ICU and Emergency

Should perfusion guide cardiopulmonary resuscitation?

Perfusion-guided patient-specific resuscitation could be the next major step in improving cardiac arrest survival with good neurological outcomes,... Read more

Noise pollution in hospitals a growing problem

Noise levels in hospitals regularly exceed international recommendations, and the problem is getting worse, according to an editorial in the... Read more

PICU, credit iStock

Metabolic-based biomarkers have potential to triage children with sepsis

A new study has validated potential biomarkers for a sepsis-triage model to distinguish sepsis patients requiring care in the paediatric intensive... Read more

Doctor holding image of kidneys, credit iStock.

Study: Long-term impact of crystalloids vs colloids after major abdominal surgery

A 1-year follow up  of patients randomised to receive hydroxyethyl starch solution or balanced crystalloid solution as part of intraoperative... Read more

Blood glucose targets: time to think again?

A rethink of blood glucose targets in critically ill patients is needed, according to James S. Krinsley, MD, FCCP, Department of Medicine,... Read more

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One clinical factor complicating the work of ICU physicians and nurses is the difficulty of diagnosing nonconvulsive status epilepticus (NCSE)—an invisible condition that must be managed aggressively to prevent lasting damage to the brain. Because the prevalence of NCSE among neurological patients can reach up to 60%, and because it becomes increasingly... Read more

Reliable hygiene is currently a topic that shapes every aspect of our daily lives. More than ever before, the successful fight against dangerous viruses and multi-resistant germs in hospitals and other healthcare facilities is particularly important. High occupancy rates and resulting staff shortages are amplifying the challenge. However, hospital... Read more

Expert Interview with Prof Shirish Prayag, Director, Critical Care Medicine at Prayag Hospital Shree Medical Foundation and Editorial Board Member, ICU Management and Practice. What is the current state of COVID-19 in India? The current state is really devastating. We are facing a tsunami - not just a wave of patients - but a tsunami, really.... Read more

White Papers and Case Studies

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

Maximizing the Benefits of COVID-19 Vaccines with the Right Serological Tests

2021 20 Oct

Background  Since the end of 2019, the world has been fighting the unprecedented global COVID-19 pandemic caused by SARSCoV-2. 1 This pandemic inspired significant efforts for the development of diagnostic tests, therapeutics and vaccines. 2,3,4 As a result, multiple efficacious COVID-19 vaccines have been developed and authorized in record speed5... Read more

Why Should We Be Measuring Ionized Magnesium?

2021 11 Feb

Dennis Begos , MD, FACS, FACRS Associate Director, Medical and Scientific Affairs Nova Biomedical Magnesium in the Human Body Magnesium (Mg) is the 4th most abundant cation in the human body. The majority of it is found intracellularly, more than half in bone, about a third in muscle, and the remaining in soft tissue and... Read more

Greener ICU

2023 26 May

Intensive care units are essential in providing life-saving care to critically ill patients. However, ICUs can have an environmental impact. Approximately  5% of worldwide anthropogenic greenhouse gases  result from healthcare activities.   ICUs use significant energy to power equipment, ventilators, monitoring systems, and other life-support... Read more

The Green Intensive Care: From Environmental Hotspot to Action

2023 26 May

Together we must reduce the impact of the healthcare sector and shift towards a circular economy. This paper describes the shift of three ICU environmental hotspots: gloves, gowns, and CRRT bags.   Introduction The healthcare sector is one of the most carbon-intensive sectors, contributing to 4.4% of global net greenhouse gas emissions... Read more

Moving Environmental Sustainability from the Fringe to the Centre Ground in Critical Care

2023 26 May

Critical care must move to a way of working that recognises climate change is a medical emergency, necessitating us all to put sustainability at the forefront of our actions as a multidisciplinary team working together in the best interests of our patients, our environment and our resources.   Planetary Health and Public Health  People’s... Read more

Green ICU-4Ps: It Is Not An Option To Not Accomplish It

2023 26 May

The critically ill patient should be framed within sustainable medicine. It is crucial to mitigate the causes so that we do not have to adapt to the undesirable effects of the unsustainability of our clinical practice. We propose a simultaneous approach to sustainability in people, products, processes, and our planet.   Introduction and Justification... Read more

Carbon Footprint in ICU: A New Meaningful Outcome in Research Trials

2023 26 May

Reducing the carbon footprint in healthcare is a requirement for guaranteeing the best future for humanity. Here we suggest that the carbon footprint be assessed as a potential endpoint for future trials in critical care.   Environmental Impact in Critical Care The climate crisis is a threat to global health. The temperature of the atmosphere... Read more

From Our Journals

 Tiana Laurence

Finance Technology Blockchain in Healthcare IT Security

Tech outfit Factom has just won a Gates Foundation grant to develop...

Prof. Lluís Donoso-Bach

AI & Robotics – Implementation and Pitfalls

Artificial Intelligence and Robotics are now being used everywhere in...

 Konstantinos Petsios

AI in Radiology: Realities, Challenges and Perspectives from a Tertiary Cardiac Centre in Greece

An overview of the digitalisation at Onassis Cardiac Surgery Center in...

Dr. William Ramsden

Establishing competence in radiology

A UK perspective. Competence in radiology is established by...

Dr. Carl Waldmann

Prevention of Venous Thromboembolism in Critical Care

Key Messages 1. We need to Identify high risk patients early on...

 Srdjan Babic

Data Science in Modern Healthcare

Data science has brought forth many exciting advancements in healthcare;...

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