ICU and Emergency

ICU Costs Higher for Patients Dying Before Discharge

The high cost of critical care has engendered research into identifying influential factors. However, previous studies have not considered patient... Read more

Fluid Challenge: Its Impact on Fluid Responsiveness

The fluid challenge is considered the gold standard for diagnosis of fluid responsiveness. A new systematic review finds that the duration... Read more

5-Year Trends of Critical Care Practice and Outcomes

According to researchers in the U.S., analyses of patients, practices, and outcomes from a large geographically dispersed sample of adult... Read more

Global Study: Most ICU Patients Underfed

A large international multicentre cohort study shows that most of the patients are underfed during their ICU stay. In their findings published... Read more

ICU Delirium and Long-term Cognitive Impairment

A prospective cohort study conducted in a tertiary level intensive care unit (ICU) in Queensland, Australia aims to investigate the relationship... Read more

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Blog Posts

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

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

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. Joyce Heijneman MD

Improving quality of care in severe traumatic brain injury patients

Process indicator-based plan-do-act-check cycle in a single-centre...

Prof. Stephen Baker

Computer-Determined Interpretation of Intracranial Abnormalities

Where are we Now in the Algorithm Revolution? The past forty years...

Dr. Yuda Sutherasan

Perioperative Respiratory Management of Morbidly Obese Patients

Obese patients without other major co-morbidities are categorised as class...

Prof. Dr. Greet Van den Berghe MD, PhD

Glycaemic control in critically ill patients: how tight should it be?

There is still no widespread agreement around optimal targets for glucose...

 Pro Bronson

Committing to the future of medicine

T h e f u t u r e i s n o t s o...

Prof. Élie Azoulay MD, PhD

Caring for critically ill immunocompromised patients

We can do better! Élie Azoulay, MD, PhD, is Professor of Medicine...

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