CICM Paediatric (SPPE) interactive diagrams

Oxygen delivery & consumption (DO₂/VO₂) — Recognise and manage paediatric sepsis and septic shock using current guidelines, including fluid resuscitation, vasoactive support and source control

Ventricular pressure-volume loop + Frank-Starling curve + Guyton cardiac and vascular function curves — Manage childhood acquired heart disease (myocarditis, cardiomyopathy, rheumatic disease) and heart failure in the paediatric ICU

Ventricular pressure-volume loop + Frank-Starling curve + Guyton cardiac and vascular function curves + Oxygen delivery & consumption (DO₂/VO₂) — Diagnose and manage the shocked child, classifying shock states and tailoring fluid, inotrope and vasopressor therapy

Cardiac action potential — Recognise and manage paediatric cardiac arrhythmias, pulmonary hypertension and hypertensive crises in the ICU

Wiggers diagram — cardiac cycle (animated) + Cardiac action potential — Interpret haemodynamic monitoring and the paediatric electrocardiogram in the critically ill child

Mechanical ventilation modes — Diagnose and manage paediatric respiratory failure, acute lung injury and ARDS, including lung-protective ventilation strategies

Capnography waveform interpreter + Oxyhaemoglobin dissociation curve + Oxygen cascade — atmosphere to mitochondrion + Mechanical ventilation modes — Describe paediatric airway management, oxygen-delivery systems and invasive and non-invasive mechanical ventilation, including long-term ventilation and tracheostomy care

Capnography waveform interpreter + Oxyhaemoglobin dissociation curve + CO₂ dissociation curve (Haldane effect) + Davenport acid-base diagram + ABG interpretation algorithm + Oxygen cascade — atmosphere to mitochondrion — Interpret arterial blood gases and apply respiratory monitoring in the ventilated child

Starling capillary forces + Renal autoregulation (RBF + GFR vs MAP) + Renin-angiotensin-aldosterone system + Acute kidney injury staging — Diagnose and manage paediatric acute kidney injury and renal failure, including congenital malformations of the kidney and urinary tract and urosepsis

Nephron + diuretic sites — Describe the modalities of paediatric renal replacement therapy, their indications, prescription, anticoagulation and complications

Davenport acid-base diagram + Anion gap and delta ratio + ABG interpretation algorithm — Interpret blood-gas analysis and diagnose and manage acid-base and electrolyte disorders in the critically ill child

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Manage intracranial hypertension and hypoxic-ischaemic encephalopathy, including ICP monitoring and cerebral-protection strategies

Monro-Kellie intracranial volume + ICP curve — Apply neuromonitoring (EEG, SSEP, ICP) and cerebral-protection strategies in the critically ill child

Glucose homeostasis — Diagnose and manage diabetic ketoacidosis (including cerebral-oedema risk), hyperglycaemia and hypoglycaemia in children

Renin-angiotensin-aldosterone system — Manage diabetes insipidus, SIADH and cerebral salt-wasting, distinguishing them by water and sodium handling

Hypothalamic-pituitary-adrenal axis — Recognise and manage adrenocortical insufficiency, acute thyroid crises and pituitary crises in the ICU

Complement cascade & hypersensitivity I–IV — Recognise and manage anaphylaxis and severe drug reactions (toxic epidermal necrolysis, Stevens-Johnson syndrome) in children

Complement cascade & hypersensitivity I–IV — Describe ICU considerations in autoimmune and connective-tissue disease, vasculitides and immunodeficiency, and the indications for plasma exchange

Coagulation cascade — Manage congenital and acquired coagulation disorders and haemostatic failure, interpret point-of-care coagulation tests, and prescribe blood-product transfusion

Acute kidney injury staging — Recognise and manage compartment syndromes and rhabdomyolysis in the injured child

Fetal circulation & transition at birth — Describe the transitional circulation and manage persistent pulmonary hypertension of the newborn and meconium aspiration syndrome

Nephron + diuretic sites — Describe the safe ICU use of diuretics, intravenous fluids and electrolyte replacement, prokinetics and gastrointestinal agents, and anticoagulants, antiplatelets, fibrinolytics and blood products