Introduction

PACT (Patient-centred Acute Care Training), a product of the European Society of Intensive Care Medicine (ESICM), is an up-to-date, on-line, modular curriculum for Intensive (Critical) Care Medicine. It is an educational resource aimed at advancing and harmonising the quality of Acute and Critical Care Medicine training and practice.

PACT can be used in several ways:

  • Topic review by any critical care clinician
  • Quick reference in a clinical problem situation
  • Continuing Professional Development (CPD) update for critical care clinicians
  • Structured comprehensive curriculum for critical care trainees
  • Preparation for the European Diploma in Intensive Care medicine (EDIC) and comparable national examinations
  • Topic review by acute medicine practitioners and trainees
  • Topic learning by medical students and professions allied to medicine.

PACT consists of over 40 modules which may be approached by:

  • Clinical problem e.g. hypotension or oliguria or via related categories: skills and techniques, organ specific problems or professionalism
  • Physiological organ system or EDIC-style categorisation of critical care issues e.g. cardiovascular or neurological critical care
  • Patient challenges (PATCH)
  • Search engine.

Immediate access to supplementary, targeted reference material includes:

  • Extracts from Hinds CJ, Watson JD. Intensive Care: A Concise Textbook. 3rd edition. Saunders Ltd; 2008. ISBN: 978-0-7020259-6-9
  • Full PubMed abstracts through the National Library of Medicine
  • Full text Intensive Care Medicine references
  • Practice guidelines on the web
  • Relevant ESICM congress lectures
  • Summaries from Waldmann C, Soni N, Rhodes A, editors. Oxford Desk Reference: Critical Care. Oxford: Oxford University Press; 2008. ISBN 13:978-0-1992295-8-1
  • BASIC course material (pilot project)
  • EDIC-style multiple choice questions (MCQs).

The flexibility of the programme allows the user to select options and tools depending on individual requirements.
Ongoing updating produces on average one updated module per month.
Updates can be accessed in the online interactive format or as a pdf.

Module classification

Recent updates

  • Severe and Multiple Trauma ......... 08/2013 PDF
  • Renal replacement therapy ........... (Acute Kidney Injury Part II) 08/2013 PDF
  • Arrhythmia ..................................... 06/2013 PDF
  • Obstetric Critical Care .................... 05/2013 PDF
  • Haemodynamic monitoring and .... management 04/2013 PDF
  • Traumatic brain injury ................... 03/2013 PDF
  • Neuromuscular .............................. conditions 01/2013 PDF
  • Burns injury ................................... 12/2012 PDF
  • Quality assurance and .................. cost-effectiveness 11/2012 PDF
  • Organisation and .......................... Management 09/2012 PDF
  • Hypotension .................................. 07/2012 PDF
  • COPD and asthma ........................ 06/2012 PDF
  • Coma and altered ......................... consciousness 05/2012 PDF
  • Clinical imaging ............................ 04/2012 PDF
  • Acute Hepatic Failure ................... 03/2012 PDF
  • Respiratory Assessment ................ and Monitoring 02/2012 PDF
  • Electrolytes and Homeostasis ....... 12/2011 PDF
  • Pyrexia .................................................................. 06/2011 PDF
  • Airway management ..................... 05/2011 PDF
  • Acute myocardial ischaemia ........ 03/2011 PDF
  • Mechanical ventilation .................. 01/2011 PDF
  • Patient transportation ................... 01/2011 PDF
  • Oliguria and anuria (acute ............ kidney injury part I) 10/2010 PDF
  • Clinical outcome ........................... 10/2010 PDF
  • Communication ............................. 10/2010 PDF
  • Acute brain ischaemia .................. 08/2010 PDF
  • Sedation and analgesia ................ 07/2010 PDF
  • Immunocompromised patients ...... 07/2010 PDF
  • Nutrition ......................................... 04/2010 PDF
  • Pancreatitis .................................... 04/2010 PDF
  • Health technology assessment ....... 04/2010 PDF
  • Acute respiratory failure ................ 02/2010
  • Hypertension .................................. 12/2009
  •  

 

Organ system / EDIC style

Respiratory Failure

  • Acute respiratory failure
  • Airway management
  • COPD and asthma
  • Mechanical ventilation
  • Respiratory assessment and monitoring

Cardiovascular Critical Care

  • Acute myocardial ischaemia
  • Arrhythmia
  • Haemodynamic monitoring
  • Heart failure
  • Hypertension
  • Hypotension

Neuro-critical Care

Kidney Injury and Metabolism

  • Acute renal failure (Acute Kidney Injury Part II)
  • Electrolytes and Homeostasis
  • Oliguria and anuria (Acute Kidney Injury Part I)

Abdomen and nutrition

  • Abdomen in acute/critical care medicine
  • Acute hepatic failure
  • Nutrition
  • Pancreatitis

Trauma and Emergency Medicine

  • Environmental hazards
  • Major intoxication

Infection/inflammation and Sepsis

  • Immunocompromised patients
  • Infection prevention and control
  • Pyrexia
  • Sepsis and MODS
  • Severe infection

