Issues

Volume 18 - Issue 2, 2018

Fri, 1 Jun 2018

Volume 18 - Issue 2, 2018

In this Issue

  • Table of contents
  • Editorial Board
  • Download pdf (print optimised)
  • Download pdf (screen optimised)

Editorial

  • Pre-ICU

    What happens before patients arrive in the ICU? We know that status pre-ICU is associated with outcomes after patients leave the ICU. We also know that we want patients to come to the ICU only if it is needed. This ties in to having an adequate emergency medicine system and innovative techniques in trauma as well as monitoring hospital patients at risk of clinical deterioration. Our cover story on pre-ICU...

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Cover Story

  • Rapid response teams

    This article reviews the RRT system concept and provides an update on the current state of such systems, their challenges, their performance, the evidence supporting their usefulness and their evolution. Rapid Response Teams (RRTs) are the key components of Rapid Response Systems. RRT-based rescue systems were developed in response to evidence that many deteriorating hospital patients experienced “fail...

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  • Is pre-hospital coagulation management in trauma feasible?

    Coagulation management remains a formidable challenge in severely bleeding trauma patients. A strong rationale suggests starting treatment of trauma-induced coagulopathy in the pre-hospital phase. The burden of trauma is increasing worldwide, particularly in less well-resourced nations. There are an estimated 5 million deaths per year, more than TB, malaria and HIV combined. Trauma particularly affects yo...

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  • Pre-ICU health organisation in Norway

    Presents the main principles of the Norwegian acute healthcare system. Norway is a rather small country with a population of about 5.3 million. More than half of these inhabitants are located in and around the larger cities, with about a million in the capital region of Oslo. Hence, significant parts of the country are rural, with fjords and high mountains, combined with winter darkness and harsh weather...

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  • Emergency pre-hospital care challenges: Greece

    The ongoing economic crisis in Greece and inflow of refugees has led to changes to the pre-hospital emergency medicine services. Greece is a country of 10.1 million inhabitants, half of whom live in six cities: Athens, Thessaloniki, Heraklion, Patra, Larissa and Ioannina. In recent years the country drew media attention because of the financial crisis and the inflow of refugees, which often pushed state s...

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Point-of-View

Matrix

Management

Interview

  • Emirates Critical Care conference: where east meets west

    Professor Hussain Al Rahma is Head of the Emergency and Critical Care Services Directorate at Al Zahra Hospital in Dubai, UAE. He is Chairman of the Emirates Critical Care Conference, President of the International Pan-Arab Critical Care Medicine Society and President of the Emirates Intensive Care Society. Dr. Al Rahma studied medicine at King Edward Medical Centre in Lahore, Pakistan and completed the Ger...

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Country Focus

  • Distributing a life source in Africa

    Lifebank has developed crucial infrastructure in Nigeria, enabling the efficient transportation and storage of blood, saving thousands of lives. HealthManagement editor Marianna Keen spoke to CEO and founder Temie Giwa-Tubosun about her journey. To what degree has the blood shortage in Nigeria been tackled so far, due to the work of LifeBank?It’s a very small degree to be perfectly honest. It’s such...

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News

  • Lighter emergency breathing tubes associated with higher survival after OHCA

    When paramedics used a new, more flexible laryngeal breathing tube to give oxygen to patients who had had an out-of-hospital cardiac arrest, these patients survived longer than patients who received oxygen via the traditional endotracheal tube, according to the results of a large randomised controlled trial conducted in the USA. The results from the Pragmatic Airway Resus...

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  • Bioengineering approach to artificial tracheas

    A new paper reports an approach to growing tracheas by coaxing cells to form three distinct tissue types after assembling them into a tube structure. The research, led by Eben Alsberg, professor in Biomedical Engineering and Orthopaedic Surgery and director of the Alsberg Stem Cell & Engineered Novel Therapeutics (ASCENT) Lab at Case Western Reserve University, is published in Advanced Science (Dik...

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  • Study: Aortic grafts are feasible to rebuild windpipe and airway

    A French study of patients with lung cancer or end-stage tracheal lesions has successfully used cryopreserved human aortic grafts to rebuild the windpipe and airway sections removed because of disease. The study is published in JAMA, to concide with its presentation at the American Thoracic Society 2018 conference. The study, Airway and/or Pulmonary Vessels Transplantation (TRACHBRONCAR) [clinicaltrial...

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  • Study: Air pollution associated with ARDS hospitalisation in over 65s

    A comparison of hospital admissions of patients over 65 and air pollution in the USA has found an association between exposure to pollutants and admission for acute respiratory distress syndrome (ARDS). The study was presented at the annual meeting of the American Thoracic Society. The researchers analysed data by zip code from nearly 30 million Medicare patients (65 years and over) discharged from hos...

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  • European Society of Intensive Care Medicine Diversity Task Force

    In March the European Society of Intensive Care Medicine (ESICM) (esicm.org) announced its Diversity Task Force (pictured), which will draft a policy paper and code of conduct related to gender, gender identity, age, sexual orientation, race, culture, socioeconomic status and multi professionalism. ESICM is the first major international medical society to publicly announce the formation of such a group....

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  • Addressing the gender gap in critical care

    A “persistent and pervasive” gender gap in academic critical care medicine is highlighted in a recent article in Critical Care Medicine by Geeta Mehta, MD, of the Department of Medicine and Interdepartmental Division of Critical Care Medicine, Sinai Health System, University of Toronto, Canada and colleagues from Canada and the UK (Mehta et al. 2018). The paper is the latest in a number of reports that...

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  • Have you answered these surveys on intensive care medicine?

    Three surveys seeking information from ICUs around the world are currently open for data collection. ICU inter-professional rounding practices This online survey, supported by the World Federation of Societies of Intensive and Critical Care Medicine, is led by Dr. Andre Amaral, Sunnybrook Research Institute, Toronto, Canada. It is open to intensivists, trainees and ICU nurses. The purpose of the st...

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I-I-I Blog

  • Highlights from the I-I-I Blog

    Visit https://healthmanagement.org/c/icu/list/blog or contact [email protected] Rana AwdishDirector of the Pulmonary Hypertension Program, Henry Ford Hospital; Medical Director of Care Experience, Henry Ford Health System; Faculty member, Wayne State University School of Medicine, Detroit, USA; Author of In Shock Changing the culture of medicine -one conversation at a time“As a physician...

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Agenda

  • Upcoming events/ courses/ congresses

    JUNE4-8 NeuroIntensive Care: Update 2018 Como, Italy https://iii.hm/jxj 8-11 41st Annual Conference on Shock Coronado, USA https://iii.hm/jxk 9-13 9th World Congress of the World Federation of Pediatric Intensive and Critical Care Societies Singapore https://iii.hm/jxl 10-12 The Future of Critical Care - Brainstorming Meeting Edinburgh, UK https://iii.hm/jxm 12-15 36th Vicenza Course on AKI &...

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