ICU and Emergency

Can noninvasive BP monitoring replace arterial catheter?

Although its reliability is often questioned, noninvasive blood pressure (NIBP) monitoring with an oscillometric arm cuff is widely used. Indeed,... Read more

New tool for detecting aneurysm risk in ER headache patients

Identifying headache patients who are at risk of aneurysms can be difficult as they often seem otherwise well. In view of this, researchers... Read more

Bystander automated external defibrillator beneficial in OHCA

Current resuscitation guidelines recommend that bystander defibrillation be attempted as soon as an automated external defibrillator (AED) is... Read more

Hospital factors may influence NIV outcomes even in low-evidence use

Strong evidence supports use of noninvasive ventilation (NIV) for patients with respiratory distress from chronic obstructive pulmonary disease... Read more

Sepsis protocol: variable impact on mortality in Brazil

Public hospitals in emerging countries pose a challenge to quality improvement initiatives in sepsis, as these facilities usually have limited... 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

 Rachel Clarke

Brexit's Brutal Blow to the NHS

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

Prof. Todd Dorman MD

From command and control to modern approaches to leadership

Historical command and control approaches to leadership fail in building...

Prof. Lluís Donoso Bach

Care Continuum

The care continuum is well upon us and has become a rapidly evolving concept...

 Mark Mellett

Coping with Complexity

The Irish military on embracing leadership that promotes diversity,...

 Claire Pillar

Cardiology in the Care Continuum

The case for coordination of cardiology services across the care continuum...

 Susan Campbell Westerway

Would you use a dirty ultrasound probe on yourself?

Making the ultrasound scan a safer examination. A sonographer...

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