Editorial
Triage
Author Jean-Louis Vincent Editor-in-Chief, ICU Management Head Department of Intensive Care Erasme Hospital / Free University of Brussels, Brussels, Belgium [email protected] Decision making is one of the most crucial and painstaking elements of our positions as healthcare providers. While choices made in the personal realm of our lives can influence our paths and those of our friends and families; those...
Management News
Reducing Blood Transfusions Improves Patient Safety and Cuts Costs, Study Finds
A Loyola University Hospital study has demonstrated how the hospital has improved patient safety and cut costs by reducing the number of blood transfusions. In 2009, the average amount of blood products transfused per patient at Loyola was 10 percent lower than it was in 2008, saving 453,355 US dollars. The average amount of blood products transfused dropped from 2.03 units per patient in 2008 to 1.82 un...
WHO Urges All Countries to Strengthen Health Financing so More People can Use Services
Governments worldwide are struggling to pay for healthcare. As populations get older, as more people suffer chronic diseases, and as new and more expensive treatments appear, health costs soar. Even in countries where health services have traditionally been accessible and affordable, financing mechanisms are increasingly stretched. In countries that depend heavily on people paying directly for services at...
Cover Story
Triage: An Important Part of The Response to Major Incidents
Author Amir Khorram-Manesh, MD, PhD Prehospital and Disaster , Medicine Centre Gothenburg, Sweden [email protected] Kristina Lennquist Montán, RN, PhD student Prehospital and Disaster , Medicine Centre Gothenburg, Sweden Sten Lennquist, MD, PhD Prehospital and Disaster , Medicine Centre Gothenburg, Sweden Per Örtenwall , MD, PhD Prehospital and Disast...
Accuracy of Field Triage of Trauma Patients
Authors Marius Rehn, PhD student Department of Research, Norwegian Air Ambulance Foundation Drøbak, Norway and Akershus University Hospital [email protected] Andreas Krüger, PhD student Department of Research Norwegian Air Ambulance Foundation, Drodak, Norway, and Department of Anaethesiology and Emergency Medicine, St. Olav University Hospital,Trondheim, Norway Hans Morten Lossius, Head of Research...
Ethics of Triage
Author Laura Hawryluck, MSc. (Bioethics) MD, FRCPC Associate Professor, Critical Care,University Health Network Toronto General Hospital Toronto, Ontario, Canada [email protected] In the past few years, the field of critical care has increasingly explored its role in disaster preparedness and its ability to respond to the needs of patients caught in a pandemic or those of mass casualties from natur...
Series
Conventional and Non Conventional Interfaces for Non Invasive Respiratory Support
Authors Paolo Pelosi, MD Department of Environmental Medicine, Health and Safety,University of Insubria Varese, Italy [email protected] Cesare Gregoretti, MD Department of Emergency and Intensive Care CTO-M. Adelaide Torino, Italy Giovanna Chidini and Edoardo Calderini Paediatric Intensive Care Unit,Department of Anaesthesia and Critical Care Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico M...
Usefulness of Biomarkers in the Clinical Decision Making Process in Sepsis
Authors Pedro Póvoa, MD, PhDCoordinator of the Polyvalent,Intensive Care Unit São Francisco Xavier Hospital, Centro Hospitalar de Lisboa Ocidental Professor of Medicine CEDOC, Faculty of Medical Sciences New University of Lisbon, Lisboa, Portugal [email protected] Luis Miguel Coelho, MD Polyvalent Intensive Care Unit São Francisco Xavier Hospital, Centro Hospitalar de Lisboa Ocidental Lisboa, P...
Matrix
Is Hospital Downsizing an Effective Way to Control Health Expenditure?
Authors Massimiliano Piacenza Department of Economics Public Finance “G. Prato”, School of Economics University of Torino [email protected] Gilberto Turati Department of Economic Public Finance “G. Prato” School of Economics University of Torino [email protected] Hospital downsizing is a phenomenon characterising almost all western economies in the last decades, fr...
Managing Clinical Communication for Patient Safety
Authors Sally Squire Lecturer Division of Nursing & Midwifery La Trobe University Wodonga, Victoria, Australia [email protected] Eileen Petrie, RN, PhD Lecturer Division of Nursing & Midwifery La Trobe University Wodonga, Victoria,Australia [email protected] Eileen Clark Clarks Clerks. Albury Australia [email protected] MaryEllen Mickle Lin...
Interview
Turkish Healthcare: Overview of the Health System
Author Burcu Özdeniz Office Manager EMC Consulting Group Brussels, Belgium [email protected] The healthcare system in Turkey has a highly complex structure. The Ministry of Health (MOH), universities and the private sector are the health service providers in the Turkish health system. History of Healthcare The Turkish MOH was initially established in 1920, and the foundations of t...
Intensive Care Medicine in Turkey
Author Arzu Topeli, MD Professor of Medicine Director of Medical Intensive Care Unit and Division of General Internal Medicine Hacettepe University Faculty of Medicine Ankara, Turkey [email protected] Intensive care medicine (ICM)is a relatively new speciality in Turkey. In 1959,the first reanimation service was established in Istanbul University Hospital. For several years anaesthesi...
Viewpoints
Challenges of Working in a 100-Bed Intensive Care Unit
Professor of Intensive Care Medicine at the University of Birmingham, Prof. Julian Bion also has an honorary consultant appointment with the University Hospital in Birmingham. He also has a number of high-profile national and international roles in the field of intensive care, including being an Editorial Board Member of ICU Management and is a former President of the European Society of Intensive Care Med...
Update
The New ERC Guidelines on Resuscitation
In October 2010, the European Resuscitation Council (ERC) launched the new European Guidelines for cardiopulmonary resuscitation, based on new scientific evidence published since the last revision five years ago. “Numerous studies on the effectiveness of resuscitation procedures have been reviewed for the new ERC Guidelines 2010, paying particular attention to convincing scientific evidence and simplif...