ICU capacity strain: negative impact on care processes, outcomes
Strained intensive care unit (ICU) capacity represents a fundamental supply-demand mismatch in ICU resources. A new systematic review has identified... Read more
Hyperchloraemia in sepsis: saline vs. balanced crystalloids
Chloride, as the major anion of the extracellular fluid, constitutes an important element in the homeostasis of the human organism. Hyperchloraemia,... Read more
Are newer anticoagulants safer than warfarin?
A new study compared outcomes among patients with atrial fibrillation hospitalised for bleeding after starting anticoagulation (warfarin, dabigatran,... Read more
ISICEM18: Are ICUs doing too much?
With all the tests and treatments available in ICUs, it’s good to take a step back and question whether they are necessary, according to presenters... Read more
ISICEM18: Keep calm and stop what you’re doing
When the evidence stacks up that treatments are of no benefit there is a lag in responding to practice-changing evidence, partly because this... Read more
Management Tips
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Blog Posts
A letter to Kathy - from an intensive care nurse
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
INTUBE study: airway management practice in critically ill patients
Why study endotracheal intubation? Endotracheal intubation (ETI) in critically ill patients is a potentially life-threatening procedure, and approximately one-third of ETIs are complicated by severe hypoxia, cardiovascular collapse and cardiac arrest. Critically ill patients are prone to severe complications as the consequence of the underlying... Read more
Antibiotic decisions in the ICU: a dragon’s tale
Medical decision-making about antibiotic use in critically ill patients is challenging and complex. The need for antibiotic stewardship requires judicious prescription and choice of antimicrobials, as the need for effective therapy has to be put in balance with the need to limit undue selection pressure, and all this must be done in a context of... Read more
White Papers and Case Studies
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
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
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
Effective Leadership in the 21st Century
Keeping The Team Engaged Leaders know how to achieve goals and inspire... Read more
Ransomware attacks:How to protect your systems
What are the steps to take when there is a ransomware attack? ... Read more
Hospital Finance: Managing in the Current Financial Climate
Alternative financing at hospital level can make a difference.... Read more
Embracing Safety as a Science: We Need to Tell New Stories
Peter Pronovost, MD, PhD, FCCM, is Director, Armstrong Institute for... Read more
Social media in healthcare: opportunities and challenges
Opportunities and challenges Tips and pointers from FutureLearn trainer... Read more
Quality in Practice: Towards a Patient-Centred View
Professor Guidet has been a university medical professor since 1997.... Read more
Highlighted Products
Pheno™
The fully-automated Accelerate Pheno™ system is designed to eliminate the lengthy culture and sample preparation steps required for most sample types prior to antimicrobial susceptibility testing. In addition, it hosts proprietary molecular identification...
SV300 Ventilator
Patient Monitoring and Life Support
Features SV 300 is a state-of-the-art ventilator that’s simple to configure, easy to operate and versatile in use. It equips with extensive ventilation modes that can treats pediatric and adult patients with all acuity levels at ICUs and Intermediate...
HAMILTON-C1 neo Ventilator : The breath of life
The HAMILTON-C1 neo is a versatile neonatal ventilator that combines invasive and noninvasive modes with the additional options of nCPAP and high flow oxygen therapy. The integrated turbine allows it to be operated independently of a compressed air supply....
HAMILTON-MR1 Ventilator: Intelligent Ventilation from ICU to MRI
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...