Latest Articles in icu
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Early Sepsis Management
Sepsis is a recognised clinical spectrum of infection that often results in catastrophic physiologic and metabolic abnormalities. This article aims to identify the derangements associated with sepsis and to review the evidence-based literature. The tenets of early sepsis management include diagnosis, risk stratification (elevated serum lactate or hypotension),...
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Why is Drug Traceability Important in a Hospital?
Implementation at Hospital Alemán in Argentina The acute condition of hospital patients and the use of higher risk medication increases the consequences that counterfeit and illegitimate pharmaceutical products can have on them. Delivering the right and genuine product to the right patient is crucial. In our globalised economy, the risks of harming...
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Rapid Pathogen Testing With PCR/ESI-MS
The RADICAL multicentre observational study was performed to compare PCR/ESI-MS to standard microbiology in critically ill patients. Dr. David Brealey, Consultant Intensivist at University College Hospital, London, was one of the investigators in the UK arm of this trial, and explains more about the challenges of diagnosing infections in the...
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Moving from “Learning by Doing” to Simulation
The Educational Challenge in Anaesthesia and Intensive Care Historically, medical education has focused on the autonomy of healthcare providers, who are expected to take care for a patient on their own. Consequently, issues related to teamwork, multidisciplinary and multi-professional interactions have not been explicitly and formally included in...
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Communicating About Difficult Medical Decisions
The Most Dangerous Procedure in the Hospital? Communication is central to the human experience of illness, and therefore central to medical decision-making. Being an expert clinician now means being a skilled communicator. Fortunately, communication skills can be learnt, mastered and measured. Communication Matters Communication is increasingly recognised...
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World Federation of Societies of Intensive and Critical Care Medicine
Interview With Professor Jean-Louis Vincent, WFSICCM President What have been the highlights of your term of office? With modern communication means, it is easier to interact all over the world, to know each other better, and learn from each other. We have started the organisation of large trials, inviting the entire word to contribute – the ICON...
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SMACC Chicago
Social Media and Critical Care (smacc)’s third meeting takes place in Chicago from 23-26 June. ICU Management spoke to one of the smacc founders, Dr. Roger Harris, to find out more. What is the background to smacc? Oliver Flower and I started our website www. intensivecarenetwork.com , and began collaborating with a similar site run by Chris...
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Agenda
June 23-26 SMACC Chicago Social Media and Critical Care Chicago, USA www.smacc.net.au 24-26 SESAM 2015 Belfast, Ireland www.sesambelfast2015.com July 8-12 ISCCM: 3rd Annual international Best of Brussels symposium on intensive Care and Emergency Medicine Pune, India www.isccmpune.com 16-18 Paediatric Continuous...
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Cost-Effectiveness
In medicine the benefits of treatment are always weighed against possible harms. In these times of budgetary constraints financial considerations also come even more into focus. Costeffectiveness in medicine works at many levels. In clinical trials the cost of quality-adjusted life years (QALYs) may be one of the outcomes measured. At a department...
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Study Provides Guidance for ICU Staffing
The findings of a new study examining the ratio of nurse practitioners (NPs) and physician assistants (PAs) to patients may help hospital administrators better determine appropriate staffing levels in ICUs. Published in the American Journal of Critical Care (AJCC) , “Patient-to-Provider Ratios for Nurse Practitioners and Physician Assistants in Critical...
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