Editorial

“The function of education is to teach one to think intensively and to think critically” Martin Luther King Worldwide there is still much variation in type and duration of intensive care medicine training programmes (Amin et al. 2016). What is clear is that training programmes need to cover the ‘basics’ as well as adapt to accommodate new skills, such as pointof- care ultrasound. Education and tr...

News

Francesca Rubulotta, Editorial Board

ICU Management and Practice Editor-in-Chief, Prof. Jean-Louis Vincent is delighted to announce that Dr. Francesca Rubulotta has joined the Editorial Board. Dr. Rubulotta is Consultant and Honorary Senior Lecturer, Anaesthesia and Intensive Care Medicine at Imperial College, Charing Cross and St Mary’s Hospital, NHS Trust London, UK. She qualified as MD at the University of Catania, Italy and trained in a...

ICU, weekend effect, mortality

The risk of dying in the intensive care unit (ICU) is higher for patients admitted at the weekend compared to those admitted on a weekday, according to a retrospective study of registry data from Austria published in Critical Care (Zajic et al. 2017). However, the risk of dying in the ICU on a weekend was found to be lower than on a weekday, highlighting the complexity of the so-called 'weekend effect’....

AKI, mortality, LOS

A clinical decision support system (CDSS) that monitors blood creatinine levels in hospitalised patients to alert physicians to potential acute kidney injury (AKI) was associated with a small but significant reduction in mortality and hospital length of stay (LOS), according to research from the University of Pittsburgh and UPMC published in the Journal of the American Society of Nephrology. The benefi...

Cover Story : Education

education, critical care, intensive care

Frequently, formal education sessions crafted for medical professionals fall short in their ability to advance the competency of providers. There is a better way! It involves utilising knowledge from the adult education world and applying it to our critical care domain. A move to active teaching and learning strategies improves outcomes from the education. Sequential exposure to information is also useful....

CoBaTrICE, Education, Competencies, Intensive care, ESICM

The COmpetency-BAsed Training programme in Intensive Care for Europe and other world regions (CoBaTrICE) The COmpetency-BAsedTraining programme in Intensive Care Medicine (CoBaTrICE) has been the European Society of Intensive Care Medicine (ESICM)’s vision to achieve a unified and harmonised model of training doctors caring for critically ill patients and their families around the world. Harmonisation...

education, BASIC, ICU

This article highlights the key current challenges of intensive care training and education. We share our experience of utilising modern educational techniques through the BASIC Collaboration to facilitate global critical care training. Critical care is a young and rapidly expanding specialty. This brings particular challenges in training staff. Survey data demonstrate that many medical schools do not te...

communication, ICU, palliative care, education

Palliative care for critically ill patients in the intensive care unit is increasingly in the mainstream, and palliative care principles are vital to ensure comprehensive patient care. ICU Management & Practice spoke to Caroline J. Hurd, MD, Director of Education Operations at UW Cambia Palliative Care Center of Excellence, about the purpose of palliative care education and ways to include the interprof...

Twitter, education, students, #FOAMEd, social media

This article describes the nature of FOAM (Free Open-Access Medical education), its strengths and weaknesses, and how it can be used effectively by critical care clinicians, educators, and students. “…and to teach them this art — if they desire to learn it — without fee and covenant.”— excerpt from the Hippocratic Oath FOAM, or ‘Free Open-Access Medical education’, is not just social...

elearning, physiotherapy, ICU, undergraduate, European School of Physiotherapy

Preparing undergraduate students for the complex and daunting environment of the intensive care unit (ICU) is difficult for most undergraduate programmes. The European School of Physiotherapy, Amsterdam University of Applied Sciences, offers an international undergraduate programme for students preparing to work anywhere in the world. To prepare these students for ICU, the ICU course includes, besides a...

simulation, psychology, teams, crew resource management

First developed in aviation, CRM education facilitates prevention of accidents in medicine. Beyond the improvement of technical skills, the simulation can provide to learners the capacity to work with other team members, to pay attention to the work environment and to manage physiological or psychological constraints in critical situations. Intensive care and emergency medicine are high risk departmen...

Point-of-View

Sepsis

Implementation of a sepsis code, Código Sepsis, in October 2015 at the Vall d’Hebron University Hospital in Barcelona has led to better detection and a significant reduction in mortality. The hospital is the largest in Barcelona, with more than 1,100 beds and 7,000 employees. The objectives of Código Sepsis are to increase suspicion of sepsis and septic shock, improve the early administration of initia...

