SKH Intubation Checklist for COVID patients

SKH Intubation Checklist for COVID patients (2 pages)

Critical Care Physiotherapy in COVID -19

Thanks to PT Sarah Goh and the SKH Physiotherapy Department !


Basics of critical care physiotherapy in COVID-19 and Summary of recommendations

Clinical practice recommendations from Australian Physiotherapy Association ( OpenAccess)

ICU Resources for Nurses

• ICU Refresher for nurses: 

Courtesy of SKH Nursing Education and Development Department

1. ICU Equipment
2. Haemodynamic Procedures
3. Respiratory Procedures
4. Infection Control (COVID-19)

• ARDS Ventilation : 

Made by the SKH ICU Nursing team

1. Prone positioning in ARDS demonstration

Defibrilator : Zoll X Series

1. Zoll X Series: Daily check
2. Zoll X Series : Synchronized cardioversion
3. Zoll X Series : Pacing
4. Zoll X Series : EtCO2
5. Zoll X Series : Changing printer paper

Defibrillator : Zoll R Series

1. Zoll R Series: Daily check
2. Zoll R Series : Paddles check
3. Zoll R Series : Synchronized cardioversion
4. Zoll R Series : Pacing
5. Zoll R Series : EtCO2
6. Zoll R Series : Changing printer paper

Syramed Infusion Pump

1. Syramed : Initiation of drug
2. Syramed : Hands off bolus
3. Syramed : Changing of new medication

ICU Equipment

Defibrillators -ZOLL X Series
Defibrilators - ZOLL R Series
Transport Ventilator - Monnal T60
Pumps- Syramed

Haemodynamic Procedures

1. Arterial Blood Sampling
2. Arterial Line Dressing
3. Priming of pressure monitoring line
4. Calibrating the haemodynamic transducer

Respiratory Procedures

1. Assisting in intubation
2. Assisting in extubation
3. Performing ETT suction ( in-line catheter)
4. Obtain sputum sample via ETT ( closed system)
5. Effective BVM technique
6. EtCO2 monitoring setup and calibration

Infection control (COVID-19)

1. Donning the PPE and PAPR (video)
2. Doffing the PPE and PAPR (video)
3. Donning of PPE ( poster)
4. Doffing of PPE (poster)

ACLS Algorithms

Advanced Cardiovascular Life Support from Singapore National Resuscitation Council
( Thanks Dr Nanthini)

SGH ICU Refresher Course Videos

Please find the links to SGH ICU Refresher Course Videos below: (Youtube):

Airway Management in the critically ill patient
Endotracheal Intubation in the critically ill
Mechanical Ventilation
Basics of mechanical ventilation and introduction to PB 840 ventilator
Introduction to the IMPACT ventilator
Introduction to the PB 980 ventilator
Introduction to Dragger Evita ventilator
Introduction to Servo I ventilator
Introduction to Servo U ventilator
Haemodynamic monitoring
Sedation Analgesia and Delirium in the ICU
Indication of dialysis, basic ordering and renal emergencies
Transport of the critically ill patient
Surviving the ICU round
Video on proning

Antibioitc Policies

1. General antibiotic dosing guidelines 
2. Respiratory Infections
3. Unspecified Sepsis
4. Central Nervous System Infections
5. Cardiovascular Infections
6. Skin and Soft Tissue Infections
7. Genito-Urinary Tract Infections
8. Gastro-Intestinal Tract Infections
9. Gynecological Infections
10. Hand Surgery Infections
11. Renal Vascular Access Infections
12. Peritoneal Dialysis related peritonintis
13. Febrile Neutropenia

COVID Patient Transfer Checklist

SKH ICU COVID patient transfer checklist

Acute Kidney Injury and CRRT (For doctors and nurses)

1.  AKI Basics
2. CRRT prescription essentials card
3. AKI Basics for nurses
4. CRRT Introduction for nurses
5. Principles of CRRT for nurses
6. Basics of anticoagulation for nurses
7. Basic CRRT Prescription Card for doctors

Thanks to Dr Lee YL and Nursing Education and Development Department.

Intro

Welcome to ICUbasics.com

This portal is designed to provide a bare bones version of essential ICU topics for novice doctors and nurses at SKH. We hope to put together the essential stuff needed for a non-ICU doctor/ nurse to hit the ground running and manage ICU patients during an exigency.

It is a work in progress and the links will be updated once more content becomes available.

The site is a static HTML page hosted on Google domains. Formatting and multimedia content are kept to a minimum for a fast, less bandwidth-intensive experience over mobile and ease of maintenance. This project is currently in beta and we hope to improve it as we develop more content. If you have a workflow summary / cheat sheet/ flash card for the ICU greenhorn that you are willing to share, you can contact us using the mail snippet below this page and we can host the content here / link to your page with due credits.

We hope to develop this into a repository of quick reference resources over time. Most of the pages were contributed by Drs Lee YL, Wong J, Gare PS, Ho VK, Lie SA, Vimal V and RT Ms Cunanan AK.  Other individual contributors are credited under the respective topics.

Some of the flow charts/ flash cards  have been simplified and certain in-depth aspects intentionally ignored as this meant to be a survival guide for novice ICU staff. This portal is meant as a general guide and is not meant to replace standard textbooks, guidelines, hospital workflows or clinical judgement. When in doubt, call for help. 

The source material is mostly our institutional and personal teaching slides. We have tried to attribute to the orginal authors wherever possible. If any copyrighted material has inadvertently crept in, please feel free to contact us using the email snippet below and we will review the affected content.

Cheers and stay safe!



