Latest Blog Posts in ICU
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How can we improve gender parity in critical care medicine?
I think what is important is to have the leaders proactively thinking about the gender issue. Examples? Faculty members need to be inclusive and to mentor young women and to include them in their plans, creating the conditions to allow their participation in committees and boards preparing the next generation of leaders. Journals need to include women...
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Recruiting centres for ICP monitoring study (SynapseICU)
SYNAPSE-ICU An international prospective observational StudY on iNtrAcranial PreSsurE in intensive care (ICU) , endorsed by the European Society of Intensive Care Medicine (ESICM), is now enrolling participant centres. What is Synapse-ICU? Intracranial pressure (ICP) monitoring is the most common neuromonitoring modality used in neurocritical...
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Will point-of-care ultrasound replace the stethoscope?
With a technology like point-of-care ultrasound (POCUS), there are two options for how to develop this technology and spread it in the community. Either you bring technology and have people use it, or you realise that the value of technology by itself is very limited without augmenting it by providing education. I use the example of the stethoscope,...
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Gender as Parameter when Planning Quality Improvement in Clinical Pathways
Different preferences based on gender, influence the patient’s perspective of good quality in care and treatment. As future healthcare points towards more outpatient treatment and less hospitalisation, and as the majority of quality-studies are related to patients who are hospitalised or have chronic diseases, it seems interesting to explore the patient...
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What is the Role of Benchmarking for Intensive Care?
Although the evaluation of a single intensive care unit (ICU) over time can produce insightful results, self-reflection can lead to excessive optimism or criticism. Benchmarking against other ICUs can provide ICU staff and hospital managers with a broader view and clearer perspectives of targets for improvement. This approach is now used among hospital...
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Apps on Intensive Care
My app on Intensive care Complete: ABG is for bedside diagnosis. It uses a physiochemical approach and is a mix of traditional approach and Stewart’s. The complete ABG is an app designed for bedside use. The point-of-care version of the app is available for the Iwatch . Both the Complete ABG and ABG Book are the only apps that use...
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From Expert to Novice or Expert to Expert? The Transition from Practice to Academia
In 2016 I would never have guessed that a year later I would encounter a significant career change. Since the age of 17 I was incredibly passionate about the Ambulance Service and I was overjoyed when I got my Paramedic registration, aged 20, after two years training at university and in-service. The sense of achievement was astonishing and since then...
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Why Have Procedure-Specific Postoperative Pain Guidelines?
The pro cedure spec ific postoperative pain managemen t (PROSPECT) initiative provides evidence-based procedure-specific guidelines for postoperative pain management . This is really important, because the problem is that guidelines on postoperative pain management are broad and are not procedure-specific. Every type of surgery...
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Burn Till You're Out
When using the technical definition of burnout: "The reduction of a fuel to nothing", it clearly describes the state of being of the few people that I have met who are having a burnout. The problem is huge and almost every leader in healthcare agrees that this is a major problem (Swenson et al. 2016). Although many problems arise from using surveys...
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What’s the future of intensive care medicine?
Over time, I think we are going to recognise that we can’t continue to develop or introduce new technology. Because of cost we are going have to be satisfied with the technologies that we have. I think the future of intensive care will be smaller as people get healthier. They are going to be less likely to come into intensive care units and more likely...
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