Prehospital Lyophilised Plasma Transfusion for Trauma-Induced Coagulopathy
Trauma-induced coagulopathy affects approximately 20 to 50% of patients with severe trauma. Its occurrence increases transfusion requirements,... Read more
Capnodynamic Monitoring to Assess PEEP in COVID-19
Optimal positive end-expiratory pressure (PEEP) level during mechanical ventilation for COVID-19 pneumonia remains debated. A third of experts... Read more
Clinical Outcomes With and Without Direct Discharge Home
ICUs are an important part of an acute care system and provide life-sustaining treatment to critically ill patients. The level and complexity... Read more
Sleep Assessment in Critically Ill Adults
Sleep in adult patients in the ICU is severely disturbed and typically short, light and fragmented. In addition, interventions in the ICU such... Read more
Impact of Health Information Technology in Acute Care Settings
Critically ill patients admitted to inpatient facilities are often at risk of acute physiologic deterioration. This deterioration can lead to... Read more
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Diagnosing Non-Convulsive Seizures in the ICU: Tackling the Top Challenges
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
The Importance of Reliable Reprocessing of Hospital Beds
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
Tsunami of COVID-19 Patients in India
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
Artificial Intelligence - Putting Patients First
A recent MIT Technology Review Insights survey looked at the current... Read more
Major Adverse Peri-intubation Events in Critically Ill Patients – Update on the INTUBE Study
A third anniversary update on the findings of the INTUBE study, a large... Read more
New Public Procurement Specifications and Flows with Public-Private Collaboration
The future goes through the incorporation of innovative procedures in contract Read more
Ageism in Healthcare: Why It Has To Stop
Summary: Ageism can be defined as stereotypes, prejudice and discrimination... Read more
Noninvasive Ventilation
In less than two decades noninvasive mechanical ventilation (NIV) has... Read more
Prevention of Venous Thromboembolism in Critical Care
Key Messages 1. We need to Identify high risk patients early on... Read more