Training in intensive care medicine is undertaken via the College of Intensive Care Medicine (CICM). At the completion of training, an intensive care specialist will have experience and expertise in:
- evaluation and resuscitation of critically ill patients;
- evaluation and management of patients with vital organ and system failures;
- the use of relevant, organ support and replacement systems;
- physiological monitoring and clinical measurement.
Trainees are expected to gain experience and expertise in the indications for and performance of a variety of investigational, therapeutic and monitoring modalities including:
- cardiopulmonary resuscitation
- airway management including translaryngeal intubation
- invasive haemodynamic monitoring including central venous, arterial and pulmonary artery cannulation and the interpretation and clinical use of derived variables
- fibreoptic bronchoscopy
- continuous renal replacement therapy
- mechanical ventilation including a comprehensive range of ventilatory modes and strategies
- tube thoracostomy
It is desirable that trainees also acquire expertise and experience in the indications for and performance of other modalities including:
- intraaortic balloon counterpulsation.
- intracranial pressure monitoring.
- gastrointestinal endoscopy.
- biopsy of various organs and tissues.
- extracorporeal support techniques including cardiopulmonary bypass, ECMO, ECCO2R and ventricular assist devices.