FFICM Clinical Standards and Guidelines 2

Question 1

According to the Surviving Sepsis Campaign guidelines, what is the recommended duration for the initial resuscitation bundle in septic shock?

Accepted Answer

1 hour

Answer

The 2018 Surviving Sepsis Campaign updated the bundle to a 1-hour bundle emphasizing immediate blood cultures, antibiotics, and fluid resuscitation.

Question 2

The NICE guideline CG83 on rehabilitation after critical illness recommends that a structured rehabilitation program begin at which point?

Accepted Answer

As soon as the patient is medically stable in ICU

Answer

NICE CG83 recommends rehabilitation planning begins as soon as the patient is medically stable, not deferred until discharge.

Question 3

Which core safety standard from NHS England mandates that all ICUs have a minimum staffing ratio of one nurse per how many patients for level 3 care?

Accepted Answer

1:1

Answer

NHS England's Core Standards for Intensive Care Units specify a 1:1 nurse-to-patient ratio for level 3 (ICU) patients.

Question 4

The Faculty of Intensive Care Medicine's 'Care at the End of Life' guidelines emphasize which ethical principle as the primary driver for withdrawal of life-sustaining treatment decisions?

Accepted Answer

Autonomy and best interests of the patient

Answer

FICM end-of-life guidance centres on patient autonomy and best-interests decision-making, incorporating family input when the patient lacks capacity.

Question 5

According to ICNARC standards, what is the benchmark target for ICU standardised mortality ratio (SMR) quality monitoring?

Accepted Answer

SMR approaching 1.0 with confidence intervals crossing 1

Answer

An SMR with confidence intervals crossing 1.0 indicates performance consistent with expected mortality; significant deviation triggers review.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Clinical Standards and Guidelines 2