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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The procedure specific postoperative pain management (PROSPECT) initiative provides evidence-based procedure-specific guidelines for postoperative pain management. This is really important, because the problem is that guidelines on postoperative pain management are broad and are not procedure-specific. Every type of surgery requires its own type of... Read more

When using the technical definition of burnout: "The reduction of a fuel to nothing", it clearly describes the state of being of the few people that I have met who are having a burnout. The problem is huge and almost every leader in healthcare agrees that this is a major problem (Swenson et al. 2016). Although many problems arise from using surveys... Read more

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

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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

Dr David Gattas

Conservative Fluid Management In Intensive Care Medicine

Asserting the existence of a state of permanent controversy is a staple...

Prof. Davide Caramella

How to Communicate Radiation Dose and Contrast Media Information

Public awareness and concern about radiation safety has grown in the last...

 Spiros Kotopoulis

Ultrasound Fights Cancer With Microbubbles

Sonoporation with Chemotherapy Increases Porosity of Pancreatic CellsI...

Prof. Jerry Nolan

Cardiac Arrest Management

The treatment of cardiac arrest has made significant progress over the...

 Parthasarathy Raghava

Current Developments in the European PCI Devices Market

Coronary artery disease (CAD) is one of the major causes of death worldwide...

Dr. Mark Chandy

Induced Pluripotent Stem Cells in Cardiovascular Precision Medicine

Induced pluripotent stem cells (iPSCs) are derived from somatic cells obtained...

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