Peri-operative ICM/surgery and imaging

  • Bleeding and thrombosis
  • Clinical imaging
  • High-risk surgical patients
  • Multiple trauma

Critical Care informatics, management and outcome

  • Clinical outcome
  • Health technology assessment
  • Organisation and management
  • Patient transportation
  • Quality assurance and cost-effectiveness

Professional development and Ethics

  • Clinical examination
  • Communication
  • Ethics
  • Organ donation and transplantation
  • Teaching and learning
Organ system / EDIC style clinical scenarios - PATCHs

Respiratory Failure

  • Acute respiratory failure PATCH
  • Airway management PATCH
  • COPD and asthma PATCH
  • Mechanical ventilation PATCH
  • Respiratory assessment and monitoring PATCH

Cardiovascular Critical Care

  • Acute myocardial ischaemia PATCH
  • Arrhythmia PATCH
  • Haemodynamic monitoring PATCH
  • Heart failure PATCH
  • Hypertension PATCH
  • Hypotension PATCH

Neuro-critical Care

Kidney Injury and Metabolism

  • Acute renal failure (Acute Kidney Injury Part II)  PATCH
  • Electrolytes and Homeostasis PATCH
  • Oliguria and anuria (Acute Kidney Injury Part I) PATCH

Abdomen and nutrition

  • Abdomen in acute/critical care medicine PATCH
  • Acute hepatic failure PATCH
  • Nutrition PATCH
  • Pancreatitis PATCH

Trauma and Emergency Medicine

  • Environmental hazards PATCH
  • Major intoxication PATCH

Infection/inflammation and Sepsis

  • Immunocompromised patients PATCH
  • Infection prevention and control PATCH
  • Pyrexia PATCH
  • Sepsis and MODS PATCH
  • Severe infection PATCH

Peri-operative ICM/surgery and imaging

  • Bleeding and thrombosis PATCH
  • Clinical imaging PATCH
  • High-risk surgical patients PATCH
  • Multiple trauma PATCH

Critical Care informatics, management and outcome

  • Clinical outcome PATCH
  • Health technology assessment PATCH
  • Organisation and management PATCH
  • Patient transportation PATCH
  • Quality assurance and cost-effectiveness PATCH

Professional development and Ethics

  • Clinical examination PATCH
  • Communication PATCH
  • Ethics PATCH
  • Organ donation and transplantation PATCH
  • Teaching and learning PATCH
Clinical problems / competency areas

Clinical problems

  • Acute respiratory failure
  • Arrhythmia
  • Bleeding and thrombosis
  • Coma and altered consciousness
  • Environmental hazards
  • High-risk surgical patients
  • Hypertension
  • Hypotension
  • Immunocompromised patients
  • Major intoxication
  • Multiple trauma
  • Oliguria and anuria (Acute Kidney Injury Part I)
  • Pyrexia
  • Sepsis and MODS
  • Severe infection

Skills and techniques

  • Airway management
  • Clinical examination
  • Clinical imaging
  • Electrolytes and Homeostasis
  • Haemodynamic monitoring
  • Infection prevention and control
  • Mechanical ventilation
  • Nutrition
  • Organ donation and transplantation
  • Patient transportation
  • Respiratory assessment and monitoring
  • Sedation and analgesia

Organ specific problems

  • Abdomen in acute/critical care medicine
  • Acute brain ischaemia
  • Acute hepatic failure
  • Acute myocardial ischaemia
  • Acute renal failure (Acute Kidney Injury Part II)
  • COPD and asthma
  • Heart failure
  • Neuromuscular conditions
  • Pancreatitis
  • Traumatic brain injury

Professionalism

  • Clinical outcome
  • Communication
  • Ethics
  • Health technology assessment
  • Organisation and management
  • Quality assurance and cost-effectiveness
  • Teaching and learning
Alphabetical
  • Abdomen in acute/critical care medicine
  • Acute brain ischaemia
  • Acute hepatic failure
  • Acute myocardial ischaemia
  • Acute renal failure (Acute Kidney Injury Part II)
  • Acute respiratory failure
  • Airway management
  • Arrhythmia
  • Bleeding and thrombosis
  • Clinical examination
  • Clinical imaging
  • Clinical outcome
  • Coma and altered consciousness
  • Communication
  • COPD and asthma
  • Electrolytes and Homeostasis
  • Environmental hazards
  • Ethics
  • Haemodynamic monitoring
  • Health technology assessment
  • Heart failure
  • High-risk surgical patients
  • Hypertension
  • Hypotension
  • Immunocompromised patients
  • Infection prevention and control
  • Major intoxication
  • Mechanical ventilation
  • Multiple trauma
  • Neuromuscular conditions
  • Nutrition
  • Oliguria and anuria (Acute Kidney Injury Part I)
  • Organ donation and transplantation
  • Organisation and management
  • Pancreatitis
  • Patient transportation
  • Pyrexia
  • Quality assurance and cost-effectiveness
  • Respiratory assessment and monitoring
  • Sedation and analgesia
  • Sepsis and MODS
  • Severe infection
  • Teaching and learning
  • Traumatic brain injury