Latest Articles in icu
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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...
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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...
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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...
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Liver support in the intensive care unit: mechanism of action and science
The idea of liver assist is extremely attractive for patients with liver failure, as the liver possesses huge capacity to regenerate. The hypothesis behind the use of extracorporeal liver assist is to enhance the regenerative environment by removing or replacing toxic molecules while the liver can regenerate. Extracorporeal liver assist devices are...
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Immediate-type hypersensitivity reactions in the ICU
For the ICU patient, correct and timely diagnosis of drug hypersensitivity is required to administer emergency epinephrine treatment, and retrospective allergological investigation is needed to identify the culprit drug and safe alternatives. For ICU departments, epidemiological data regarding the incidence of drug-induced immediate-type hypersensitivity...
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Results of antimicrobial stewardship programme implementation in multidisciplinary hospital
The interventional single-centre with historical control study was conducted in a 600-bed multidisciplinary hospital to evaluate 4 years’ results of an antimicrobial stewardship programme. We found a significant reduction in average duration of courses of antimicrobial therapy, length of stay of patients with infection in ICU, mortality in patients...
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Highlights from the I-I-I Blog
(I expert, I question, I answer) Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog or contact [email protected] Rana Awdish Director of the Pulmonary Hypertension Program, Henry Ford Hospital; Medical Director of Care Experience, Henry Ford Health System; Faculty member, Wayne State...
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Upcoming events/ courses/ congresses
JUNE 4-8 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...
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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...
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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...
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