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Tea trolley teaching: the what, why and benefits

'Bath tea trolley training’ as an innovative method for delivering multidisciplinary training in the workplace Prone position ventilation: a quality improvement project 'Bath tea trolley training' is a novel method of training that we have developed in Bath, UK over the past 3 years, and which we have used extremely successfully to provide multidisciplinary...
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Medical Imaging Convention 2018

The Medical Imaging Convention is the UK’s dedicated trade show for medical imaging professionals and senior management teams. Running on the 6th & 7th June at ExCeL, London, 1,500 visitors will attend from Europe’s largest and most influential hospitals, clinical commissioning groups, NHS trusts and government bodies. This is a free to attend and...
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How Healthcare Providers Can Help End the Over-Prescription of Opioids

More than 115 Americans die every day from opioid overdose, according to the National Vital Statistics System. Prescription painkillers are at the root of this epidemic, and healthcare providers can help make a dent in these alarmingly fatal statistics. Opioid prescription rates In the 90s, doctors began prescribing opioids...
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The potential of e-Health professions in the GCC region

Due to the immense need to increase efficiency and improve both service quality and patient safety, digital transformation of the healthcare system has become an imperative and not an option. In the Gulf Cooperation Council (GCC) region, overall demand for healthcare is anticipated by McKinsey to increase by 240 percent over the next 20 years. However, the...
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GDPR - better and stronger safeguards for personal data

The General Data Protection Regulation (GDPR) provides better and stronger safeguards for personal data. It will protect all EU citizens and their data. GDPR was implemented in April 2016 and will be enforced in all EU Member States by the end of May 2018. Fines for failure to comply can be as high as €20 million or 4 percent of global turnover....
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Innovative new approach to scan pricing offered by London Imaging Centre

When diagnostic imaging is needed for an accurate identification of a medical issue, London Imaging Centre offers affordable, accessible, and assured services – now with an innovative new approach to pricing. We keep an eye kept turned towards international developments in diagnostic imaging and healthcare as well as European practice, and are proud...
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What is the ICU Charts app?

Patient care within an intensive care unit (ICU) is challenging and can lead well-intentioned critical care physicians to neglect some of the fundamental aspects of daily care. Care of the critically ill patient is often punctuated with physiologic changes that require immediate attention. Given the frequency of emergent and urgent interventions, ICU...
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Should “empiric” antibiotic therapy be considered old-fashioned?

The Surviving Sepsis Campaign recommends starting empiric broad-spectrum antibiotics in the initial management of patients with severe sepsis and septic shock (Rhodes et al. 2017). As a consequence, many patients receive unnecessary antibiotics, exposing them to adverse events, while others might be undertreated in spite of broad-spectrum therapy...
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Bed Blocking and the role of STPs

The healthcare challenges created by an ageing population are well documented. But with the NHS coming under ever increasing pressure to address bed blocking that is acknowledged to affect service provision across every hospital, the problems associated with elderly patients – especially with so many living alone – is fast becoming a priority. Yet...
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iResuscitate App

Cardiac arrest is one of the major causes of death worldwide. It occurs either in hospital and out of hospital situations with a common variable in the decision making process: time. Each year, according to the AHA (American Heart Association) statistical report , more than 350,000 out-of-hospital cardiac arrests per year occur in the United States...
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How the opioid epidemic has impacted the healthcare system

More than 115 Americans die from opioid overdoses daily, according to data from the Centers for Disease Control and Prevention. The cost to deal with opioid drug abuse, including healthcare, lost productivity, criminal justice involvement and addiction treatment, has climbed to over $78 billion a year. To say this is a large problem would...
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3D Printing – Emerging As A Significant Technology in Healthcare

3D printing has been in use since the 1980s as additive manufacturing. However, this technology quickly gained popularity in the 2000s, when people finally began to realise its importance and what it can actually do for the betterment of the human species. From 3D-printed shoes to vehicles, additive manufacturing has mastered almost...
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Airway triage app

Airway management is of key importance to all critical care providers and their patients. Unanticipated difficulties during airway management can lead to severe complications or death. However, prediction of difficulties with upper airway access is challenging. Until now the accuracy to predict a “difficult airway” with the current methods or classification...
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Top robotic applications in medicine

The medical robotics market is expected to grow to $20 billion by the end of 2023. Rehabilitative and surgery robotics have gained an immense popularity in the recent few years. On the other hand, there are companies that have successfully managed to bring robotics to medication and pharma management, bring paralysed patients to walk again with...
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Trash to treasure: memories from the ICU

A striking mural that hangs at Toronto General Hospital of the University Health Network has an interesting story behind it, which Tilda Shalof explains. The more than 10,000 tabs, lids, pins, stoppers, pipettes, syringes, levers, screws and connectors that make up this mural all were used to deliver patient care. After their one-off purpose, these...
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When a patient dies, take a pause

A young woman is brought to the emergency room after being hit by a sports utility vehicle. After 45 minutes of resuscitation, she is pronounced dead. Jonathan Bartels, RN, recalled the case and the vacancy he felt afterwards . It prompted him to develop "The Pause"—taking a few moments after the patient has died, to acknowledge their passing and the...
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A glimpse into the life of an ICU nurse - 1 - Mr. Stevens

We received a MET call (Medical Emergency Team) from the general ward to immediately come and assist. The patient's name was Mr. 'Stevens'. He was 81 and was in our hospital due to severe exacerbations of chronic obstructive pulmonary disease (COPD). He was in acute respiratory distress and had low blood pressure. There was no time to discuss whether...
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Changing the culture of medicine - one conversation at a time

Lessons from a doctor turned patient What prompted you to write your memoir In Shock? I realised that as a physician in my own institution I was, at least in theory, an empowered minority. I was someone who had a voice, some measure of authority and personal agency. Yet, as a patient, I didn’t feel at all empowered to be vocal about my needs or...
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Time goes by and antibiotics linger on

As I usually do when I'm writing, first I'll throw a random fact--not so random--with a slight relation with our subject. The thing is, I lack good metaphors. Some time ago I stumbled on a fantastic article by Holloway discussing a new approach to treating multi-drug-resistant tuberculosis . The climax is: in Switzerland, England and New York, tuberculosis-related...
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How can we improve gender parity in critical care medicine?

I think what is important is to have the leaders proactively thinking about the gender issue. Examples? Faculty members need to be inclusive and to mentor young women and to include them in their plans, creating the conditions to allow their participation in committees and boards preparing the next generation of leaders. Journals need to include women...
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