RCPCH PICM

RCPCH Paediatric Intensive Care Medicine sub-specialty syllabus, version 3 (2023)

Royal College of Paediatrics and Child Health · UK · Doctors

• LO1 Managing medical, surgical and safeguarding conditions in intensive care
• LO1-KC1 Managing full range of critical illness including trauma and safeguarding
• LO1-A Intensive care management of specific conditions
• LO1-1 Upper and lower respiratory infections43
• LO1-2 Respiratory failure including asthma and acute chest syndrome50
• LO1-3 Cardiovascular collapse and role of ventilation2
• LO1-4 Low blood pressure and heart failure2
• LO1-5 Shock and use of vasoactive drugs33
• LO1-6 Anaphylaxis–
• LO1-7 Multi-organ failure, risks and outcomes3
• LO1-8 Systemic inflammatory response8
• LO1-9 Acute infection including meningitis23
• LO1-10 Acute respiratory distress syndrome31
• LO1-11 Hidden infection–
• LO1-12 Necrotising fasciitis–
• LO1-13 Low blood glucose and glucose requirement2
• LO1-14 High blood glucose5
• LO1-15 Hyperthermia and muscle breakdown–
• LO1-16 High potassium: causes and risks2
• LO1-17 Hyperammonaemia and inborn errors of metabolism–
• LO1-18 Metabolic disease1
• LO1-19 Liver failure and transplant indications4
• LO1-20 Hyperleucocytosis and tumour lysis6
• LO1-21 Cancer-related presentations to PICU22
• LO1-22 Immunodeficiency5
• LO1-23 Blood disorders such as sickle cell disease8
• LO1-24 Neuromuscular disorders: diagnosis and support–
• LO1-25 Weakness acquired during critical illness13
• LO1-26 Obesity in critical illness–
• LO1-27 Depressed conscious level2
• LO1-28 Neurological emergencies including status epilepticus40
• LO1-29 Diabetic ketoacidosis and cerebral oedema25
• LO1-30 Acute hydrocephalus–
• LO1-31 Endocrine disorders1
• LO1-32 Hepatorenal syndrome–
• LO1-33 Major postoperative care: spinal, airway, neonatal2
• LO1-34 Major postoperative risks1
• LO1-35 Venous and arterial thrombosis8
• LO1-36 Postoperative nutrition and its risks11
• LO1-37 Neurosurgical patients1
• LO1-38 NEC, oesophageal atresia/TOF and diaphragmatic hernia–
• LO1-39 Detecting hidden serious injury2
• LO1-40 Traumatic and non-traumatic brain injury33
• LO1-41 Polytrauma with primary and secondary surveys6
• LO1-42 Common poisonings by ingestion or injection–
• LO1-43 Pressure injuries9
• LO1-44 Cyanotic infant and prostaglandin advice4
• LO1-45 Congenital heart disease18
• LO1-46 Care after bypass, hypothermia or circulatory arrest20
• LO1-47 Myocarditis3
• LO1-B Intensive care management and investigation
• LO1-48 Suspected poisoning–
• LO1-49 Non-traumatic physical injury–
• LO1-C Further management capabilities
• LO1-50 Upper airway obstruction4
• LO1-51 Fluid- and inotrope-refractory shock9
• LO1-52 Cervical spine immobilisation in at-risk children1
• LO1-53 Acute burns and complications13
• LO1-54 Drowning and complications3
• LO1-55 Hanging and resulting brain injury–
• LO1-56 Acute spinal cord injury–
• LO1-57 Diabetes insipidus–
• LO1-58 Late complications of major trauma3
• LO1-59 Post-resuscitation problems5
• LO1-60 Acute and chronic pulmonary hypertension1
• LO1-61 Diabetes insipidus (repeated item)–
• LO1-62 Coagulation interpretation and management17
• LO1-63 Multi-agency safeguarding investigation including police–
• LO1-64 Safeguarding reports and giving evidence–
• LO1-65 Structured approach to life-threatening injuries4
• LO1-66 Pharmacology of cardiovascular drugs in ICU5
• LO1-67 Starting and monitoring antihypertensives–
• LO1-68 Heart transplantation principles and outcomes–
• LO1-69 ECMO principles and use55
• LO2 Leading the PICU team and coordinating unit flow
• LO2-KC1 Managing the intensive care team and unit1
