ICU and Emergency
Medical staff in Plymouth

Trial: Patient-Controlled Analgesia in the ED is Effective for Non-Traumatic Abdominal Pain

Two randomised controlled trials of patient-administered patient relief in the emergency department have found that they are effective in reducing... Read more

Clinicians in ICU

Continuous EEG Measurements Offer Better Outcome Prediction of Postanoxic Coma

Research from the University of Twente (MIRA) in cooperation with Rijnstate hospital and Medisch Spectrum Twente reveals that EEG-measurements... Read more

Doctor's input in decision-making

End-of-Life Care: Doctors Should Help Kin Make Decisions

Most deaths in the ICU follow a decision to limit life-sustaining therapies and, according to a Loyola University Medical Center critical care... Read more

ER patient

How to Manage Pain in the ER

A simple yes/no question could be an effective tool to help patients decide for themselves whether their pain is adequately controlled, according... Read more

A strain of Staph bacteria

New Ways to Stop Spread of Staph and MRSA

A new study suggests that a person's environment is more important than their genes in determining the bacteria that inhabit their noses. Interestingly,... Read more

Latest Journals

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Blog Posts

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

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

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

Dr. Yuda Sutherasan

Respiratory monitoring in the perioperative period

A recent large prospective cohort study conducted on different types...

 Susan East

The need to humanise the ICU

Susan East, a patient speaker at the ATS 2017 International Conference...

 Rachel Clarke

Brexit’s Brutal Blow to the NHS

“I’m sorry. I’m just so sorry.”   It’s 8am. Two junior doctors,...

Dr. Hans van Schuppen

Why You Should Always Debrief Your Resuscitations

Everyone who is active in resuscitation teams will admit: treating a...

Dr. H.C. Peter Kapitein

Does More Value Naturally Lead to Better Care?

Value-based healthcare (VBHC) starts with the patient and uses patient-orient

 Samuele Ferrari

Oxygen Therapy in COVID-19 Patients: The Role of HFNC and CPAP

Oxygen therapy and mechanical ventilation in patients with COVID-19 and...

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