ICU and Emergency

VAP: Old Definitions like Old Wine May Be Best?

A single centre retrospective study that evaluated the accuracy in high-risk trauma patients of the infection-related ventilator-associated complications... Read more

Simulation training centre, Queen Elizabeth Hospital, Hong Kong

Study: Crew Resource Management Training in Simulation

Evaluation of a simulation team–based crew resource management training programme that included emergency department and ICU staff showed that... Read more

Catheters

CLABSI Rates Cut with Catheter Maintenance Bundle

Evaluation of a central catheter maintenance bundle developed to prevent central line-associated bloodstream infections (CLABSIs) found that... Read more

Starch solution in IV bag

CHEST Trial - BMJ Stirs Controversy Over Data Release

Use of starch for fluid resuscitation was suspended by European and U.S. regulators following publication in the New England Journal of Medicine... Read more

CCRU group photo

Dedicated Resuscitation Unit Improves Transfer Times for Critically Ill Patients

A critical care resuscitation unit (CCRU) at the University of Maryland Medical Center (UMMC) has significantly improved transfer times for... Read more

Latest Journals

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Blog Posts

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

Human factors are a well recognised cause of discrepancies in patient care that can lead to adverse outcomes. In a busy Emergency Department (ED) setting, when dealing with the sickest patients at all hours and with a rotating workforce, there is an increased potential for inconsistent care despite clear evidence based protocols and guidelines on... Read more

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

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

 Kristin Baird

Culture is King: But Only if You Do These Three Things

But Only if You Do These Three Things The phrase “culture is king”...

 Nancy Cappello

Exchanging 'mammography' screening with 'breast cancer' screening

No refunds or returns for advanced disease Without a shift to a...

 Chris Hancock MSc

Reducing avoidable harm and death from sepsis and acute kidney injury

Achieving large-scale behaviour change with the NHS Wales programme...

Dr. Todd Rice MD, MSc

Facilitated glucose control in the ICU through nutrition

As recently as 2010, the view of metabolic requirements for patients...

Dr. Brian O’Gara MD

Airway Pressure Release Ventilation: What's Good About It?

The use of APRV has many proposed benefits for patients with lung injury....

 Tara Quasim

Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE)

A New Model for ICU Rehabilitation  It is now well established...

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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