Latest Blog Posts in ICU
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Tea trolley teaching: the what, why and benefits
'Bath tea trolley training’ as an innovative method for delivering multidisciplinary training in the workplace Prone position ventilation: a quality improvement project 'Bath tea trolley training' is a novel method of training that we have developed in Bath, UK over the past 3 years, and which we have used extremely successfully to provide multidisciplinary...
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What is the ICU Charts app?
Patient care within an intensive care unit (ICU) is challenging and can lead well-intentioned critical care physicians to neglect some of the fundamental aspects of daily care. Care of the critically ill patient is often punctuated with physiologic changes that require immediate attention. Given the frequency of emergent and urgent interventions, ICU...
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Should “empiric” antibiotic therapy be considered old-fashioned?
The Surviving Sepsis Campaign recommends starting empiric broad-spectrum antibiotics in the initial management of patients with severe sepsis and septic shock (Rhodes et al. 2017). As a consequence, many patients receive unnecessary antibiotics, exposing them to adverse events, while others might be undertreated in spite of broad-spectrum therapy...
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iResuscitate App
Cardiac arrest is one of the major causes of death worldwide. It occurs either in hospital and out of hospital situations with a common variable in the decision making process: time. Each year, according to the AHA (American Heart Association) statistical report , more than 350,000 out-of-hospital cardiac arrests per year occur in the United States...
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Airway triage app
Airway management is of key importance to all critical care providers and their patients. Unanticipated difficulties during airway management can lead to severe complications or death. However, prediction of difficulties with upper airway access is challenging. Until now the accuracy to predict a “difficult airway” with the current methods or classification...
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Trash to treasure: memories from the ICU
A striking mural that hangs at Toronto General Hospital of the University Health Network has an interesting story behind it, which Tilda Shalof explains. The more than 10,000 tabs, lids, pins, stoppers, pipettes, syringes, levers, screws and connectors that make up this mural all were used to deliver patient care. After their one-off purpose, these...
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When a patient dies, take a pause
A young woman is brought to the emergency room after being hit by a sports utility vehicle. After 45 minutes of resuscitation, she is pronounced dead. Jonathan Bartels, RN, recalled the case and the vacancy he felt afterwards . It prompted him to develop "The Pause"—taking a few moments after the patient has died, to acknowledge their passing and the...
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A glimpse into the life of an ICU nurse - 1 - Mr. Stevens
We received a MET call (Medical Emergency Team) from the general ward to immediately come and assist. The patient's name was Mr. 'Stevens'. He was 81 and was in our hospital due to severe exacerbations of chronic obstructive pulmonary disease (COPD). He was in acute respiratory distress and had low blood pressure. There was no time to discuss whether...
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Changing the culture of medicine - one conversation at a time
Lessons from a doctor turned patient What prompted you to write your memoir In Shock? I realised that as a physician in my own institution I was, at least in theory, an empowered minority. I was someone who had a voice, some measure of authority and personal agency. Yet, as a patient, I didn’t feel at all empowered to be vocal about my needs or...
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Time goes by and antibiotics linger on
As I usually do when I'm writing, first I'll throw a random fact--not so random--with a slight relation with our subject. The thing is, I lack good metaphors. Some time ago I stumbled on a fantastic article by Holloway discussing a new approach to treating multi-drug-resistant tuberculosis . The climax is: in Switzerland, England and New York, tuberculosis-related...
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