EDIC Part I case studies
EDIC Part I · Put your knowledge to work in context.
The European Diploma in Intensive Care (EDIC) Part I is the written, theory-focused stage of a two-part diploma examination long associated with ESICM, the European society of intensive care medicine. Candidates are typically physicians training in, or recently qualified in, intensive care medicine who want an internationally recognised benchmark of core critical care knowledge, often alongside national specialty examinations. The EDIC Part I case studies are 5 cases and about 3,687 words.
1Oliguria and rising creatinine after emergency laparotomy
Mr K is a 68-year-old man on day 3 after emergency laparotomy for perforated diverticulitis. He required 4 hours of intra-operative noradrenaline and is now in the ICU, extubated and awake, with a sinus tachycardia of 104/min, MAP 72 mmHg maintained by noradrenaline 0.08 µg/kg/min, and a lactate that has fallen from 4.2 to 1.6 mmol/L.
786 words, about 4 min2Worsening oxygenation in influenza-associated ARDS
Ms L is a 44-year-old woman admitted with influenza A pneumonia and secondary bacterial infection. She is intubated and ventilated on volume-controlled mode: tidal volume 420 mL, respiratory rate 28/min, PEEP 12 cmH2O, FiO2 0.70.
753 words, about 4 min3Refractory intracranial hypertension after traumatic brain injury
Mr R is a 34-year-old man admitted after a motorcycle collision. CT shows a right frontal contusion and a thin acute subdural haematoma, with midline shift 4 mm.
704 words, about 4 min4Fluid resuscitation and source control in catheter-associated urosepsis
Mrs S is a 72-year-old woman with a history of type 2 diabetes and hypertension, admitted from a care home with fever, confusion and a urine dipstick positive for nitrites. On arrival: temperature 38.9°C, heart rate 118/min, blood pressure 82/48 mmHg, respiratory rate 28/min, SpO2 94% on 4 L/min.
675 words, about 3 min5Family disagreement about feeding after a severe stroke
Mrs A is an 81-year-old woman who suffered a large left middle cerebral artery infarct 10 days ago. She has a dense right hemiplegia, global aphasia, and a nasogastric tube for dysphagia.
769 words, about 4 min