Tag: training

Upvote Story 6
Decisions to limit therapy (DTLT) are routine for ICU physicians. Although breaking bad news is one of the most difficult tasks clinicians face, ongoing communication is even more crucial as families (not necessary following a legal or genetic definition) of critically ill patients have heightened communication needs. Supporting families during the process of shared decision-making from the pursuit of cure/recovery to the pursuit of comfort/freedom... Read More | Comment
Upvote Story 7
A number of different models of peer support are currently being developed to help patients and families recover and grow in the post-critical care setting. Via an iterative process of in-person and email/conference calls, members of the Collaborative defined the key areas on which peer support models could be defined and compared, collected detailed self-reports from all sites, reviewed the information, and identified clusters of... Read More | Comment
Upvote Story 8
As expected, higher levels of BLS training correlated with better cardiopulmonary resuscitation (CPR) quality. However, this study showed that ventilations and hands-on time were the components of CPR that were most affected by the level of training. Self-assessments of CPR ability correlated well to actual test performance and may have a role in probing CPR skills in students. The results may be important for BLS... Read More | Comment
Upvote Story 12
A group of House Democrats introduced a bill to help protect millions of nurses and other health care workers from the high rates of violence they experience on the job. The new bill, called the “Workplace Violence Prevention for Health Care and Social Service Workers Act”, would require hospitals, nursing homes, rehab centers, mental health providers, and jails to develop a workplace safety plan to... Read More | Comment
Upvote Story 5
Critical care transesophageal echocardiography is feasible, safe, and has clinical utility. It can be safely and effectively performed by fellows within the context of their critical care training with faculty supervision. Pulmonary critical care fellowship training programs should consider introducing critical care transesophageal echocardiography as a useful clinical tool. The examination was feasible in all patients in whom it was attempted, and there were no... Read More | Comment
Upvote Story 4
Qualitative data corroborated that residents need more exposure to clinical cases, especially regarding DCD donors. A standardized education curriculum would be beneficial for all residents within the ICU. Developing a better shared understanding of the donation process will improve team communication and performance, translate into a better end-of-life experience for families, and potentially result in increased donation rates. We undertook a qualitative multicentre study and... Read More | Comment
Upvote Story 9
Don’t gamble on the most important exam of your career… ace the boards with The Johns Hopkins Internal Medicine Board Review! Brought to you from the birthplace of Internal Medicine and regarded as the most effective review tool in the specialty, it will ensure you’re as equipped as possible on your way to certification or recertification. From internists to primary care physicians, this no-nonsense book... Read More | Comment
Upvote Story 9
Resuscitation teams at hospitals with high IHCA survival differ from non–top-performing hospitals. Our findings suggest core elements of successful resuscitation teams that are associated with better outcomes and form the basis for future work to improve in-hospital cardiac arrest (IHCA). Across 9 hospitals, we interviewed 158 individuals from multiple disciplines including physicians (17.1%), nurses (45.6%), other clinical staff (17.1%), and administration (20.3%). We identified 4... Read More | Comment
Upvote Story 6
Women in Intensive Care study: a preliminary assessment of international data on female representation in the ICU physician workforce, leadership and academic positions. Despite limited information globally, available data suggest that females are under-represented in training programmes, specialist positions, academic faculty and leadership roles in intensive care. There are significant gaps in data on female participation in the critical care workforce. Further data from intensive... Read More | Comment
Upvote Story 5
During this study a feasible multicomponent intervention program to prevent ICU delirium was developed based on expert consensus. As no consensus was reached on cognitive training, a pilot study is planned to determine the feasibility of cognitive training in the ICU. During Delphi round one 100% of the questionnaires was completed, during round two 79%. After two rounds the experts agreed on the feasibility of... Read More | Comment
Upvote Story 7
Medicine, what a noble profession. As the keepers of human health and longevity, we are entrusted with a huge but solemn responsibility. It’s an ancient artwork, passed through the generations from pre-antiquity, hand in hand from physician to physician. The Hippocratic oath ensuring that we first “do no harm” and commit ourselves to the honorable calling. We often hear “see one, teach one, do one”... Read More | Comment
Upvote Story 5
In an amazing lecture; Joe Novak, ED doc and former combat aviator; spoke about the need for memorized boldface actions and then the availability of a quick reference handbook (QRH) for the next steps. But where are either of those things for resuscitation? That lack was the inspiration for the past 4 years of my life and the life of my guest this week, Dave... Read More | Comment
Upvote Story 8
Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend a multidisciplinary approach to IMT for patients in the intensive care unit (ICU). Effective IMT requires a multidisciplinary approach to maximise feasibility, with doctors, nurses, and therapists working closely to optimise conditions for successful IMT. This... Read More | Comment
Upvote Story 5
Intensivists may get all the credit, but over 37,000 hospitalists provide much of the care for ICU patients in the U.S. According to a recent survey, they often do it without the presence or availability of intensivists for consultation or support, especially outside urban centers. The internists aren’t happy about it, feeling uncomfortable, unsupported and forced to practice beyond their scope of training and expertise. Read More | Comment
Upvote Story 7
Innovations in workforce training and technology specific to the ICU may be useful in addressing the shortage of intensivist physicians, yielding benefits to patients and payers. Implementation of the advanced practice provider residency program and tele‐ICU was associated with a significant reduction in average Medicare spending per episode. Read More | Comment