ICU and Emergency

Study highlights complexity of drug pharmacokinetics in septic patients

Augmented renal clearance (ARC) is commonly observed in septic patients and may result in insufficient β-lactam serum concentrations. In... Read more

UK study: extubating ventilated patients on vasoactive infusions 'safe'

In a large single centre study, 21 percent of intubated patients who received infusions of vasoactive infusions while mechanically ventilated... Read more

Despite ECMO use, mortality remains high in patients with cardiogenic shock

An analysis of ECMO – extracorporeal membrane oxygenation – use in patients with cardiogenic shock finds that mortality remains high despite... Read more

Helping ICU clinicians provide 'high touch and high tech' care

Caring is a fundamental component of high-quality critical care. "Yet, in the often myopic view to maximise the lives of others, we fail... Read more

Understanding the role of haematopoietic growth factors in sepsis

Sepsis is a complex syndrome characterised by simultaneous activation of pro- and anti-inflammatory processes. During sepsis, immune cells... Read more

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Blog Posts

Design for Southmead ICU  It is well established that the Arts have a clear contribution to make in the delivery of an improved healthcare experience for patients, service users and staff. ‘Arts and health are, and should be firmly recognised as being, integral to health, healthcare provision and healthcare environments, including supporting staff.'... Read more

Vital minutes before unconsciousness The myth that anaesthetists pick the specialty ‘because you don’t need to talk to your patients’ persists. Whether said in jest or disdain this concept gains ground because, yes for much of the time, our patients are mostly ‘asleep’. But this ignores the vital communication that occurs prior to anaesthesia;... Read more

The parameters of the Capstesia app are described. After taking a photo of the arterial waveform on the monitor screen, and cropping it to the signal of interest, the picture is sent to the Capstesia server via a mobile Internet connection. The heart rate and systolic and diastolic arterial pressures are manually entered into the app to determine... 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

Dr. Jeroen Schouten

Antimicrobial Stewardship in the ICU

Treating patients with multidrugresistant (MDR) pathogens is an increasing...

 Geert-Jan Deddens

Point-of-care ultrasound helps save time and lives

Time is of the essence in an emergency situation, and may be the difference...

Dr. Paul Ballman

Success Isn't Everything

Over the past few months I have discussed my book, Red Pill , with a...

 Marie Ennis-O'Connor BA, MIAPR

Click, like, retweet: healthcare reputation online

Making social media work for your organisation Leading healthcare social...

 Henk-Jan Aanstoot

Leading change and value

An alternative approach to leadership. Diabeter employs a leadership...

Dr. Nidhi Nikhanj

Six Steps To Implement Bedside Ultrasonography

A Roadmap to Rapid Improvements in Patient Safety This article will provide...

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