ICU and Emergency

Conservative Oxygen Therapy, Lower Mortality, but Larger Trials Needed

A conservative protocol for oxygen therapy for intensive care patients led to lower ICU mortality, in a randomised controlled trial that was... Read more

High-Flow Nasal Cannula Noninferior to NIV for Preventing Respiratory Failure and Reintubation

A multicentre randomised trial that evaluated high-flow nasal cannula in patients at high risk of reintubation found that it was not inferior... Read more

Tracheal Intubation after In-Hospital Cardiac Arrest in Children, Significant Survival Difference

An observational study of 2294 patients from a large registry found decreased survival to hospital discharge in paediatric patients who were... Read more

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Quality and Safety: What Have We Learned?

Communication is key when it comes to improving quality and safety in intensive care, according to Todd Dorman, President, Society of Critical... Read more

Hospital building, credit Pixabay

Therapeutic Hypothermia Associated with Worse Survival in In-Hospital Cardiac Arrest

A cohort study of data on 26,183 patients resuscitated from an in-hospital cardiac arrest found that patients treated with therapeutic hypothermia... Read more

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Nidhi Nikhani, MD, shares  6 steps to implement ultrasonography in critical care, based on implementing ultrasound-guided central venous catheterisation (CVC) at Banner Health.1. Define clinical challenges to be solved by implementing bedside ultrasound Banner Health faced the challenge of placing peripherally inserted central catheter (PICC) lines.... Read more

Zoom On Bin DuProf. Bin Du, MD, obtained his medical degree in Peking Union Medical College (PUMC) in 1994, when he joined the Department of Critical Care Medicine at PUMC Hospital. In 2005 he become a Professor and the Director of Medical ICU, PUMC Hospital.Dr. Bin Du is the Past President of the Chinese Society of Critical Care Medicine (CSCCM) and... Read more

Dr Marik  is Professor of Medicine and Chief of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School in Norfolk, Virginia. He received his medical degree from the University of the Witwatersrand, Johannesburg, South Africa, and was an ICU attending at Baragwanath Hospital, in Soweto, South Africa. During this time he obtained a Master... 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

 Joseph Castillo

MRI Care Pathway: Supporting a Quality Management System

In any MRI unit, service quality as experienced by patients depends on...

Prof. Jean-Louis Vincent

Editorial: Safety

The publication of the landmark Institute of Medicine report To Err is...

Dr. David Brealey

Rapid Pathogen Testing With PCR/ESI-MS

The RADICAL multicentre observational study was performed to compare PCR/ESI-MS...

Dr. Adrian Wong

Getting Started With Twitter

The growth of social media for medical CPD has been astronomical over recent...

Prof. Armand R.J. Girbes

The Burden Caused by Administrators and Managers: a Euro-American Jumble

A EURO-AMERICAN JUMBLE   We argue that a jumble of rules, protocols, c...

 Girendra Sadera

A Librarian in the Critical Care Team

Knowledge about current research evidence is required by clinicians in...

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