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ME-409 Critical Care Medicine

Director: Bogdan Tiru, MD

Location: Baystate Medical Center, 759 Chestnut Street, Springfield, MA


This elective provides an in depth educational opportunity in the multiple aspects of critical care medicine including:

  • cardiopulmonary resuscitation
  • physiology, pathophysiology, diagnoses, and therapy of disorders of the cardiovascular, respiratory, gastrointestinal, renal, neurologic, endocrine, infectious disease and immune systems, metabolic, nutritional and endocrine effects of critical illness
  • hematologic and coagulation disorders
  • monitoring and medical instrumentation
  • pharmacokinetics and dynamics of drug metabolism and excretion in critical illness
  • thermal/electrical injuries
  • sedation, pain management, and neuromuscular blockade
  • ethical/legal aspects in critical care medicine


The student will learn...

  • an approach to disease states utilizing a systemic physiologically-oriented approach.
  • how to combine traditional clinical assessment with more recently defined methods of monitoring.
  • the limitations and pitfalls of invasive and non-invasive monitoring.
  • how to integrate clinical exam, monitoring information, and laboratory data to provide optimal and cost effective patient care while minimizing risks of such care.
  • how to deal with hopelessly ill patients and their loved ones.
  • the anatomy of the neck including central venous system, peripheral arterial tree, heart, and lungs.
  • the indications and risk/benefit assessments for invasive monitoring.
  • the complications of invasive monitoring, appreciation of the approaches and techniques necessary to minimize their occurrence, and recognition of their presence and appropriate intervention
  • to recognize artifact of monitoring clinical circumstances under which data may be misleading and/or difficult to obtain.

Course Number



4 weeks

Hours per Week

50 plus call

Night Call/Weekends

2 nights within a seven day period


1 student per Block

Alternate Dates




On-Campus Housing

Available on a first-come, first-served basis

Prerequisites: Successful completion of Medicine and Surgery Clerkships. Not open to fourth year students teaching in the Problem-Based Learning Program at TUSM.

If you would like to apply for this elective, please refer to Application Process.