DrNB / DrDNB·DM Critical Care Medicine: Examination Guide Series

DrNB / DrDNB·DM Critical Care Medicine: Examination Guide Series

Volume 1, Part 1D — Theory Paper 4: Complete Advanced Module

Companion to Part 1C

Built after a systematic audit of the official NBEMS DrNB curriculum against the entire guide series, this volume exists to close every remaining gap. Every topic listed in the NBE syllabus but not already covered in Parts 1A, 1B, or 1C is addressed here — with Vancouver-format references, PMIDs, and DOIs throughout — so that between the four volumes, nothing on the syllabus is left untouched.

What’s inside

• Transplant critical care — HSCT complications, post-transplant infection timelines, CMV and PJP, organ-specific rejection grading (Banff, ISHLT), immunosuppression drugs, MARS and Prometheus liver support, and DCD donation protocols
• India-focused toxicology — aluminium phosphide, cyanide, CCB/beta-blocker and TCA overdose, carbon monoxide, and methemoglobinaemia
• Neurology gaps — CVST, PRES, and cord compression
• GI / hepatic emergencies — mesenteric ischaemia, Budd-Chiari, corrosive ingestion, and Ogilvie’s syndrome
• Haemato-oncology — GvHD, tumour lysis syndrome, SVC syndrome, and hyperviscosity
• Environmental emergencies and ICU transport, plus ICU administration, outreach, burnout, and disaster management
• 20 high-impact 2022–2025 trials, plus advanced topics in biostatistics, AI, digital twins, simulation, and telemedicine
• Latest Indian ethics, quality, and medico-legal updates — Common Cause 2023, THOTA 2023, NABH 2024, CDSCO AI-SaMD, and DPDPA 2023
• Closes with 20 high-frequency short-note topics with model answers, 20 MCQs, and a complete NBE curriculum coverage map

Essential for DrNB CCM candidates seeking full syllabus coverage, and useful for FNB CCM trainees and practising intensivists.

This is Part 1D of a multi-volume DrNB Critical Care Medicine Examination Guide Series — the gap-fill companion to Part 1C, completing the theory-paper coverage that runs through Part 1A (Basic Sciences), Part 1B (Organ System Critical Care), and Part 1C (Perioperative Care, Ethics, Quality and Research).

Disclaimer: An independent educational resource for exam preparation, not affiliated with NBEMS. Clinical decisions must be based on qualified medical judgment.

By Dr. Gunadhar Padhi — Chief Intensivist, HN Reliance Foundation Hospital, Mumbai; MD, IDCCM, FCCCM, ECMO (Paris); author of the DrNB Critical Care Medicine Examination Guide Series.