• Health Information Technology Evaluation: Reimagining Evidence in the Age of Machine Learning & LLMs

    In today’s rapidly evolving digital era, health information technologies give enormous opportunity and promise to transform patient care. To unlock their full potential, these innovations must be tested with the same scientific rigour as life-saving drugs and devices. This article invites readers to rethink how we evaluate new technologies in he1

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  • Short-Term Capacity Planning in an Intensive Care Unit: Web-Based Prediction Model and Pilot Study

    ICU occupancy varies and cannot be scheduled. To tailor nurse staffing to variable ICU occupancy would potentially decrease both under- and over-staffing. We developed a simple web-based interface for short-term prediction of occupancy and, in a pilot study, compared predicted and observed occupancy.   Introduction The capacity of i1

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  • Biomarkers and Point-of-Care Innovation in the Emergency Department

      Biomarkers are essential tools in the emergency department for improving early detection, risk stratification, and patient management. This article reviews challenges in biomarker integration, the diagnostic and prognostic value of pancreatic stone protein (PSP), and the role of point-of-care solutions such as the abioSCOPE® in advancing pe1

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  • Redefining Rate Control Strategy With Landiolol: Manage the Rhythm Without Compromising the System

    Landiolol, an ultra-short-acting and highly β1-selective intravenous β-blocker, addresses the need for rapid and controllable arrhythmia suppression while maintaining cardiovascular stability. Recently approved in the United States and already in use in Europe, landiolol combines rapid onset and offset with a favourable haemodynamic profile. 1

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  • Humanising the ICU Through Thoughtful Design

    As advanced technology increasingly plays a role in monitoring critical biometrics and assessing care, sometimes in favour of personalised interventions, machines can overshadow the patients they are meant to support. Individuals arriving in the ICU often lose their choice, control, and ability to communicate. This paper explores ways to humanis1

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  • ABCDEF-MT: Music Therapy and ICU Liberation

    Music therapy’s (MT) integration into the ICU liberation bundle is underexplored. We highlight existing literature, present vignettes illustrating MT in action, and offer recommendations to optimise ICU MT across the lifespan.   Introduction The Intensive Care Unit (ICU) Liberation Bundle (A-F) is a comprehensive set of evidence-base1

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  • Status Asthmaticus: The Art of Ventilating

    Recognising the mechanisms of air trapping that cause status asthmaticus can help optimise the setting of invasive mechanical ventilation. This article provides an academic visual summary to facilitate understanding.   Introduction Status asthmaticus can be life-threatening. Invasive mechanical ventilation is one of the therapeutic ac1

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  • Making Paediatric and Neonatal Transport Safer

    A five-dimensioned quality management plan has been developed to make the paediatric and neonatal transport safer in a family-centred care model. The goal is to move towards excellence in care.   Introduction The Emergency Medical System (known in Spanish as the Sistema de Emergencias Médicas, SEM) is part of CatSalut, the Catalan Hea1

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  • Vasopressin in Septic Shock: New Insights on Timely Addition to Norepinephrine

    Early vasopressin initiation in septic shock may improve outcomes beyond the current practice of waiting for higher norepinephrine doses. Recent studies suggest starting AVP earlier can reduce shock duration and hospital mortality. Despite AVP often being started late, a proactive, protocol-driven approach that considers Nor dose, duration, and 1

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  • Pancreatic Stone Protein: A Novel Biomarker for Sepsis Management in Critical Care

    Sepsis remains a leading cause of morbidity and mortality in intensive care units (ICUs), exacerbated by delays in diagnosis and inadequate risk stratification. Despite advances in critical care, conventional biomarkers like procalcitonin (PCT) and C-reactive protein (CRP) often fail to provide timely or specific detection. Pancreatic Stone Prot1

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