Intensive care units (ICUs) around the globe are facing a workforce crisis. Shortages of skilled nurses, physicians, and other healthcare professionals have increased due to the cumulative effects of the COVID-19 pandemic, patient complexity, and increased burnout. The result is a fragile system in which both patient safety and staff wellbeing are1
READ MORECritical care delivery is grounded in and sustained by a highly specialised, multidisciplinary team of clinicians. However, workforce shortages can have considerable impact on quality of care and patient outcomes. Insufficient staffing resources can occur for many reasons such as burnout, ageing personnel and workforce maldistribution. This arti1
READ MOREBurnout is a daily issue that particularly affects the operating room. Improvement in organisation and communication could create a more positive work environment in the operating room. Burnout: A Daily Issue Burnout is a current public health problem whose prevalence varies between countries. Among healthcare professionals, t1
READ MOREWorkforce shortages and employee retention present major challenges to medical institutions. Contributors to ICU nurse job satisfaction include opportunities for continuing education/personal growth, positive interprofessional team dynamics, and a safe learning environment. We will evaluate how participation in a longitudinal interprofessional s1
READ MOREIntensive care units and emergency departments necessitate highly skilled physicians with expertise in managing critically ill patients. In Brazil, medical management firms provide hospitals the opportunity to outsource their medical personnel in critical sectors. Although this appears to be a convenient and pragmatic answer, it presents numerou1
READ MOREA shortage of trained staff can compromise the cognitive environment in clinical care. Effective training should prioritise physiological reasoning, supported by robust clinical evidence. While technology can enhance decision-making, it should not replace clinical judgement. Complex concepts, such as left ventricular systolic function, require m1
READ MOREThis article discusses the implementation of a telemedicine model in Brazilian public PICUs to address specialist shortages. Observations from a three-year project suggest that synchronous telerounds and integrated education may support care standardisation and clinical improvements. This collaborative framework between public and private sector1
READ MORERehabilitation in Guillain–Barré syndrome should start early and continue across all phases of care. Individualised, multimodal programmes including respiratory therapy, mobilisation, strengthening, and fatigue management improve functional recovery, independence, and quality of life, despite limited high-quality evidence. Introductio1
READ MOREThe 2026 Surviving Sepsis Campaign guidelines emphasise individualised, physiology-driven management with earlier vasopressor use. Fluid resuscitation is guided by dynamic assessment rather than fixed volumes. Norepinephrine remains first-line, with vasopressin as an adjunct to reduce catecholamine exposure. Overall, care is shifting toward a mo1
READ MOREPancreatic stone protein (PSP) is an emerging biomarker that enables early detection of sepsis, often rising before clinical signs of organ dysfunction appear. PSP demonstrates diagnostic accuracy and consistent performance across patient subgroups, with higher levels strongly associated with sepsis. Its rapid point-of-care measurement allows ti1
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