ICU and Emergency

On-demand vs. routine nebulisation in ventilated ICU patients

Among ICU patients receiving invasive ventilation, on-demand nebulisation was not inferior to routine nebulisation of acetylcysteine with salbutamol,... Read more

Sedative was found to prevent delirium in critically ill patients.

Sedative prevents delirium in ICU patients

Results of a randomised, placebo-controlled trial showed that a low dose of the sedative dexmedetomidine given at night may prevent delirium... Read more

Supervised machine learning predicts CLABSI

Machine learning has proven to be useful for developing prediction models for outcomes in intensive care unit patients. A new study comparing... Read more

Out with the saline? Reduced use linked to better outcomes

Two companion studies have shown that use of saline as intravenous fluid therapy, in comparison to crystalloids, was associated with poor survival... Read more

This visual abstract depicts the findings of Wilmore et al., who demonstrate a role for serum IgA in protection against polymicrobial sepsis. Induction of protective concentrations of T cell dependent serum IgA requires colonization of the gut with a comp

Study: gut microbes protect against sepsis

New research published online in the journal Cell Host & Microbe suggests that gut bacteria may help in the fight against sepsis, a life-threatening... Read more

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Critical care outreach teams (CCOTs) were introduced in an attempt to reduce morbidity and mortality through the earlier detection and resuscitation of acutely deteriorating patients. However, there are many different models of critical care outreach systems across the UK and internationally. This online survey aims to take a cross-sectional view, collecting... Read more

In the ICU we see our fair share of loss, most the result of unplanned tragedy both for the patients and their families. As healthcare providers we work as part of a high functioning team always working to provide exemplary patient-centred care. We maintain a calm cool demeanor, approachable and open to suggestions and feedback from families, as we... Read more

A week later, Mr. 'Reed’ came into our ICU at 5 am. The sun was already up and was shining softly into the room. Earlier that night, Mr. Reed was hospitalised in the emergency room. They couldn't get an infusion in because his veins were destroyed by chemotherapy. He was in the palliative state of cancer and now suffering with a variceal bleed.   The ER... 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

 Nancy Cappello

Fatal Flaw In Breast Cancer Screening

Impact of Dense Breast Tissue On Reliability Of MammogramsThe internet...

Dr. Richard Pugh

A Critical Age: The Influence of Frailty Measurements

While prognosis of elderly patients in intensive care is often seen as...

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...

 Lucie Robson

Global medical device security testing labs launched

A new initiative that will improve medical device security and facilitate...

 Giuseppe Lippi

The positives and drawbacks of HTA in laboratory medicine

An overview on the role of Health Technology Assessment (HTA) in healt...

Dr. Christopher Lockie FRCA

Infection Prevention in the ICU

This article highlights four interventions that combat healthcare-associated...

icu management, critical care management, critical care practiceFind ICU management and scientific management articles in intensive and critical care. Official ISICEM Journal, leadership tips, events and tweets.

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