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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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

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... Read more

Over the last twenty years, Africa’s population has increased by 2.5% per year and by 2050, the population is expected to rise to about 2.4 billion, with some of the countries doubling or even tripling their numbers; making Africa the region with the largest population growth. This places the continent in a favourable position with a large proportion... Read more

Expanding leadership based on clinical evidence  In early September, Hologic launched the new 3Dimensions™ mammography system , a breast tomosynthesis system with the fastest and highest resolution, in EMEA. I recently had the pleasure of showcasing this cutting-edge device at the European Society of Breast Imaging (EUSOBI) Annual Scientific Meeting,... Read more

Prof. Maged N. Kamel Boulos introduces his Keynote talk at the 4th EAI International Conference on IoT Technologies for HealthCare, Angers, France, October 24, 2017.    The Internet of Things (IoT) is made of sensors and other components that connect our version of the world made of atoms (i.e., us humans, our devices, vehicles, roads, buildings,... Read more

SYNAPSE-ICU  An international prospective observational StudY on iNtrAcranial PreSsurE in intensive care (ICU) , endorsed by the European Society of Intensive Care Medicine (ESICM), is now enrolling participant centres.   What is Synapse-ICU? Intracranial pressure (ICP) monitoring is the most common neuromonitoring modality used in neurocritical... Read more

Gradually, computerised health data is being implemented in hospitals or in doctor communities.   Computerisation radically changes accessibility moving away from the comfort zone linked to paper and creating a new space for information systems.   It thus reaches a New World literally and figuratively. One could compare the data ‘revolution’... Read more

Beside the new European Medical Device Regulation (MDR), there is another major regulatory challenge for the current medical device industry - the Medical Device Single Audit Program (MDSAP). MDR came into force in early 2017, whereas MDSAP will become mandatory for all manufacturers who want to sell their medical devices in Canada in 2019 and... Read more

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