What's Inside Your ICU Guide

Section 1 - ABCDE Systematic Assessment

• Visual ABCDE diagram with actions for each step
• Full assessment table (Airway through Exposure)
• Key monitoring parameters to set up on patient arrival

Section 2 - Mechanical Ventilation

• Step-by-step ventilator setup flowchart (color-coded arrows)
• Initial settings table: TV, RR, FiO2, PEEP, plateau pressure with formulas for IBW
• Ventilator modes comparison (AC/VC, SIMV, PS, CPAP, BiPAP, APRV)
• ARDS Berlin Definition & P/F ratio severity table
• Special rules for COPD and obstructive lung disease

Section 3 - Emergency & ICU Drugs

• Vasopressors & Inotropes: Norepinephrine, Epinephrine, Dopamine, Vasopressin, Dobutamine, Phenylephrine, Milrinone - with doses, indications, and cautions
• Sedation & Analgesia: PADIS bundle explained, RASS visual chart, Propofol, Midazolam, Dexmedetomidine, Ketamine, Opioids
• Cardiac emergency drugs: Amiodarone, Adenosine, Atropine, Labetalol, Nitroprusside, GTN, Digoxin, Calcium, Bicarb
• Antibiotics for sepsis, CAP, VAP, meningitis, UTI, fungemia
• RSI drugs: Ketamine, Propofol, Etomidate, Succinylcholine, Rocuronium with exact doses

Section 4 - Fluid Resuscitation & Shock

• Shock types diagram (Distributive, Cardiogenic, Hypovolemic, Obstructive) with hemodynamics
• Fluid types comparison (NS, Hartmann's, Albumin, Dextrose)
• Surviving Sepsis 1-Hour Bundle (5 actions)
• Fluid responsiveness tools (PLR, PPV, SVV, IVC ultrasound)

Section 5 - ICU Emergency Algorithms

• ALS cardiac arrest algorithm (Shockable vs Non-Shockable)
• 4Hs & 4Ts reversible causes
• Anaphylaxis step-by-step management
• Hypertensive Emergency vs Urgency (with drug doses)
• Status Epilepticus timeline (0 min → 60+ min)

Section 6 - Monitoring & Labs

• GCS visual chart (Eye, Verbal, Motor) with color coding
• ABG interpretation 7-step method
• Anion gap MUDPILES mnemonic
• Electrolyte emergencies: Hyperkalaemia, Hypo/Hypernatraemia, Hypocalcaemia, Hypomagnesaemia

Section 7 - ICU Procedures

• Intubation checklist (SOAP-ME)
• CVC site comparison (IJ, Subclavian, Femoral, PICC)
• CLABSI prevention bundle
• Arterial line - Allen's test, technique, complications

Section 8 - Quick Reference Cards

• Normal physiological values (HR, BP, ABG, electrolytes, lactate, Hb, INR)
• Drip rate calculation table for 15 common infusions (with worked examples for a 70kg patient)

Section 9 - Daily ICU Rounds

• FAST HUGS BID daily checklist (11 items)
• Ventilator weaning / SBT protocol (6 steps)
• ICU nutrition guide (calorie targets, protein, enteral vs parenteral, refeeding syndrome)

Section 10 - Top Tips for New ICU Doctors

• Clinical wisdom, communication (ISBAR handover), safety reminders, and wellbeing advice