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Honorary Clinical Lecturer and Consultant in Anaesthesia and Intensive Care Medicine Imperial College
The microbiota is recognised as one of the most important factors that can worsen the clinical conditions of patients who are already very frail in the intensive care unit. It also plays a crucial role in the prevention of ICU associated complications. It’s important to ensure the best functioning of the intestinal immune system. T he gastrointestinal tract represents one of the barriers...
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Looking at gender, bias and equality through the lens of the COVID-19 crisis and its potential for broad and lasting effects and addressing how this unprecedented situation can be a chance for interaction, learning and the development of best practices, such as developing work structures that could be continued in our post-pandemic future. E pidemiological findings, outcome data,...
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The devastating impact of the COVID-19 pandemic on women and communities of colour and the need for diversity among healthcare workers and public health leaders. Introduction D iversity is the condition of having many different elements. These may include people with different opinions, backgrounds (degrees and social experience), religious beliefs, political beliefs, sexual orientations,...
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Is the gender gap a concern for intensive care medicine (ICM)? ICM is not gender friendly by design and this could have a major impact on the discipline given the increase in the number of female doctors. What are the main barriers to career progression for women in ICM? Members of the iWIN Foundation present their views. S everal authors and organisations have reflected on the future...
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Nassim Taleb, in his book, "The Black Swan: The Impact of the Highly Improbable," describes the term Black Swan as a rare, unknown event, which with hindsight is rationalised. Taleb talks about the human tendency to always find simplistic explanations for unknown events, what he calls the Black Swan theory. Is COVID-19 a black swan? Introduction Physicians working with critically...
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An overview of Human Factors Engineering (HFE), a multidisciplinary science in which human behaviour, capacities, and engineering principles are used to explore why errors occur, and how the likelihood of preventable harm could be reduced. What Do We Know About Medical Device Errors in Critical Care? Adverse events and errors are frequent in technology-rich critical care environments,...
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Human factors are significant contributors to drug error. To overcome some of these human factors, we propose standardisation and consolidation of agreed drugs and equipment into a compact pre-packed critical care drug pouch (CCP) for use in non-theatre environments. Introduction Emergency and sedation drugs availability and preparation represent a challenge in the setting of acute care...
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International Society for Rapid Response Systems joins with the Patient Safety Congress in 2018 The International Society for Rapid Response Systems joins with the Patient Safety Congress in July 2018 to develop new approaches to managing patients at risk of deterioration. Identification and treatment of deteriorating hospital patients is a major safety issue and cannot be managed in isolation....
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The COmpetency-BAsed Training programme in Intensive Care for Europe and other world regions (CoBaTrICE) The COmpetency-BAsedTraining programme in Intensive Care Medicine (CoBaTrICE) has been the European Society of Intensive Care Medicine (ESICM)’s vision to achieve a unified and harmonised model of training doctors caring for critically ill patients and their families around the world....
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