Fundamental Critical Care Support Resources
Sponsor Application:
To implement or further your Fundamental Critical Care Support (FCCS) course, access the following resources:
- Criteria for Instructor/Director/Consultant Status
- Course Consultant Listing
- Course Textbook
- Translated Textbooks
- Instructor Notes
- Course Calendar
1. Criteria for Instructor/Director/Consultant Status
Interested in qualifying for instructor, director or consultant status? Learn more about the criteria.
2. Course Consultant Listing
Select a state or country to locate a consultant in your area. If you cannot locate a consultant in your area or are unable to select the location you desire, please contact the Hospital Relations Specialist at +1 847-827-6869.
3. Course Textbook
Published September 2007 with 16 chapters, the FCCS textbook is an excellent desktop reference. Order yours today!
The textbook is available in several languages and continues to be translated.
This most recent edition is the reference and source for the standardized course comprised of 16 lectures and skill stations. The text is appropriate for primary care physicians, emergency physicians, residents and fellows, physicians' assistants, nurses, and other personnel who care for the critically ill and injured. The FCCS program of the Society of Critical Care Medicine (SCCM) has grown enormously since its inception in 1994.
The FCCS course was prepared under the direction of the SCCM by leading multiprofessional critical care educators in anesthesiology, emergency medicine, internal medicine, nursing, pediatrics and surgery. The content was developed with input from international critical care experts.
Topics covered in the FCCS textbook include the following:
- Recognition and Assessment of the Seriously Ill Patient
- Airway Management
- Cardiopulmonary/Cerebral Resuscitation
- Diagnosis and Management of Acute Respiratory Failure
- Mechanical Ventilation
- Monitoring Blood Flow, Oxygenation, and Acid-Base Status
- Diagnosis and Management of Shock
- Neurologic Support
- Basic Trauma and Burn Support
- Acute Coronary Syndromes
- Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection
- Management of Life-Threatening Electrolyte and Metabolic Disturbances
- Special Considerations
- Critical Care in Pregnancy
- Ethics in Critical Care Medicine
- Critical Care in Infants and Children: The Basics
If you would like information on the FCCS program, please contact the SCCM office at +1 847-827-6869 or fccs@sccm.org.
4. Translated Textbooks
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FCCS en español, tercera edición en español/cuarta edición en inglés
"Fundamentos de cuidados críticos en soporte inicial"
Este libro "Fundamentos de cuidados críticos en soporte inicial" de la Society of Critical Care Medicine, es un programa estandarizado para el tratamiento inicial de pacientes gravemente enfermos y como tal ha sido realizado con la colaboración de varias instituciones académicas americanas, de España y América Latina.
Este programa educativo tiene como fin normatizar y mejorar la atención de los pacientes críticos, que se traduce en la disminución de las tasas de morbimortalidad. Abarca los siguientes temas:
- Evaluación del paciente grave
- Manejo de la vía aérea
- Reanimación cardiopulmonar/cerebral
- Diagnóstico y manejo de la insuficiencia respiratoria aguda
- Ventilación mecánica
- Control del flujo sanguíneo, la oxigenación y el estado del ácido-base
- Diagnóstico y tratamiento del shock
- Apoyo neurológico
- Manejo básico de los traumatismos y las quemaduras
- Síndromes coronarios agudos
- Infecciones potencialmente mortales: diagnóstico y selección de antibióticos
- Manejo de los trastornos electrolíticos y metabólicos potencialmente mortales
- Consideraciones especiales
- Atención de problemas graves en el embarazo
- Ética en la medicina de cuidados críticos
- Atención de problemas graves en lactantes y niños: los elementos básicos
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FCCS en Português, quarta edição em ingles/segunda edição em português
"Suporte básico em cuidados intensivos"
O livro "Suporte básico em cuidados intensivos," da Socieety of Critical Care Medicine, é um programa estandarizado para o tratamento inicial de pacientes gravemente doentes e, como tal, tem sido realizado com a colaboração de várias instituições acadêmicas americanas, da Espanha e da América Latina. Esse programa educativo tem como objetivo normatizar e melhorar a atenção dos pacientes críticos, que se traduz na diminuição das taxas de morbimortalidade. Abarca os seguintes temas:
- Reconhecimento e avaliação do paciente gravemente doente
- Manuseio das vias respiratórias
- Ressuscitação cardiopulmonar/cerebral
- Diagnóstico e manuseio da insuficiência respiratória aguda
- Ventilação mecânica
- Monitorização da circulação sanguínea, oxigenação e estado ácido base
- Diagnóstico e manuseio de choques
- Suporte neurológico
- Manuseio básico de trauma e queimadura
- Síndromes coronarianas agudas
- Infecções potencialmente fatais: Diagnóstico e seleção da terapia antibiótica
- Conduta nos distúrbios eletrolíticos e metabólicos potencialmente fatais
- Considerações especiais
- Tratamento intensivo na gravidez
- A ética na medicina de tratamento intensivo
- Tratamento intensivo em bebês e crianças: Noções básicas
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If you would like information on an international FCCS program, please use the following contacts:
5. Instructor Notes
Notes for FCCS Instructors on the Third Edition Textbook:
General Comments
Case histories are not included in the text but will be used in slide presentations. Skill station objectives are not included in the book since they are undergoing revision. The number of key points was intended to be <15 for consistency among chapters. Web sites have been added for references. A pediatric appendix has been added.
