The three General System ICU’s units provide the following care and therapies:
- Standard life support for a broad range of critically ill patients with medical and surgical pathologies. As an indicator of severity of illness:
- The average APACHE scores of these patients is approximately 19-20
- Ventilated patients account for between 80 – 85 % of all admissions with approximately 70-75% of all ICU days being mechanically ventilated days
- Continuous renal replacement therapy (CRRT)
- Advanced Mechanical Ventilation:
- Prone Positioning
- Advanced Modes of Mechanical Ventilation
- Inhaled Pulmonary Vasodilators
- Advanced Hemodynamic Monitoring:
- Standard hemodynamic monitoring (arterial and central venous lines)
- PA Catheter guided resuscitation
- Echocardiographic monitored resuscitation
- Procedures including:
- Percutaneous thoracentesis
- Chest tube placement
- Paracentesis
- Vascular access, special (PA catheters and transvenous pacemaker insertion and monitoring)
The Neuro-Trauma ICU provides all therapies that the Medical Surgical ICUs do but with a focus on neuro-critical care and trauma:
- Exposure to patients with all forms of severe multi-trauma including serious burns
- Exposure to patient with all forms of neurological problems:
- Anoxic brain injury
- TBI (traumatic brain injury)
- Raised ICP (intracranial pressure)
- Intracranial bleeding
- Status epilepticus
- Spinal cord pathology
- Post cardiac arrest hypothermic therapy
- Multi-disciplinary neuro-critical care rounds
- Advanced neuro-critical care monitoring:
- ICP monitors including brain tissue PO2 monitoring
- Cerebral microdialysis
- Continuous and non-continuous EEG
The CVICU provides care to patients who have had cardiac or thoracic aortic surgery and your experience in the CVICU would focus on:
- Exposure to patients who have had:
- Coronary surgery
- Heart valve surgery
- Congenital heart defect surgery
- LVAD, RVAD, and ECMO devices
- Advanced hemodynamic monitors and therapy:
- Pulmonary artery catheter monitoring
- Echocardiography
- Intra-aortic balloon pumps
- Inhaled prostaglandin
- RV failure management
- Anti-arrhythmic therapies
- Percutaneous cardiac pacing
- Higher turnover, with usually 6-8 admissions per weekday
- Complicated mixes of multiple vasoactive agents
- Management of coagulapathy, cardiac tamponade, and massive transfusion
Teams in the ICU:
- The general system and the neuro-trauma ICU’s are comprised of the following team members who perform daily rounds:
- 1 ICU attending
- 1 ICU fellow
- 4-5 rotating residents
- 1-2 medical students
- Bedside RN
- Nurse clinician or charge nurse
- Pharmacist
- Dietician
- Night and weekend call abides by the PARA call schedule regulations. ICU call is in house at the FMC and “home” call at the PLC and RGH.
Please note that applications must be submitted at least 3 months prior to the start of the rotation.
If you are a Critical Care Fellow in a dedicated 2-year Critical Care training program and you would like to do an elective in Calgary, please contact:
Thelma Bartolome
thelma.bartolome@ahs.ca
(403) 943-5488