The information provided here focuses upon and succinctly addresses common, important, and urgent clinical problems that may arise without warning in any patient. Many of the topics covered here are practical questions for which the simple and safe solution is not always apparent or accessible from medical texts or obscure hospital policy documents.
IC@N is based on a problem-oriented and practical approach: What should I do now? The information contained in IC@N is deliberately simple, direct, and specific. Some will think it too specific. It assumes a basic level of medical knowledge and clinical experience, plus a degree of common sense. It does not contain detailed or comprehensive treatment guides for specific diagnostic conditions nor definitive long-term treatment, that is available elsewhere from other sources. IC@N is not intended to be exhaustive nor comprehensive text book, rather a guidebook.
The guidelines in IC@N have been developed, trialled, and revised over several years by the medical and nursing staff at Northern Health and Eastern Health (Melbourne, Australia).
Our motto: soins intensifs sans frontieres (critical care without borders). The skills of critical care can be taken outside of the Intensive Care Ward (or ICU/ITU) to other areas of acute health care with the intention of preventing and treating serious illness before it becomes irreversible.
Addition of Teaching Tips to most pages. Revised: LMT, MV, Shock, SVT, Oliguria, Lactate, Hypokalemia, Tachypnea.
IC@N Version Notes. Current Version: 1.8
Version 1.7: June 2012. Major revisions to content, and minor revision to formats. Specifically: FAQ section condensed into Orientation pkg. New Pages for: MICRO therapy, Vital signs, Recurrent shock, Airway Assessment, Malampati score, Upper GI bleed, Lower GI bleed, Epistaxis, Dermatome chart, Myotome chart, Delirium: Mental state assessment, Urinary cathetrisation, Monitoring Urine Output, Endocrine crises: Thyrotoxicosis, Hypothyroidsism, Addison’s. Updated information or graphics for: Ideal Vt table, Fever & PUO, LMT, infiltrative lung disease, PA catheter, and ILD.
Version 1.6: February 2012. Added: Search Page (thank you SC), IV fluid composition and distribution, Body Fluids, ECG monitoring, Chest pain, Wheeze. Updated: Coma prognosis after therapeutic hypothermia, arrhythmias, haemodynamic assessment (table), FFP, Coagulation, Sepsis. Added graphics to arterial, bronchscopy, blindness.
Version 1.5: June 2011. Minor bug fixes, changes to layout and grammar.
Version 1.4: May 2011 Add new pages for Bronchoscopy, Echocardiography, Guide to ABG, Nav Guide, Neuroprotection. Updates to pages: Airflow obstruction, LMT, Adverse effects of MV, hypernatraemia, Wide-QRS Tachy, ERAS, Minnesota tube. Add YouTube video links.
Version 1.3: Apr 2011 Add new pages for Ventilation settings for ARDS, Asthma & COPD, Severe Myoclonus, Peripheral Oedema. Update menus and hypertext links. Several minor changes to menu and page formats. Android version completed.
Version 1.2: Mar 2011 Add new pages for acid-base nomogram; ERAS Guidelines; fever Rx, hypothermia; pain scale; purpura; SISF. Additional internal links, correction of grammar, spelling, menu links and icons.
Version 1.1 Feb 2011. Changes included: Update: BLS & ALS as per ARC/NZRC. New pages: BLS, adult and paediatric ALS, Newborn Resuscitation, Trachy Cuff Leak, Fluid Therapy, NH network links page. Minor update to pages: Seizures, Hepatic dysfunction, Coagulation, Post-op ICU booking process. Add navigation links to all pages Footer: direct link to Index via icon. Page title: click for direct link to home page.
Version 1.0 Nov 2010. Prototype version.
1. New Pages for: Vital signs, Recurrent shock, Airway Assessment, Malampati score, Upper GI bleed, Lower GI bleed, Epistaxis, MICRO therapy, Dermatome chart, Myotome chart, Mental state assessment, Urinary cathetrisation, Monitoring Urine Output, and managing Thyrotoxicosis, Hypothyroidsism, Addison’s.
2. The FAQ section is condensed into Orientation pkg.
3. Updated information or graphics for: Ideal Vt table, Fever & PUO, LMT, infiltrative lung disease, PA catheter, and ILD.
Additional internal links. Correction of minor grammar, spelling, menu links and icon errors.
Minor update to pages on: elective post-op bookings process, seizures, hepatic dysfunction, coagulation.
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