Chapter 1: Assessment of the Seriously Ill Patient
The goal is to help students recognize seriously ill patients, assess severity, and intervene appropriately. A framework for assessing the patient is proposed using a primary and secondary survey approach. Critical issues such as tachypnea, hypotension, and metabolic acidosis are emphasized.
Chapter 2: Airway Management
This chapter includes information on the airway adjuncts, laryngeal mask airway and esophageal-tracheal Combitube. The indications and techniques for insertion are described. These devices can also be demonstrated in the airway skill station. The indications for tracheal intubation are delineated and the assessment of the airway for degree of difficulty has been reorganized. Additional options for safe airway management with a management guideline for the known or unrecognized difficult airway are now included. The associated appendix I on endotracheal intubation now includes information on blind nasotracheal intubation as well as orotracheal intubation.
Chapter 3: Cardiopulmonary/Cerebral Resuscitation
This chapter includes a brief discussion of ethical issues regarding resuscitation such as who should be resuscitated and the appropriate documentation of resuscitation level. Information in the section on primary response has been updated to reflect the American Heart Association Guidelines 2000 for ACLS. A section on respiratory arrest in the nonintubated and intubated patient is now included. The current algorithms from the American Heart Association for ACLS and PALS are included in appendices 3 and 4.
Chapter 4: Diagnosis and Management of Acute Respiratory Failure
This chapter addresses the differential diagnosis of respiratory failure. There is an expanded section on noninvasive positive pressure ventilation.
Chapter 5: Mechanical Ventilation
This chapter reflects the use of pressure-controlled modes of ventilation. A section has been added on the types of ventilator breaths which is used as a basis to describe the modes of mechanical ventilation. The modes of mechanical ventilation are arranged in order of more common usage. The guidelines for initiation of mechanical ventilation reflect the current practice in regard to tidal volume. The importance of inspiratory plateau pressure is explained in detail with a figure. A short section on humidification of gases has been added.
Chapter 6: Basic Hemodynamic Monitoring
This chapter does not emphasize the use of pulmonary artery catheters but rather the principles of hemodynamics. A table on clinical assessment of determinants of cardiac output has been added. This should help students apply some of the principles in the absence of invasive hemodynamic monitoring.
Chapter 7: Diagnosis and Management of Shock
Gelatin colloid solutions, which are not available in the United States, are mentioned in the text.
Chapter 8: Neurologic Support
This chapter reflects guidelines for the management of head trauma and management of ischemic (non-hemorrhagic) stroke.
Chapter 9: Basic Trauma and Burn Management
The tables on blood volume and vital signs in children have been moved to the pediatric appendix.
Chapter 10: Acute Coronary Syndromes
This chapter organized into topics of unstable angina and non Q-wave myocardial infarction and Q-wave myocardial infarction. The treatment algorithms for unstable angina and myocardial infarction include drugs such as GP IIb/IIIa inhibitors and primary angioplasty. The table of drugs used in acute coronary syndromes includes low molecular weight heparins GP IIb/IIIa inhibitors, newer thrombolytic agents, and amiodarone as an antiarrhythmic agent. The revisions are consistent with guidelines from the American College of Cardiology and the American Heart Association.
Chapter 11: Life-Threatening Infections, Diagnosis and Antibiotic Selection
In this chapter, less emphasis is placed on the consensus conference definitions. The epidemiologic setting has been included as an important factor in diagnosis of infections. The section on microbiological studies include more specific recommendations. An expanded section on assessment for antimicrobial resistance has been added to the antibiotic therapy general section. Please note that the topics of encephalitis and brain abscess are marked as supplemental and do not need to be presented.
Chapter 12: Management of Life-Threatening Electrolyte and Metabolic Disturbances
Please note that the section on other electrolyte abnormalities is marked as supplemental as well as the section on additional metabolic disturbances. It is up to the course director to determine if this information should be presented formally during a lecture
Chapter 13: Special Considerations
In this chapter, the section on pulmonary embolism has been revised to include the use of D-dimer and spiral CT.
Chapter 14: Critical Care in Pregnancy
Several sections are designated as supplemental material including peripartum cardiomyopathy, severe asthma, and septic pelvic thrombophlebitis. A table of risk categories for selected drugs is incorporated into the chapter rather than as a separate appendix.
Chapter 15: Medical Ethics
Only minor changes to content have been made in this chapter.
Chapter 16: General Pediatric versus Adult Patient Consideration
Key points have been added.
6. Course Calendar
To register for any of the FCCS courses, please call or email the sponsoring facility directly. Remember not all courses will accept outside registrants or offer the instructor candidate curriculum. If you are interested in taking the instructor portion of the FCCS course, please mention that when you register for a course.
Instructor/Associate Instructor candidates are able to receive instructor training within the format of a two-day provider course. You do not have to attend a separate instructors-only course.
View the 2010 FCCS course calendar