Intensivist

Key Responsibilities

Clinical Management

• Take primary responsibility for all ICU patients: medical, surgical, trauma, or post-operative.
• Perform advanced procedures: intubation, central line, arterial line, chest tube insertion, bedside tracheostomy, peritoneal/HD catheter placement, etc.
• Manage ventilators, inotropes, fluid and electrolyte balance, sedation, and nutrition.
• Interpret diagnostic results (ABG, ECG, radiology, labs) and revise treatment plans accordingly.
• Respond promptly to emergencies such as cardiac arrest, sepsis, ARDS, stroke, and multi-organ failure.

ICU Protocols & Quality

• Implement and monitor compliance with ICU protocols:
• Sepsis bundles, sedation protocols, VAP prevention, early mobility, etc.
• Maintain infection control and antibiotic stewardship standards.
• Participate in ICU mortality and morbidity meetings and clinical audits.
• Ensure timely and detailed documentation (daily notes, discharge summaries, death notes).

Multidisciplinary Coordination

• Coordinate care with specialists (e.g., surgeons, neurologists, nephrologists) for comorbid management.
• Liaise with nursing staff, physiotherapists, respiratory therapists, and dietitians for holistic ICU care.
• Guide decisions regarding escalation or de-escalation of care (DNR/DNI, palliative care, etc.).

Teaching & Training (If academic hospital)

• Train and supervise residents, medical officers, nurses, and paramedics in critical care skills.
• Conduct bedside teaching, case discussions, and simulations.
• Participate in continuing medical education (CME), conferences, and workshops.

Family Communication & Counseling

• Communicate prognosis and treatment plans empathetically to patient families.
• Handle sensitive discussions about outcomes, consent, and end-of-life care.

Qualifications

Essential:

• MBBS + MD/DNB in Anaesthesia / General Medicine / Pulmonary Medicine / Emergency Medicine
• DM / DNB Critical Care OR Fellowship in Critical Care Medicine (IDCCM, IFCCM, FNB, etc.)
• Valid registration with State/National Medical Council

Desirable:

• BLS, ACLS, ATLS certified (preferably instructor)
• Experience managing Level 2/3 ICUs
• Exposure to ECMO, CRRT, or advanced ventilation techniques

Skills & Competencies

• Advanced critical care knowledge and procedural expertise
• Excellent judgment under pressure
• Team leadership and coordination abilities
• Clear and empathetic communication with team and families
• Teaching aptitude and interest in clinical research
• Familiarity with ICU software, ventilators, EMRs, and monitors