ICU and Emergency
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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.... 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... Read more

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Sepsis Clinical Trials - Can Do Better?

Mortality from sepsis remains high, and results of clinical trials have been disappointing. Changing trials design has the potential to improve... Read more

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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

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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... 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

Dr. Heidi Wimmers

Why is Drug Traceability Important in a Hospital?

Implementation at Hospital Alemán in Argentina The acute condition of...

Prof. Djillali Annane

Evidence-Based Care in the Intensive Care Unit

By taking the Hippocratic Oath, physicians commit to practising their...

 Velma Herwanto

Immune dysfunction in sepsis

An overview of the recent advances in the diagnosis and treatment of...

 Duane Steward

Simulating Stress in Hospital Workflow

COMPUTER MODEL LOOKS AT ER FUNCTIONS, EVEN BEFORE IT’S BUILT   With...

 Michael Virardi

Make this count

Your enthusiasm differentiates you. Second chances are not an...

Prof. Damien Gruson

The R-Evolution in Laboratory Medicine: The Need for a New Medical Paradigm

The EuroMedLab Congress this year aims to offer insight into the direction...

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