ICU and Emergency
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Study: Alarm Fatigue in an ICU

Alarm fatigue in ICUs is a well-known issue; the U.S. Joint Commission’s national patient safety goals include reducing harm associated with... Read more

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Evidence on Monitoring - Capnography, Neuromuscular Blocking

The Canadian Agency for Drugs and Technologies in Health has published assessments of monitoring for neuromuscular blockade and for capnography.The... Read more

Do End-of-Life Communication Tools Improve Decision-Making?

Patients admitted to the ICU commonly have not have discussed their end-of-life (EOL) goals with family or surrogate decision-makers. Even if... Read more

Dr. Jane Batt, St. Michael's Hospital, Toronto, Canada

Possible Cause for Chronic Muscle Dysfunction After ICU

ICU-acquired weakness (ICAUW) in some patients can last a long time, even when the biologic functions that cause muscles to waste have returned... Read more

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Study: Brazil QI Intervention Did Not Reduce Mortality

A randomised trial of a multi-dimensional quality improvement intervention in 118 Brazilian ICUs (CHECKLIST-ICU) found no overall effect on in-hospital... Read more

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Over time, I think we are going to recognise that we can’t continue to develop or introduce new technology. Because of cost we are going have to be satisfied with the technologies that we have. I think the future of intensive care will be smaller as people get healthier. They are going to be less likely to come into intensive care units and more likely... Read more

Leland Kaiser, Hospital Futurist says, "The hospital is a human intervention and as such, can be reinvented at any time." With rapid advancement in technology and architecture, the hospitals of tomorrow are likely to be more home than hospital. The Intensive Care Unit is no different and the layout and structure of future ICUs is likely to be very different... Read more

Wikipedia defines intensive care medicine as a branch of medicine concerned with the diagnosis and management of life-threatening conditions requiring sophisticated organ support and invasive monitoring. 1 To this, I would add the line ‘for the patient’s benefit’ since this alters the above definition fundamentally.    Intensive care is an all-encompassing... 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 a wide range... 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 to 6 hours and... 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 acute medical... Read more

From Our Journals

 Pieter Depuydt

Controversies in Ventilator-Associated Pneumonia Diagnosis

Ventilator-associated pneumonia is a ‏major complication of mechanical...

Dr. Timothée Abaziou

Utility of Brain Ultrasound in Neurocritical care

Evidence shows that sonography of the brain can be used to visualise most...

 Rachel Clarke

Brexit’s Brutal Blow to the NHS

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

 Hans Erik Henriksen

National Telehealth Can Save Money and Improve Health

Since its introduction into the Danish healthcare landscape, telehealth...

Dr. Diana Miglioretti

Mammographic Screening for Women with Dense Breasts, Prof. Diana Miglioretti

As breast density legislation is introduced in more and more states of...

 Bernard Simon

Supply Chain Management Success Story

Canadian Supply Chain Management Association Offers New Take on Standardising...

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