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Critical Care Medicine University Health Network University of Toronto
Working in the ICU can be stressful, especially when the stakes are high, patients' conditions are complex and deteriorating, and life or death decisions need to be made quickly. Many challenges to patient safety can and do arise, often engaging one of the most difficult tasks: the need to escalate. Failures to escalate are a significant cause of errors and compromises to patient safety. Our go1
READ MOREExploring the hard lessons of ICU burnout and wellness through an ICU physician's personal health journey, lessons that can help all who work within ICU, those who struggle with the spectre of future burnout, who are nearing this state for any reasons or who are trapped in feelings of depression, anxiety, stress and despair. The way up and the way down are the same way – Herac
READ MOREAlarm fatigue is a pressing clinical problem in our post-pandemic ICUs and can adversely impact patient outcomes. Its root causes can be classified by patient, device and organisation related. We believe it can be mitigated and we propose interventions through attention to policy, education and the creation of a meaningful culture of safety. "There are more things to alarm us th
READ MOREWhen the stakes are high, and the path ahead is uncertain, the decisions made, especially if a patient continues to worsen, can be sources of self-torment and can haunt us for a long time. Our goal is to suggest ways to steer decision-making for intensivists in the face of uncertainty by proposing a clear, practical, stepwise approach through the creation of a new algorithm that reflects ou1
READ MOREThis article explores how pervasive and persuasive the internet is in current critical care practice, offers insights into how healthcare professionals, patients and families can critically appraise where information comes from and its content producers and discusses the opportunities and threats posed by AI on the physicians/team-patient/family relationships.  
READ MORESignificant efforts have been made to make hospitals and ICUs as safe as possible. As healthcare workers (HCWs) try to get through this pandemic, the focus of this article is to explore practical steps to help these workers better cope with the psychological effects of being involved in an error event. Introduction: Error Events, Causes and Psychological Effec1
READ MOREAfter a year of this pandemic, this article explores what we currently understand about the psychological impact experienced by ICU teams and provides practical guidance to help build personal and team resilience as the journey with COVID-19 continues with no end in sight. Introduction When COVID-19 emerged as a new pathogen, the pictures and stories of the devastation it was bringing 1
READ MOREThis article discusses the 2020 innovations in ICU surge capacity, their benefits and challenges and how they may prevent or delay the need to enact triage criteria /decision-making in pandemic and mass casualty situations. Introduction Even though governments in many countries have taken unprecedented steps to shut down their economies and impose massive self-isolation, social di1
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