ICU and Emergency

Findings Do Not Support Chlorhexidine Bathing in ICUs

A Vanderbilt University study, which appears in JAMA, shows that once daily chlorhexidine bathing of critically ill patients did not reduce the... Read more

Study: Sedation Protocol Does Not Reduce Time of Respiratory Support

The use of a nurse-implemented, goal­-directed sedation protocol compared with usual care did not reduce the duration of mechanical ventilation... Read more

Study: Hyperoxia Alters Microcirculation in Healthy Volunteers

Hyperoxia may induce vasoconstriction and alter endothelial function. However, recent data suggest a potential therapeutic role of normobaric... Read more

Study: Protocol Increases Appropriate Antibiotic Use

According to a retrospective study, an antibiotic protocol that determined antibiotic use based on risk for health care-associated infections... Read more

Biomarkers Linked to Kidney Damage, Death in Critically Ill

Based on results of a new study, high levels of two novel urinary biomarkers early in critical illness correlate with adverse long-term outcomes... Read more

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Blog Posts

The procedure specific postoperative pain management (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 requires its own type of... Read more

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... Read more

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... 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 a wide range... 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 to 6 hours and... 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 acute medical... Read more

From Our Journals

Prof. Jean-Louis Vincent

Book Review: The Organization of Critical Care

There are not many good books on this topic, and the present one inclu...

Dr. Shashank Patil

POCTED: Use of Point of Care Test Devices in Emergency Department

Use of point-of-care test devices in the emergency department has ‏shown...

Dr. David Hirschorn

Enterprise Viewers: Key Pointers

Top tips for selecting and implementing an enterprise viewer to allow...

Prof. Claudio Ronco

Vodcasting

The Story Behind Cappucino With Claudio Ronco  Video on demand (VOD) is...

Prof. Gian Maria Rossolini

The Impact of Fast MIC Evaluation on Antimicrobial Stewardship: A Case Report

Dealing with Antimicrobial Resistance   Recently antibiotic resistance...

Dr. Geraldine McGinty

Radiology in the Care Continuum

Where do you see radiology’s place in the care continuum? I see radiologists...

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