ICU Consultant

Responsibilities

• Provide comprehensive assessment, diagnosis, treatment, and ongoing management of critically ill adult patients in the Intensive Care Unit (ICU).

• Lead the clinical management of patients with complex, life-threatening medical and surgical conditions requiring intensive monitoring and organ support.

• Diagnose and manage acute respiratory failure, including hypoxaemic and hypercapnic respiratory failure.

• Manage patients requiring invasive mechanical ventilation, including initiation, adjustment, monitoring, and liberation from ventilatory support.

• Apply evidence-based lung-protective ventilation strategies in patients with acute respiratory distress syndrome (ARDS).

• Assess and manage patients requiring non-invasive ventilation, high-flow nasal oxygen therapy, and other advanced respiratory support modalities.

• Perform advanced airway assessment and management, including endotracheal intubation where appropriately trained and credentialed.

• Recognise and manage difficult airway situations, coordinating appropriate specialist support when required.

• Diagnose and manage sepsis and septic shock in accordance with established evidence-based critical care protocols.

• Initiate and monitor appropriate fluid resuscitation, antimicrobial therapy, vasopressor support, and organ dysfunction management.

• Evaluate and manage different forms of circulatory shock, including septic, cardiogenic, hypovolaemic, and obstructive shock.

• Perform comprehensive haemodynamic assessment and monitor patients requiring advanced cardiovascular support.

• Interpret invasive and non-invasive haemodynamic monitoring, including arterial pressure monitoring and other relevant cardiovascular measurements.

• Initiate and titrate vasoactive medications, including vasopressors and inotropes, according to clinical indications.

• Diagnose and manage acute cardiac dysfunction, life-threatening arrhythmias, and cardiovascular complications in critically ill patients.

• Coordinate management of patients requiring advanced cardiac support in collaboration with cardiology and cardiac surgery teams.

• Assess patients requiring extracorporeal life support, including Extracorporeal Membrane Oxygenation (ECMO), and coordinate referral to specialised ECMO services when indicated.

• Participate in ECMO patient management where appropriately trained, credentialed, and supported by institutional resources.

• Diagnose and manage acute kidney injury, electrolyte disturbances, and acid-base abnormalities in critically ill patients.

• Assess patients requiring Continuous Renal Replacement Therapy (CRRT) or other renal replacement modalities.

• Initiate or coordinate renal replacement therapy and monitor treatment response in collaboration with nephrology teams.

• Diagnose and manage acute neurological deterioration, including seizures, altered consciousness, encephalopathy, and other neurological emergencies.

• Evaluate and manage critically ill patients following major trauma, emergency surgery, and complex postoperative procedures.

• Provide intensive care management for patients with severe infections, pneumonia, complicated intra-abdominal infections, and other life-threatening infectious conditions.

• Recognise and manage multi-organ dysfunction syndrome and coordinate appropriate organ support strategies.

• Perform and interpret bedside critical care assessments, including point-of-care ultrasound (POCUS) where appropriately trained.

• Utilise bedside ultrasound for focused cardiac assessment, lung evaluation, volume assessment, and procedural guidance.

• Perform or supervise central venous catheter insertion, arterial line placement, and other essential critical care procedures within approved clinical privileges.

• Assess and manage patients requiring emergency resuscitation, including cardiopulmonary resuscitation and advanced life support interventions.

• Lead multidisciplinary resuscitation efforts during cardiac arrest and other life-threatening emergencies.

• Manage sedation, analgesia, and delirium prevention strategies for critically ill patients.

• Assess and implement appropriate neuromuscular blockade when clinically indicated.

• Evaluate nutritional requirements and coordinate enteral or parenteral nutritional support with specialised teams.

• Implement evidence-based strategies to prevent ICU-acquired complications, including ventilator-associated events, catheter-related infections, pressure injuries, and venous thromboembolism.

• Apply infection prevention and antimicrobial stewardship principles in the management of critically ill patients.

• Monitor daily clinical progress, laboratory investigations, imaging findings, and organ support requirements.

• Conduct structured multidisciplinary ICU ward rounds and develop individualised daily treatment plans.

• Assess patient readiness for ventilator weaning, reduction of organ support, and transfer to lower-acuity care.

• Coordinate safe patient admission, transfer, discharge, and clinical handover between ICU and other hospital departments.

• Collaborate with emergency medicine, anaesthesia, surgery, pulmonology, cardiology, nephrology, infectious disease, and other specialist teams.

• Participate in multidisciplinary discussions regarding complex clinical cases, treatment escalation, and long-term prognosis.

• Communicate effectively with patients and families regarding critical illness, treatment options, expected outcomes, and goals of care.

• Support shared decision-making and appropriate end-of-life care planning in accordance with clinical ethics and applicable regulations.

