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Why You Should Always Debrief Your Resuscitations
Everyone who is active in resuscitation teams will admit: treating a patient in cardiac arrest is a challenge and often things will not go as you would like them to. This can lead to negative feelings when the resuscitation attempt has ended, either because the patient did not regain return of spontaneous circulation (ROSC) or the patient is transported...
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High Altitude Research and its Relevance to Critical Illness
Critical illness can be considered as the body’s failure to compensate for severe pathophysiological ‘stress’. The result is a vicious circle of damage that ultimately ends in organ failure, permanent harm and, unfortunately for many, death. Fortunately, the human body is remarkably resilient. It has the ability to tolerate changes to its internal...
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How to Run Successful Rounds in the Intensive Care Unit
Rounds in the intensive care unit (ICU) allow for scheduled discussions in which healthcare providers review clinical information and develop care plans for critically ill patients. Despite this straightforward concept, there is widespread variability in numerous components of rounds. While some of these differences are culturally rooted and, as such,...
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From Independent Attorney to Critically Ill Patient
How Acute Respiratory Distress Syndrome Changed My Life in a Split Second Life changed forever when Eileen Rubin was hospitalised with ARDS. After a slow recovery it was time to give something back, and Eileen went on to co-found the ARDS Foundation. “I can’t breathe. I think I’m dying.” Those were the words I gasped to my mother less than...
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Anaesthesiology Trainees: We Are Also Intensivists!
In 2014, a few trainees from opposite corners of Europe had the somewhat bizarre idea that all anaesthesiology trainees should be able to communicate on a common platform. What followed was an almost immediate endorsement of this plan by the European Society of Anaesthesiology (ESA) Board of Directors, which led to the first European-wide survey on...
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Standardised, Hospital-Wide Airway Trolleys
Inspired by the Difficult Airway Society Guidelines and the Vortex Cognitive Tool One of the main recommendations of the 4th National Audit Project of the UK Royal College of Anaesthetists and the Difficult Airway Society was that every intensive care unit (ICU) should have access to a difficult airway trolley, which should have the same content...
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Five Reasons Why Value-Based Healthcare is Beneficial
Patient-centered care is becoming a major topic in healthcare. Many initiatives have begun focusing their care around patients and their medical conditions. This requires focusing on patient value (Porter and Teisberg 2006). When focusing on value for patients, a few challenges may arise. Firstly, the meaning of value for patients varies widely among...
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Reaching the Heights of Respiratory Physiology
Professor John B. West is a renowned respiratory physiologist and researcher. He joined the faculty of the University of California San Diego in 1969, where he is Distinguished Professor of Medicine and Physiology in the School of Medicine, where he still teaches first-year medical students. He is author of Respiratory physiology - the essentials, which...
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Evidenced-based ICU Organisation: Interview with Professor Jeremy Kahn
Jeremy Kahn is Professor of Critical Care, Medicine and Health Policy in the University of Pittsburgh School of Medicine and Graduate School of Public Health. As a core faculty member in the CRISMA Center in the Department of Critical Care Medicine, he directs the CRISMA Program on Critical Care Health Policy & Management. His research focuses on...
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