ICU and Emergency

Study: Effective Transfusion in Severe Trauma

Among patients with severe trauma and major bleeding, those who received a transfusion of a balanced ratio of plasma, platelets, and red blood... Read more

Does Higher ICU Volume Lead to Lower Mortality?

Large multi-speciality intensive care units (ICUs) are emerging in response to increasing demand for critical care. Consolidation of resources... Read more

Assessing the Effectiveness of Gastric Tonometry Guided Therapy

A low intramucosal pH (pHi) and an increase in the difference between gastric mucosal and arterial P CO2 (P CO2 gap) reflect splanchnic hypoperfusion... Read more

Reducing Lung Injuries from Mechanical Ventilation

An experimental work shows for the first time the utility of the stress index to adjust in real time artificial ventilation supply in order to... Read more

WHO Critical Care Training for Tajik Clinicians

World Health Organization (WHO) influenza experts have recently conducted a clinical workshop for front-line clinicians working in intensive... Read more

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Blog Posts

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

As a nurse working in intensive care I have moments in which emotions get much deeper than expected. My own vulnerability is confronting. Do I lose control or do I experience the essence of my job as a nurse? Kathy, your story on YouTube and your saying “the touch that isn’t effective or that didn’t hurt” made a deep impression on me. Every... 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

 Roland Burgers MSc

Supply purchasing for intensive care centres

A purchasing portfolio for more effective and efficient (medical)...

 Staff Editor

Turning burnout into bright futures

Why burnout needs to be addressed now and not later   Burnout in...

Dr. Katherine Nugent MD

How to Run Successful Rounds in the Intensive Care Unit

Rounds in the intensive care unit (ICU) allow for scheduled discussions...

Univ.-Prof. Dr.med.univ. Gerfried Zobel MD

Lung Protective Ventilation - Twinstream® Pulsatile Bi-Level Ventilation (P-BLV)

The Twinstream® ventilator (Carl Reiner GMBH, Vienna, Austria) is an...

Prof. Jean-Louis Vincent MD, PhD

Cardiac Arrest

The “chain of survival” metaphor for improving outcomes from sudden cardiac...

 Gerry O’Dwyer

People

Despite that in general health spending is growing slowly, according to...

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