture 24 10.45 - 11.15 Maternal Mortality and Cardiac Arrest. Dr.S.Premkrishna, Skill stations 5 11.15 - 12.30 A Management of severe Pre-Eclampsia and Eclampsia. B Post Partum Hemorrhage. C Cardio-Pulmonary Arrest in Pregnancy. D Delivery and Neonatal Resuscitation. 12.30 - 1.30 Lunch Break. Lecture 25 1.30 - 2.10 Non Obstetric surgical disease in Pregnancy. Dr.S.Gobyshankar, Lecture 26 2.10 - 2.40 Transport of critically ill pregnant patient. Dr.S.Premakrishna 2.40 - 3.00 Break 3.00 - 4.00 Post Test OB/FCCS 4.00 - 5.00 Post Test discussion, closing remarks. Awarding certificates. 5.00 Conclusion. Fundamental Critical Care Support Course The Society of Critical Care Medicine (SCCM) organized FCCS course to provide a framework for the management of a Critically ill patient. Designed for physicians and health care providers this course teaches participants how to prioritize and stabilize a critically injured patient. The FCCS course was prepared under the direction of the SCCM by leading international multi professional critical care educators in anesthesiology, emergency medicine, internal medicine, surgery, pediatrics, pharmacy and nursing. During the two-day FCCS course, attendees participate in lectures and hands-on training for important critical care skills including mechanical ventilation, hemodynamic monitoring, neurological support and life threatening infections. This course is for Physicians, Physician Assistants, Nurse Practitioners, Nurses, Respiratory Therapists, EMS and other healthcare professionals. Course Purpose: • To better prepare the non-intensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged. • To assist the non-intensivist in dealing with sudden deterioration of the critically ill patient. • To prepare house staff for ICU coverage. • To prepare nurses and other critical care practitioners to deal with acute deterioration in the critically ill patient. Course Objectives: • Prioritize assessment needs for critically ill and injured patients. • Select appropriate diagnostic tests. • Identify and respond to significant changes in unstable patients. • Recognize and initiate management of acute life threatening conditions. • Determine the need for expert consultation and/or patient transfer. Upon completion of the FCCS Full course participants may receive up to 32.0 Continuing Medical Education (CME) hours for a full certification. There are no prerequisites for this course for the full certification course. For a renewal course, your certification must be current. Fundamental Critical Care Support Course Topics covered: • Recognition and Assessment of the Seriously Ill Patient • Airway Management • Cardiopulmonary/Cerebral Resuscitation • Diagnosis and Management of Acute Respiratory Failure • Mechanical Ventilation • Monitoring Blood Flow, Oxygenation, and Acid-Base Status • Diagnosis and Management of Shock • Neurologic Support • Basic Trauma and Burn Support • Acute Coronary Syndromes • Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection • Management of Life-Threatening Electrolyte and Metabolic Disturbances • Special Considerations • Critical Care in Pregnancy • Ethics in Critical Care Medicine • Critical Care in Infants and Children: The Basics Approximate Length: 24 Hours for 3 days course (Full Course combined FCCS & FCCS Obstetrics) Required Materials: FCCS Student Manual The FCCS textbook is required for all participants, and must be present in the classroom during instructions. Fundamental Critical Care Support Course FEATURED LECTURES: • Recognition and Assessment of the Seriously Ill Patient • Airway Management • Cardiopulmonary/Cerebral Resuscitation • Oxygen Balance and Acid-Base Status • Diagnosis Diagnosis and Management of Acute Respiratory Failure • Mechanical Ventilation I • Mechanical Ventilation II • Monitoring and Management of Shock • Neurologic Support • Basic Trauma and Burn Support • Acute Coronary Syndromes • Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection • Management of Life-Threatening Electrolyte and Metabolic Disturbances • Special Considerations • Critical Care in Pregnancy • Ethics in Critical Care Medicine • Critical Care in Infants and Children: The Basics FEATURED SKILL STATIONS: • Mechanical Ventilation I • Mechanical Ventilation II