Section 1 of 6
ICU Logbook
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Procedure
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Teaching
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Date
Date
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Section 2 of 6
Procedure
Procedure
Procedure
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Intubation
Tracheostomy
Bronchoscopy
Chest drain - Seldinger
Chest drain - Surgical
Lung ultrasound
Arterial Cannulation
Central Venous Acces - IJ
Central Venous Access - Subclavian
Central Venous Access - Femoral
Pulmonary Artery Catheterisation
Non-invasive Cardiac Output Monitoring
Echocardiogram
Ascitic drain/tap
Segstaken tube placement
Abdominal ultrasound
Lumbar Puncture
Brainstem death testing
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Supervision
Supervision
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Direct
Indirect
Distant
None
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Section 3 of 6
Case
Identifier
Identifier
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Gender
Gender
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Male
Female
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Age
Age
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Type
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Planned
Unplanned
Review
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Diagnosis
Diagnosis
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Secondary Diagnosis
Secondary Diagnosis
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Number of organ dysfunction
Number of organ dysfunction
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Referring speciality
Referring speciality
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General Medicine
General Surgery
Trauma & Orthopaedics
Neurosurgery
Neurology
Cardiothoracics
Haematology
Renal
Respiratory
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Outcome
Outcome
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Admit to ICU
Outreach
Not for admission
Palliation
Continue care
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Section 4 of 6
Transfer
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Intra-hospital
Inter-hospital
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Reason
Reason
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Section 5 of 6
Teaching
Title of Teaching
Title of Teaching
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Section 6 of 6
Comments
Comments
Comments
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