• Provide senior clinical leadership and supervision to ICU physicians, residents, nurses, respiratory therapists, and other healthcare professionals.

• Ensure timely recognition of clinical deterioration and implementation of appropriate emergency interventions.

• Maintain accurate clinical documentation, including daily ICU progress notes, procedural records, organ support plans, and discharge summaries.

• Ensure compliance with hospital policies, critical care protocols, infection prevention standards, and patient safety requirements.

• Participate in ICU morbidity and mortality reviews, clinical audits, patient outcome monitoring, and quality improvement initiatives.

• Monitor ICU quality indicators, including infection rates, ventilation outcomes, length of stay, and other relevant clinical performance measures.

• Contribute to the development and implementation of ICU clinical pathways, resuscitation protocols, and critical care service improvement programmes.

• Provide clinical teaching, simulation training, and professional development support to junior physicians and multidisciplinary ICU teams.

• Stay updated with advances in intensive care medicine, mechanical ventilation, haemodynamic support, sepsis management, and evidence-based critical care practices.

Qualifications

• Recognised specialist qualification in Intensive Care Medicine, Critical Care Medicine, or an equivalent recognised medical specialty.

• Recognised Tier 1 specialist qualification, such as American Board certification, Canadian Royal College certification, UK CCT/CCST, or an equivalent recognised qualification.

• Completion of an accredited specialist training programme in an accepted base specialty, followed by recognised fellowship training or subspecialty certification in Intensive Care Medicine / Critical Care Medicine, or completion of a recognised direct intensive care training pathway.

• Minimum 5 years of post-specialisation experience, with substantial clinical experience in managing critically ill patients in a high-acuity ICU.

• Proven experience in managing acute respiratory failure, septic shock, cardiogenic shock, multi-organ dysfunction, and other life-threatening conditions.

• Demonstrated expertise in invasive and non-invasive mechanical ventilation, including management of patients with ARDS.

• Strong experience in advanced haemodynamic monitoring, vasopressor therapy, and management of circulatory shock.

• Comprehensive knowledge of sepsis management, infection prevention, and antimicrobial stewardship.

• Experience in managing patients requiring renal replacement therapy, including CRRT.

• Demonstrated competence in advanced airway management, central venous access, arterial cannulation, and other essential critical care procedures.

• Experience in bedside critical care ultrasound and interpretation of relevant diagnostic investigations.

• Strong understanding of sedation, analgesia, delirium management, and ICU-acquired complication prevention.

• Experience in managing complex postoperative, medical, and surgical intensive care patients.

• Familiarity with ECMO and other advanced extracorporeal support modalities is highly desirable, particularly for facilities providing specialised critical care services.

• Current Advanced Cardiovascular Life Support (ACLS) certification or equivalent recognised training, as required by the facility.

• Experience in multidisciplinary ICU leadership, clinical supervision, and critical care decision-making.

• Strong understanding of ICU quality indicators, patient safety standards, and evidence-based critical care protocols.

• Experience working in a tertiary hospital, high-acuity ICU, specialised critical care centre, or multidisciplinary healthcare facility.

• Familiarity with international intensive care guidelines, advanced organ support strategies, and critical care quality improvement practices.

• Eligibility for Consultant-level licensing with DHA, DOH, or MOHAP, as applicable to the position, together with appropriate institutional clinical privileges.

Required Skills

• Advanced clinical expertise in intensive care medicine and the management of critically ill patients.

• Strong competence in invasive mechanical ventilation, respiratory failure management, and lung-protective ventilation strategies.

• Comprehensive knowledge of sepsis, septic shock, cardiovascular instability, and multi-organ dysfunction.

• Expertise in haemodynamic assessment, vasopressor therapy, and advanced cardiovascular support.

• Proficiency in advanced airway management, emergency resuscitation, and essential critical care procedures.

• Strong understanding of CRRT, renal dysfunction, electrolyte disturbances, and acid-base management.

• Ability to interpret critical care imaging, laboratory investigations, and bedside ultrasound findings.

• Expertise in managing sedation, analgesia, delirium, and complications associated with prolonged critical illness.

• Strong diagnostic, analytical, and rapid clinical decision-making skills in high-pressure ICU environments.

• Ability to lead multidisciplinary ICU teams and coordinate complex organ support strategies.

• Excellent communication, leadership, and family counselling skills.

• Strong understanding of infection prevention, antimicrobial stewardship, and ICU patient safety.

• Ability to manage multiple critically ill patients while maintaining high standards of clinical care.

• Commitment to evidence-based intensive care medicine and continuous professional development.

• Ability to support ICU service development, clinical education, research, and quality improvement initiatives.

Compensation

An attractive tax-free package will be offered based on the candidate's qualifications, clinical expertise, intensive care experience, procedural competencies, leadership background, and the requirements of the healthcare facility.