ICU and Emergency

Algorithm for early diagnosis and treatment of thrombocytopaenia in ICU

Patients in the intensive care unit (ICU) have a range of clinical problems, including multi-organ failure, sepsis, and shock, and early... Read more

Is dalteparin safe for patients with renal dysfunction?

There is concern about excessive bleeding when low-molecular-weight heparins (LMWHs) are used for venous thromboembolism (VTE) prophylaxis... Read more

Frailty associated with post-ICU disability, death

Among older persons, frailty status prior to intensive care unit (ICU) admission was strongly associated with the subsequent course of post-ICU... Read more

Benefits of prone positioning for mechanically ventilated patients

An article in the journal Anesthesiology describes the effects of prone positioning on oesophageal pressures in mechanically ventilated... Read more

Abnormal microcirculation increases mortality in critically ill patients

In a general ICU population, an abnormal microcirculation at baseline is an independent predictor for mortality, according to results of... Read more

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Blog Posts

Basic airway management—jaw thrust and mask and bag ventilation should be a basic competence of all health workers. Advanced airway management should not be defined by designation, but by competence. Health systems are different, so one cannot transplant one system to another. But in times where for instance laryngeal mask is replacing endotracheal... Read more

Insights from the PARAMEDIC2 trial and future improvements Perkins et al. have advanced the long-awaited PARAMEDIC2 trial (Perkins et al. 2018). They deserve to be congratulated for such a well-interpreted and well-designed contribution. The study’s two main outcomes are as follows: the Epinephrine group had a significantly improved inpatient survival... Read more

Human factors are a well recognised cause of discrepancies in patient care that can lead to adverse outcomes. In a busy Emergency Department (ED) setting, when dealing with the sickest patients at all hours and with a rotating workforce, there is an increased potential for inconsistent care despite clear evidence based protocols and guidelines on... Read more

White Papers and Case Studies

ICU Management

High-End Transport Ventilation Around the World

2015 28 Oct

Interview with Georg Keunecke of FAI rent-a-jet AG on the global use of the HAMILTON-T1 as an ICU transport ventilator. Georg Keunecke is the Chief Flight Paramedic and Representative for Medical Devices with FAI rent-a-jet AG (dba Flight Ambulance International). Headquartered at the Nuremberg International Airport, the company serves... Read more

ICU Management

Clinical And Economic Effects Of The i-Stat POCT Solution

2016 09 Dec

INTRODUCTION   In Germany, emergency departments (EDs) often suffer from overcrowding, which may lead to stressful working conditions, increased risks for patients and costs for additional staff, as well as for investments in equipment. Furthermore, overcrowding has the potential to extend patient waiting times, in some cases rising up... Read more

ICU Management

Establishment of Ambulatory Emergency Services at James Paget University Hospital

2016 09 Dec

INTRODUCTION   A study of emergency admissions in England found that over a quarter of admissions did not require an overnight stay (length of stay [LoS] of zero). 1  This suggests that many emergency patients could benefit from ambulatory emergency care (AEC). 1   Fundamental to AEC is the identification and management of patients with... Read more

From Our Journals

 Ashley Maltz

Day of Solidarity to Prevent Suicide

  On April 23, 2015, we lost Kevin Dietl to suicide just weeks b...

 Nancy Cappello

Exchanging 'mammography' screening with 'breast cancer' screening

No refunds or returns for advanced disease Without a shift to a...

 Usman Khan

Sustainability

The European Health Management Association (EHMA) is a non-profit...

Prof. Bin Du MD

Intensive Care in China

Medicine in mainland China has progressed rapidly during the past 20...

Prof. Todd Dorman MD

From command and control to modern approaches to leadership

Historical command and control approaches to leadership fail in building...

Prof. Jan De Waele MD, PhD

Advances in source control in patients with sepsis and septic shock

In the past decades there have been significant advances in the...

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