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Ultrasound Guides the Way in Stuttgart
CLEARLY SEE WHAT TO EXPECT DURING AN OPERATION Dr Konstantin Feise, a dermatologist and phlebologist working in aesthetic medicine, provides sclerotherapy, catheter-based laser surgery and diagnostic investigations on venous systems, for patients in and around Stuttgart, Germany. He uses point-of-care ultrasound to help get a firm picture of...
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Critical Care Medicine in Sri Lanka
An Evolving Specialty Sri Lanka is steadily progressing to establish critical care medicine as a separate specialty with fully trained intensivists and nurses playing pivotal roles, as in the developed world. Most general and teaching hospitals of the country already have fully equipped intensive care units. Establishment of an intermediate level...
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Podcasting
The Story Behind Critical Care Practitioner Podcasts are audio files made available regularly to occasional listeners or subscribers (usually a free subscription). The ‘pod’ in the name comes from iPod, and although that device is no longer manufactured, podcasting goes from strength to strength. Listening to a podcast is as simple as clicking a...
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Resource Allocation in Healthcare: Have We Misjudged Societal Values?
Equitable Healthcare With increased emphasis on financial constraint in healthcare, resource allocation discussions are heard more commonly in clinical departments. As agents of the patient, clinicians are faced with struggles to ensure that individual patients can receive costly treatments, despite growing demands for healthcare throughout society....
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Editorial: Safety
The publication of the landmark Institute of Medicine report To Err is Human shocked with its estimate that as many as 98,000 people die in U.S hospitals each year due to medical errors (Kohn et al. 2000). Has patient safety improved since the report’s publication? Perhaps not as much as anticipated. A recent paper estimates that medical error is...
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Caregivers of ICU Survivors at High Risk of Depression
A Canadian study has found that caregivers of ICU survivors experience symptoms of depression up to 1 year after their relative is discharged (Cameron et al. 2016). Factors associated with worse mental health symptoms included younger age and less social support and sense of control over life. Older caregivers caring for a spouse, with a higher...
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Persistent Critical Illness
A study of over 1 million ICU patients has found that just 5 percent of patients account for 33 percent of ICU bed days. The researchers, led by Theodore Iwashyna, MD, Associate Professor of Internal Medicine at the University of Michigan (U-M) Health System and a member of the VA Center for Clinical Management Research and the U-M Institute for Healthcare...
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Dedicated Resuscitation Unit Improves Transfer Times
A critical care resuscitation unit (CCRU) at the University of Maryland Medical Center (UMMC) has significantly improved transfer times for non-trauma critically ill patients, according to a recent study (Scalea et al. 2016). In its first full year of operation, for the subset of adult patients admitted for critical care, transfers increased...
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Clostridium Difficile
A Public Health Threat That Should Be Routinely Included Within Care Quality and Patient Safety Programmes This paper provides an overview of the evidence confirming that CDI independently increases mortality risk in hospitalised patients, and argues for system-wide implementation of specific actions, including care bundles for management (not...
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