SURGICAL CRITICAL CARE FOR THE MRCS OSCE

Surgical practice has changed enormously since the first edition of Surgical Critical Care Vivas, as shown by the introduction of the MRCS Part B OSCE. This landmark book has been fully updated to reflect the latest NICE and SIGN guidelines and common ALS principles in critical care patients, as well as current ATLS® and CCrISP® guidelines (such as CT scanning in trauma). The alphabetical format of the previous edition is replaced by an ABCDE chapter format, incorporating an escalating level of diagnostic and management complexity in conjunction with a concise mini-bibliography in each chapter, enabling the reader to rapidly access the required information. Covering both non-ICU-based patients and basic fundamentals of ICU care, the chapters introduce standard definitions, pathological processes and diagnostic features, before discussing common investigations and suggested management plans. A must-have revision guide for all surgical trainees, from final year medical students through to junior surgical registrars.
- Informed by the authors' own experience of preparing for and training others for the MRCS Part B OSCE
- Questions are presented to reflect the viva exam format, enabling trainees to understand clinical problems from the examiners' perspective
- Answers are presented in a clear and systematic fashion, helping trainees to develop their approach to answering common questions.

Authors
- Mazyar Kanani, Great Ormond Street Hospital, London
Mazyar Kanani PhD FRCS is a Consultant Cardiothoracic Surgeon at the Cardiac Unit, Great Ormond Street Hospital, London, UK.
- Simon Lammy, Royal Infirmary of Edinburgh
Simon Lammy MRCS(Ed) PgDip(Oxon) is an ST1 Neurological Surgery (Neurosurgery) trainee at the Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK.

Contents
Acknowledgments
List of abbreviations
Ward Care (Levels 0–2): Part I. Airway: Section 1. Assessment:
1. Airway assessment
Section 2. Basic Concepts:
2. Oxygen: basic physiology
3. Carbon dioxide: basic physiology
4. Oxygen: therapy
5. Oxygen monitoring (pulse oximetry)
Section 3. Procedures:
6. Airway adjuncts
Part II. Breathing: Section 4. Assessment:
7. Respiratory assessment
Section 5. Basic Concepts:
8. Atelectasis
9. Bronchiectasis
10. Pneumonia
11. Pneumothorax
Section 6. Complex Concepts:
12. Acute respiratory distress syndrome (ARDS)
13. Flail chest
14. Pulmonary thromboembolism (PE)
15. Respiratory failure
Section 7. Procedures:
16. Chest drains: the surgical way
Part III. Circulation: Section 8. Assessment:
17. Cardiac assessment
Section 9. Basic Concepts:
18. Blood pressure monitoring
19. Blood products
20. Blood transfusion
21. ECG: basic concepts
22. ECG: complex concepts
23. Fluid therapy
24. Jugular venous pulse (JVP)
Section 10. Complex Concepts:
25. Aortic dissection
26. Cardiogenic shock
27. Coagulation defects
28. Disseminated intravascular coagulation
29. Fat embolism syndrome
30. Haemorrhagic shock
Section 11. Procedures:
31. Arterial lines: intra-arterial blood pressure monitoring
32. Central access: central lines
Part IV. Disability (Neurological Evaluation): Section 12. Assessment:
33. Neurological assessment
Section 13. Basic Concepts:
34. Analgesia
Section 14. Complex Concepts:
35. Cerebral physiology: basic principles
36. Cerebral pathophysiology: basic principles
37. Spinal injury
Section 15. Procedures:
38. Lumbar puncture
Part V. Exposure (Everything Else): Section 16. Renal:
39. Acid-base balance
40. Metabolic acidosis
41. Metabolic alkalosis
42. Lactic acidosis
43. Electrolyte balance: calcium (and phosphate)
44. Electrolyte balance: magnesium
45. Electrolyte balance potassium
46. Electrolyte balance: sodium
47. Oliguria: low urine output state
48. Renal failure: acute kidney injury (AKI)
49. Renal failure: chronic kidney disease (CKD)
Section 17. Other Systemic Processes:
50. Burns
51. Nutrition: basic concepts
52. Nutrition: enteral
53. Nutrition: parenteral (TPN)
54. Rhabdomyolysis
55. Systemic response to trauma
Intensive Care (Level 3): Part VI. Intensive Care Unit: Section 18. Assessment:
56. Agitation and sedation
Section 19. Complex Concepts:
57. Brainstem death and organ donation
58. Circulatory support: inotropic agents
59. Endotracheal intubation
60. Extubation and weaning
61. ICU admission criteria
62. Mechanical ventilation and support
63. Pulmonary artery catheters
64. Renal replacement therapy
65. Septic shock
66. Transfer of the critically ill patient
Section 20. Procedures:
67. Tracheostomy
Index.