Vishnu

SICU One Page Summaries (Recommended)

SICU One Page Summaries - Handbook by Dr HoVK / Dr Lie SA

Approach to the post-surgical patient admitted to ICU

Neurology/ Trauma:

Management of spinal cord injury
Reversal of anti-platelets in intra-cranial haemorrhageBrain death determination
Severe traumatic brain injury
Management of raised ICP
Targeted Temperature Management and considerations in SICU
Rhabdomyolysis : Prevention and Treatment

Cardiovascular/ Vascular:

Acute AF in surgical patients
Free Flap Management
Perioperative cardiovascular risk assessment

Respiratory:

The open abdomen and ventilatory considerations
High Flow Nasal Oxygen / Non Invasive Ventilation in surgical patients

Gastrointestinal:

Acute Upper Gastrointestinal Hemorrhage
Management of Acute-on-Chronic Liver Failure – The Essentials
Clostridium Difficile Infection
Nutrition Support Therapy in SICU & Management of High gastric residual volume
Intra-abdominal Pressure (IAP) Monitoring and Abdominal Compartment Syndrome (ACS)
Enterocutaneous Fistula

Endocrine:

Critical Illness-Related Corticosteroid Insufficiency (CIRCI)

Hematology:

Practical approach to Hemostatic Resuscitation in Trauma
Use of Recombinant Factor VIIa (Novoseven®) in Trauma
Massive Transfusion Protocol for Hemorrhagic Shock
Thromboelastography (TEG) in Trauma
Warfarin reversal
Novel Oral Anticoagulation (Non-Vitamin K) reversal

Infectious Disease:

Candida Infections in Surgical Patients
Necrotizing Soft Tissue Infections

Sub-Arachnoid Haemorrhage

SAH Basics

Clostridium difficile in the ICU

C. diff in the ICU (presentation)

Clostridium difficile Infection ( from SICU one page summary)

Menigitis

Bacterial Meningitis

Inotropes and Vasopressors

Inotropes and Vasopressors

ICU One page summary card ( v3)

ICU One-page summary version 3 ( Thanks Dr Yi Lin for the update)

Surviving the ICU Round (Recommended)

Surviving the ICU Round (Video - 17mins 02seconds) 

Transport Of The Critically Ill Patient

Transport Of The Critically Ill Patient (Video - 5mins 29seconds)

Pulmonary Embolism

PE in the ICU

Blood Pressure Monitoring

BP Monitoring Principles

Blood Transfusion

Blood Transfusion Basics ( Thanks to Dr Sangeetha P for the slides)

Massive Transfusion Protocol for Hemorrhagic Shock (From SICU one page summary)

Dermatology in the ICU

Common skin conditions encountered in the ICU

Status Epilepticus

Status Epilepticus

Status Asthmaticus

Status Asthmaticus

Featured : ARDS : Ventialtion, Proning and other references

1. Non Invasive Ventilation
2. Invasive Mechanical Ventilation Basics
3. ARDS Basics
4. ARDSNet Quick Reference Card
5. Tidal Volume Calculation Chart
6. APRV mode of ventilation
7. Respiratory assessment in mechanical ventilation 
8. Proning positioning in ARDS videos :
• From SKH ICU Nursing
• From SGH
• From SCCM
9. Weaning from mechanical ventilator
10. Ventilator Basics Teaching Video (10mins)

Lines and Tubes

CVC Insertion basics ( Thanks Dr Yi Lin)

Inter-costal drain dressing basics ( Thanks Sr Linda)

Inter-costal drain nursing video ( Thanks Sr Linda)

Delerium, Analgesia and Sedation

Delerium in the ICU

Sedation and Analgesia in the ICU video ( Duration 07mins 23seconds )

Fluids

• Introduction to fluid therapy

• Haemodynamic monitoring and approach to a hypotensive patient video : (Duration : 16minutes 40seconds)

Nutrition

Nutrition Basics ( Credit : Ms Cherie Tong and SKH Dietetics Department)

SKH Feeds Table

Nutrition Support Therapy in SICU & Management of High gastric residual volume ( From SICU one page summary)

Sepsis and Septic Shock

Sepsis Introduction (Thanks to Dr Kiran )


More resources coming soon...

Airway & Breathing

Recognising the difficult airway

Airway management in the critically ill patient video ( Duration 23:16)

Oxygen Therapy For The Critically Ill

About Us

Welcome to ICU@Sengkang

(previously ICUbasics.com)

This portal is designed to provide a bare bones version of essential ICU topics for novice doctors and nurses at SKH. We hope to put together the essential stuff needed for a non-ICU doctor/ nurse to hit the ground running and manage ICU patients during an exigency.

It is a work in progress and the links will be updated once more content becomes available.

The site is a static HTML page hosted on Google domains. Formatting and multimedia content are kept to a minimum for a fast, less bandwidth-intensive experience over mobile and ease of maintenance. This project is currently in beta and we hope to improve it as we develop more content. If you have a workflow summary / cheat sheet/ flash card for the ICU greenhorn that you are willing to share, you can contact us using the mail snippet below this page and we can host the content here / link to your page with due credits.

We hope to develop this into a repository of quick reference resources over time. Most of the pages are authored by Drs Lee YL, Wong J, Sharma K, Gare PS, Ho VK, Lie SA, Vimal V and RT Ms Cunanan AK.  Other individual contributors are credited under the respective topics.

Some of the flow charts/ flash cards  have been simplified and certain in-depth aspects intentionally ignored as this meant to be a survival guide for novice ICU staff. This portal is meant as a general guide and is not meant to replace standard textbooks, guidelines, hospital workflows or clinical judgement. When in doubt, call for help. 

The source material is mostly our institutional and personal teaching slides. We have tried to attribute the orginal authors wherever possible. If any copyrighted material has inadvertently crept in, please feel free to contact us using the email snippet below and the affected content will be taken down.


Cheers and stay safe!



Vishnu