IMED-717 Omaha VAMC – Critical Care Medicine Dr. Craig Piquette and Omaha VA Medical Center ICU Staff Periods Offered: Each four weeks Student Limit: 1 Where to Report: Omaha VA Medical Center ICU, 2nd floor, 8:00 a.m. Check with the Nebraska Supervising Resident for assignment. Call Sheryl Latenser for Attending Schedule, 943-5515. A Nebraska faculty intensivist is attending every other month alternating with a Creighton faculty intensivist. This clerkship offers opportunity for participation in the management of acutely ill patients, working closely with an ICU supervisory resident, the pulmonary and critical care fellow and attending physician. As a Subinternship, clinical expectations will include; primary responsibility for all patients assigned to their care, writing a note each day on their patients to be cosigned by the supervising resident and attending physician, active participation on rounds, and taking inhouse overnight call with their supervising resident. NO vacation may be taken during this rotation so students should schedule residency interviews accordingly. Learning objectives for this rotation include management of respiratory failure, acute coronary syndrome, acute and chronic renal failure and hyperglycemia among others. The students will be expected to learn interpretations of chest radiographs and common dysrhythmias. They will participate in many bedside procedures and they will be expected to be able to evaluate and recognize patients with a variety of life threatening disorders and participate in their management. The student will be enrolled in a Blackboard Critical Care Medicine course and will be expected to complete the pretest within the first week and the post test prior to the end of the rotation, to read through all the CCM educational material posted on Blackboard and to attend any scheduled didactic lectures. Honors work will require enthusiasm and initiative, as well as student presentations to the CCM team of clinical topics related to clinical problems. This ICU rotation is appropriate for a motivated student seeking a moderate intensity of critical care medicine. Activity: Hours/Week Rounds: 24 Didactic conferences: 2 Independent learning: Blackboard CCM course, approx. 3 hrs/week Research project: None Independent patient care: Not expected Procedures: 2 8:00 a.m. Didactic Lectures: Standard Practices in the ICU Ventilator & Respiratory Protocol Nutrition Mechanical Ventilation Airway Management Septic Shock/Mechanical Ventilation Shock/Hemodynamics Toxicology Delayne Peterson, R.N. Frank Freihaut Barbara Robertson, R.N. Craig Piquette, M.D. James Sullivan, M.D. Peter Murphy, M.D. Joe Sisson, M.D. Eduardo Vasquez, M.D.