The primary purposes of IC@Nd are education and guidance of medical and nursing staff who have limited experience in the specialty of intensive / critical care medicine.
IC@Nd is based on a problem-oriented and practical bedside approach to troubleshooting common, urgent, or life-threatening problems and clinical signs.
It provides useful advice about important aspects of critical care medicine, but it is not intended to be an exhaustive or comprehensive textbook nor replace clinical supervision.
These guidelines are evidence-based and practical and, by necessity, specific - some will say too specific. It assumes some medical knowledge, basic clinical experience, and above all common sense.
The guidelines in IC@Nd have been developed, trialled, and revised over several years by the medical and nursing staff at Northern Health and Eastern Health (Melbourne, Australia). They are guidelines, nothing more.
Our motto is: soins intensifs sans frontieres (critical care without borders). The knowledge and skills of critical care are not limited by geography or speciality or experience. They can be learned by all and ported to other areas of acute health care with the intention of preventing and treating serious illness before it becomes irreversible.
The main areas covered are:
1. Being part of the ICU Ward Round: examining patients, communicating, simple guidelines for routine care.
2. Responding to medical emergencies: cardiac arrest, major trauma, ward medical emergencies, various acute problems in complex ICU patients.
3. Responding to common ICU problems such as fever, hypotension, hypoxia, hypercapnia, hypokalaemia, delirium.
4. Responding to complications arising from mechanical ventilation, tracheostomy, nutrition, procedures.
5. Introduction to ICU monitoring and common laboratory tests and how to interpret 'the numbers'.
6. Assessment of risk, prognosis, perioperative management of surgical ICU patients.
7. Understanding fluid therapy, assessment and treatment.
8. Determining and communicating limits of medical therapy.
Version 2.0 December 2013 IC@Nd, the ICU survival guide, is 3-years old and has expanded to 270 pages. Upgraded graphics and 5 tabs for larger smartphones. Plus, addition of tools for assessment valvular heart disease, INR, APTT, TRALI, crossmatching, planning treatment limitation (LMT, CRP, NFR) orders, and communication tool for talking to patients and families. Most guidelines have been reviewed and updated. Graphics and imaging examples added. Minor bug fixes and changes to menus.