Who Gets the Hospital Bed?
Today, Italy has more than 10,000 cases of the coronavirus. There are now simply too many patients for each one of them to receive adequate care. Doctors and nurses are unable to tend to everybody. They lack machines to ventilate... read more
Decrease Delirium in Older ICU Adults Using Music
Researchers from the Regenstrief Institute and Mayo Clinic are leading the first study to test whether exposure to music can decrease delirium in older adults who are receiving mechanical ventilation in the Intensive Care... read more
WHO Declares the Coronavirus Outbreak a Pandemic
The World Health Organization on Wednesday declared the rapidly spreading coronavirus outbreak a pandemic, acknowledging what has seemed clear for some time — the virus will likely spread to all countries on the globe. Director-General... read more
Emergency & Critical Care Pocket Guide
The most popular pocket reference in emergency nursing - now in a new edition! The Emergency amp; Critical Care Pocket Guide has been an essential resource for physicians, paramedics, and nurses for over a decade. The... read more
Simple Math Offers Alarming Answers About COVID-19 in US
Much of the current discourse on the COVID-19 outbreak focuses on comparisons of the total caseload and total deaths with those caused by seasonal influenza. But these comparisons can be deceiving, especially in the early... read more
Guidelines for Burn Care Under Austere Conditions
The principles of care after disasters and mass casualty incidents are centered on doing the greatest good for the greatest number. From an airway and ventilation perspective, we have presented the issues that are likely... read more
Where There Is No Doctor: A Village Health Care Handbook
This updated reprint features updated medication information, a newly revised family planning chapter, new treatments for a variety of infections, and more. All Hesperian books are regularly updated and reprinted to reflect... read more
Intensive Care Unit in Disaster
This issue of Critical Care Clinics, guest edited by Drs. Marie Baldisseri, Mary Reed, and Randy Wax, in collaboration with Consulting Editor John Kellum, is devoted to Intensive Care Unit in Disaster. Topics in this... read more
ICU Risk Factors and Outcomes for Each Delirium Subtype
Although included studies reported on many subtype-specific risk factors (hypoactive, hyperactive) and outcomes, heterogeneity in reporting and methodological quality limited the generalizability of the results and the evidence... read more
ARDS Diagnosis May Be Underrecognized
The February 27, 2020 Department of Internal Medicine Medical Grand Rounds "Acute Respiratory Distress Syndrome (ARDS),” was presented by Marc Moss, MD, Roger S. Mitchell Professor of Medicine; head, Division of Pulmonary... read more
What If a COVID-19 Patient Needs a Surgery?
In the week of February 13–19, the World Health Organization reported that Singapore had more cases of COVID-19 than any other country outside of mainland China. We wish to share the protocol that we use in our hospital... read more
Is All Oxygen Created The Same?
Oxygen therapy is frequently used in the emergency department for the treatment of hypoxia and respiratory failure and can be delivered in a variety of ways. Conventional oxygen therapy (COT) via nasal cannula is often a... read more
Coronavirus Readiness and Community Resilience
It is now clear to public health experts that the novel coronavirus epidemic in Washington State and other parts of the country is accelerating. The time has come for us to work together as a community to minimize the impact... read more
Instrumental Activities of Daily Living Related to ARDS Survivors’ Quality of Life
Instrumental Activities of Daily Living (IADL), not body functions & structures measures, are related to ARDS survivors' quality of life and should be included in future studies. Bringing greater consistency to outcomes... read more
Dancing with Elephants: Mindfulness Training For Those Living With Dementia, Chronic Illness or an Aging Brain
Author Jarem Sawatsky saw the countless guides out there for those caring for the ill and healing the curable, but when he was diagnosed with Huntington's Disease he found there was nothing for those living with incurable... read more
Severe Influenza in Critically Ill Patients
The present review summarizes current knowledge on pathogenesis and clinical manifestations of severe influenza. Immunological dysfunction during viral infection correlates with severity and mortality among ICU patients.... read more
Comparison of outcomes between vertical and transverse skin incisions in percutaneous tracheostomy for critically ill patients
This retrospective study showed that transverse skin incisions in PTs for critically ill patients, resulted in a significant decrease in overall complications, particularly ulcers in the tracheostomy site. Of the 458... read more
The Great Influenza: The Story of the Deadliest Pandemic in History
The story of the deadliest pandemic in history, a study of the 1918 pandemic, the year’s outstanding book on science or medicine. John M. Barry has had considerable influence on both pandemic policy and flood protection.... read more
Epinephrine Challenge in Sepsis: An Empiric Approach to Catecholamines
The critical care world is obsessed with fluid. Meanwhile, little attention has been given to the concepts of vasopressor responsiveness and vasopressor challenge. This is a missed opportunity, because vasopressor challenges... read more
Respiratory Support for Patients with COVID-19 Infection
Coronavirus disease 2019 (COVID-19) has affected more than 50 countries so far this year. Xiaobo Yang and colleagues described in their single-centered, retrospective, observational study that 52 of 710 patients with confirmed... read more
Impact of Protocolized Diuresis for De-resuscitation in the ICU
Using a diuresis protocol for volume de-resuscitation, we demonstrated a significant decrease in net cumulative fluid balance at 72 h following shock resolution, with potential benefit on clinical outcomes including renal... read more
Flow-controlled Ventilation Enhances Lung Aeration
Lung-protective ventilation for acute respiratory distress syndrome (ARDS) aims for providing sufficient oxygenation and carbon dioxide clearance, while limiting the harmful effects of mechanical ventilation. This study... read more