• LO2-KC2 Leading a multi-specialty trauma team–
• LO2-1 Working with specialists and prioritising patient goals1
• LO2-2 Team debrief after significant events–
• LO2-3 Responding to patient safety threats5
• LO2-4 Handling conflict with staff and families1
• LO2-5 Audit, quality improvement and research in PICU23
• LO2-6 Managing PICU and transport resources under pressure–
• LO2-7 Leading care of long-stay or frequent patients3
• LO2-8 Long-term ventilation management8
• LO3 Resuscitation, stabilisation and transfer of critically ill children
• LO3-KC1 Resuscitation, stabilisation and inter- and intra-hospital transport3
• LO3-1 Cardiopulmonary resuscitation and resuscitation team leadership29
• LO3-2 Temporary cardiac pacing principles and modes–
• LO3-3 Recognition and management of cardiac arrhythmias20
• LO3-4 Remote advice and support for referring teams3
• LO3-5 Safe intra- and inter-hospital transfer12
• LO3-6 Transport team leadership and feedback to referrers1
• LO3-7 Manual ventilation in severe respiratory compromise12
• LO3-8 Stabilisation and transfer in polytrauma–
• LO3-9 Prioritising time-critical injuries1
• LO3-10 Managing physiological deterioration during transfer3
• LO3-11 Stabilising major injuries before transfer1
• LO3-12 Troubleshooting transport equipment failure–
• LO3-13 Transport risk identification and reduction7
• LO4 Advanced technical procedures and related drugs
• LO4-KC1 Anaesthetic drugs, airway, vascular access and monitoring skills9
• LO4-KC2 Prescribing including opioids in organ failure and dying patients–
• LO4-1 Use of anaesthetic, sedative, analgesic and paralysing drugs49
• LO4-2 Identifying need for airway intervention6
• LO4-3 General anaesthesia for low-risk elective surgery–
• LO4-4 Rapid sequence induction and failed intubation26
• LO4-5 Perioperative care for low-risk emergency surgery–
• LO4-6 Monitoring anaesthetic depth and neuromuscular blockade5
• LO4-7 Regional anaesthesia principles and management–
• LO4-8 Intubation with cervical spine protection–
• LO4-9 Airway management in airway obstruction5
• LO4-10 Unexpected difficult airway management30
• LO4-11 Procedural sedation in stable patients6
• LO4-12 Anaesthetic drugs and raised intracranial pressure–
• LO4-13 Large-bore vascular access for fluid resuscitation9
• LO4-14 Cardiac monitoring principles5
• LO4-15 Completion of basic anaesthetic training certificate–
• LO5 Life-threatening and life-limiting conditions from fetus to adolescence
• LO5-KC1 Managing life-limiting conditions and families in PICU2
• LO5-KC2 Holistic care and paediatric palliative care models3
• LO5-KC3 Multidimensional model of patient experience in serious illness4
• LO5-KC4 Human, legal and ethical aspects of deterioration and death3
• LO5-KC5 Science and course of life-limiting childhood diseases–
• LO5-KC6 Pain and symptom management in life-limiting disease2
• LO5-1 Support mechanisms for difficult end-of-life decisions5
• LO5-2 Holistic advance planning in life-limiting illness2
• LO5-3 Cultural and religious influences around dying1
• LO5-4 Withdrawal of intensive care support10
• LO5-5 Brainstem function testing and legal framework1
• LO5-6 Organ donation after brain and circulatory death7
• LO5-7 Family support through death and bereavement7
• LO5-8 Pre- and post-mortem diagnostic sampling–
• LO6 Stress, bereavement and burnout in paediatric intensive care
• LO6-KC1 Resilience practices and burnout risk reduction7
• LO6-KC2 Arranging support for self and colleagues2
• LO6-1 Local, regional and national support resources–
• LO6-2 Referral routes for personal and colleague support–

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