• Canadian Researchers at the End of Life Network (CARENET)

    Interview with Professor Daren Heyland The Canadian Researchers at the End of Life Network (CARENET) , directed by Professor Daren Heyland, brings together health professionals from across Canada. The network aims to understand and improve palliative and end-of-life (EOL) care through improving communication and decision making between patients,...

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  • a Canadian Critical Care Knowledge Translation Network (aC3KTion Net)

    A Quality Improvement Initiative The Canadian Institutes of Health Research (CIHR) defines knowledge translation (KT) as:“a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically-sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen...

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  • Acute Brain Dysfunction During Critical Illness

    Delirium (acute brain dysfunction) can be a complication of critical illness. Brain organ dysfunction can manifest as a continuum of psychomotor behaviors that are categorised as hyperactive or hypoactive. Delirium can be diagnosed using validated and reliable bedside tools. Implementation of delirium monitoring can be enhanced by scheduled...

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  • Multimodality Neuromonitoring in Critically Ill Patients

    Without Primary Acute Brain Injury This review focuses on the current experience with clinically available neuromonitoring techniques in critically ill patients at risk for neurological compromise, but without overt acute brain injury (ABI). The field of neuromonitoring has grown rapidly over the past 30 years, which has helped improve pathophysiological...

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  • Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Infection

    The ICU Response Infection with the Middle East respiratory syndrome coronavirus (MERS-CoV) , a recently identified virus, has led to several hundred cases of severe acute respiratory illness requiring admission to the ICU (Saad et al. 2014; Arabi et al. 2014). As of 4 December 2015, the World Health Organization (WHO) reported 1,621 laboratory-confirmed...

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  • Emergency Medicine in Switzerland

    Switzerland is a country of 8.2 million inhabitants, who mostly live outside one of the six major cities: Zurich (384,786 inhabitants), Geneva (191,557), Basel (174,491), Lausanne (132,626), Berne (128,848) and Winterthur (105,676) (Bundesamt für Statistik 2015). Switzerland is composed of 26 cantons that enjoy a great deal of independence from the federation....

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  • Blast Injury

    What to Expect in Civilian vs. Military Contexts Civilian blast injuries are not rare, but most are not due to military explosives, meaning extrapolation from military texts is often inappropriate. In civilian mass casualty events, emergency departments will see large patient numbers, but few require surgery or intensive care. Survivors of small...

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  • Fluid Choices in Trauma

    This article focuses on the type of fluid available and respective indications in the course of trauma resuscitation according to the situation: haemorrhagic shock, trauma brain injury. In trauma patients, fluid resuscitation aims at preventing a cardiac arrest due to severe hypovolaemia and at achieving a satisfying level of mean arterial pressure...

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  • Emergency Medicine & Trauma

    Providing seamless emergency care is the ideal for those of us who work in emergency medicine and intensive care. In the past, intensive care units were a closed part of the hospital, and admission was strictly controlled. This idea is obsolete now. It is heartening that we are providing more integrated care between emergency and intensive care. Intensivists...

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  • Rapid Pathogen Testing With PCR/ESI-MS In Practice

    Kristoffer Strålin, MD, PhD , is Associate Professor and Senior Consultant at the Department of Infectious Diseases, Karolinska Institute, Stockholm, Sweden. Karolinska Institute is a world renowned medical university, which has the mission of improving people’s health through research and education. Together with Karolinska University Hospital,...

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