Matrix

molecular testing, respiratory tract, infections

This article provides an overview of the recent advances in molecular testing for patients with suspected respiratory tract infection. Respiratory tract infections are common reasons for admission to intensive care units. For decades conventional culture techniques were the gold standard for establishing the aetiology of the respiratory tract infection. Data generated by these techniques had led to t...

Management Matters

nurse practitioners, ICU, family, teams, communication, care coordination

As the demands of critical care medicine increase one viable option to meet needs is the addition of a nurse practitioner to the traditional structure of the critical care team. The purpose of this article is to convey our positive experience of physician and nurse practitioner integration into the critical care setting. Critical care medicine remains a relatively young field, but remarkable strides...

purchasing, medical supplies, purchasing portfolio, ICU

This design study aims to develop a purchasing portfolio for a university hospital intensive care centre that enables the user to make strategic decisions about how to allocate scarce resources wisely across different purchase categories. There is a growing interest in the way hospitals purchase their (medical) products because of increasing health system costs (Van Raaij 2016). The cost of medical s...

sepsis, AKI, acute kidney injury, NHS Wales, behaviour change, safety

In 2016 NHS Wales received the Global Sepsis Award, recognising the work throughout the healthcare system on improving identification and treatment of sepsis, which has coincided with an apparent reduction in mortality and ICU admissions for patients with two International Statistical Classification of Diseases and Related Health Problems (ICD-10) sepsis codes. The main vehicle for change has been parti...

early mobilisation, ICU, physiotherapists, teams, communication, rehabilitation, safety

Early mobility has been shown to be both safe and feasible within critical care populations. When introduced, early mobilisation programmes are associated with an improvement in short-term outcomes and long-term recovery in critical care patients. Despite this, point prevalence surveys have shown rehabilitation levels remain low, and as such an increased focus has been placed on barriers to implementatio...

traumatic brain injury, process indicators, quality improvement

To assess whether intracranial pressure (ICP) management in severe traumatic brain injury patients is being applied according to our institutional protocol we developed a process indicator aimed at improving quality of care. Traumatic brain injury (TBI) is a leading cause of morbidity and mortality throughout the world. The initial management of primary brain injury may include prompt surgical decomp...

Interview

sepsis, Brazil, quality improvement, BRICnet

Flávia Machado is Professor of Intensive Care and Head of the Intensive Care Section of the Anesthesiology, Pain and Intensive Care Department at the Federal University of São Paulo in São Paulo, Brazil. She is one of the founders of the Latin America Sepsis Institute (LASI), which is devoted to quality improvement process in Brazilian hospitals as well as to the coordination of multicentre studies in t...

Maxime Cannesson, MD, PhD, is Professor of Anesthesiology and Vice Chair for Perioperative Medicine at UCLA. He is the Technology, Computing, and Simulation section editor for Anesthesia & Analgesia. His research interests focus on new technologies applied to anaesthesia and the intensive care unit. Do we really need to go wireless in the hospital and specifically in the perioperative setting? Intuitive...

Agenda

Agenda - listing of upcoming intensive care, critical care, emergency medicine and anaesthesiology congresses, conferences and workshops, USA, Europe and worldwide

For a full listing of events see https://iii.hm/aly NOVEMBER 23-25 6th International Fluid Academy Congress 2017 Antwerp, Belgiumhttps://iii.hm/d8w 28-30 ATHENA 2017 International Conference Athens, Greece https://iii.hm/d8x DECEMBER 4-6 Intensive Care Society State of the Art Meeting 2017 Liverpool, UK https://iii.hm/d8y 6-8 DIVI-Kongress 2017 Leipzig, Germany https://iii.hm/d8z 6-8 23rd Postgrad...

Subject Index for Volume 17, issues 1-4, 2017. Issue Pages Short URL Issue 1 1-64 https://iii.hm/96c Issue 2 65-128 https://iii.hm/axf Issue 3 129-200 https://iii.hm/dee Issue 4 201-264 https://iii.hm/fb5 A B C D E-F G H I-L M N O P Q R S T U V-Z See Also: Author Index 2017 Acute kidney injury Flechet M, Meyfroidt G. The AKIpredictor: an online calculator to predict acute kid...

By letter: A B C D E F G H-I JK L M N O P-Q R S T-U V WX YZ Issue PagesShort URLIssue 1 1-64 https://iii.hm/96c Issue 2 65-128 https://iii.hm/axf Issue 3 129-200 https://iii.hm/dee Issue 4 201-264 https://iii.hm/fb5 See Also: Subject Index 2017 Author Page Short URL Abaziou, Timothée 34 https://iii.hm/8xb Abroug, Fekri 125 https://iii.hm/axd Alldridge, Ruth 140 https://iii.hm/ddt A...



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