Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting

Rehabilitative exercise for critically ill patients may have many benefits; however, it is unknown what intensive care unit (ICU) clinicians perceive to be important rationale for the implementation of rehabilitative exercise... read more

Clinical Impact of External Laryngeal Manipulation During Laryngoscopy on Tracheal Intubation Success in Critically Ill Children

External laryngeal manipulation during direct laryngoscopy was associated with lower initial tracheal intubation attempt success in critically ill children, even after adjusting for underlying differences in patient factors... read more

The hospital of tomorrow in 10 points

Technology has advanced rapidly in recent years and is continuing to do so, with associated changes in multiple areas, including hospital structure and function. Here we describe in 10 points our vision of some of the ways... read more

Sepsis Patients can be Risk Stratified at the Time of Diagnosis

Multicenter Meta-Analysis Reveals Sepsis Patients can be Risk Stratified at the Time of Diagnosis Demonstrating Potential to Improve Critical Care Medicine on a Global Scale. For this study, the team identified a large collection... read more

Decision-making on withholding or withdrawing life-support in the ICU

Many critically ill patients who die will do so after a decision has been made to withhold/withdraw life-sustaining therapy. Our objective was to document the characteristics of intensive care unit (ICU) patients with a decision... read more

Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival

This cohort study uses data from the Get With The Guidelines-Resuscitation registry to investigate the association between tracheal intubation during adult in-hospital cardiac arrest and survival to hospital discharge. In... read more

Get Ready for a Massive Influx of Untriaged Patients

When a mass casualty incident occurs, emergency physicians are quickly thrust onto the front lines. That is precisely what happened on October 1st at Sunrise Emergency Department in Las Vegas the night Stephen Paddock opened... read more

Comparison of European ICU patients in 2012 (ICON) versus 2002 (SOAP)

Over the 10‑year period between 2002 and 2012, the proportion of patients with sepsis admitted to European ICUs remained relatively stable, but the severity of disease increased. In multilevel analysis, the odds of ICU... read more

Effect of a Multifaceted Performance Feedback Strategy on Length of Stay Compared With Benchmark Reports Alone

In the context of ICUs participating in a national registry, applying a multifaceted activating performance feedback strategy did not lead to better patient outcomes than only receiving periodical registry reports. The extent... read more

Process Monitoring in the ICU

Throughout a patient's stay in the Intensive Care Unit (ICU), accurate measurement of patient mobility, as part of routine care, is helpful in understanding the harmful effects of bedrest. However, mobility is typically measured... read more

Psychological Burnout and Critical Care Medicine

While you are likely proud to be a critical care medicine (CCM) practitioner, does work routinely leave you increasingly drained? Do you feel resentful about requests for "futile interventions" and unwilling to absorb others'... read more

Sepsis Reduces Bone Strength Before Morphologic Changes Are Identifiable

In a rodent sepsis model, trabecular bone strength is functionally reduced within 24 hours and is associated with a reduction in collagen and mineral elastic modulus. This is likely to be the result of altered biomechanical... read more

Alarm and Alert Fatigue in Critical Care

Todd Fraser, MD, speaks with Bradford D. Winters, PhD, MD, FCCM, about alarm and alert fatigue in critical care. Alarm fatigue is the desensitization that clinicians experience to frequent alarms, particularly those that... read more

Saving Lives in the ICU Through Artificial Intelligence

Hospitals today run according to evidence-based medicine. That makes for smart science. But for critical care, it can be a problem. A patient may appear normal, but if you had a sign that, in two to three hours, that patient... read more

How The Burn Trauma ICU Eliminated Central Line Infections

Is zero possible? In the case of central line infections, the answer was once no. A CLABSI (central line associated blood stream infection) was once considered a car crash, or an expected inevitability of care. When University... read more

Management of the Traumatized Airway

There is a lack of evidence-based approach regarding the best practice for airway management in patients with a traumatized airway. Airway trauma may not be readily apparent, and its evaluation requires a high level of suspicion... read more

Why Millennials are Choosing to be Physician Assistants, not Doctors

More and more young people are gravitating to the role of physician assistant over doctor. Several Delaware millennials cite its flexibility, condensed schooling, and cost as major reasons why they chose to become PAs. According... read more

Guidelines for Tracheal Intubation in Critically Ill Adults

The Intensive Care Society, Faculty of Intensive Care Medicine, Difficult Airway Society and the Royal College of Anesthetists have combined to provide the "Guidelines for the management of tracheal intubation in critically... read more

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Although the traditional approach to the diagnosis of acute appendicitis (AA) is using clinical methods, experience has shown that strict reliance on clinical data can lead to mismanagement or unnecessary surgery. US has... read more

Danger Signals in the ICU

Damage-associated molecular pattern activation and release is an important research for intensive care practitioners. It will add to our understanding of the phase and state of the innate immune response to an insult. Early... read more

Cardiac Output Monitoring: Throw it Out… or Keep it?

In critical care units, the shelf for cardiac output (CO) monitoring devices fills up with ever more innovative systems. Are these techniques useful, or are they expensive and irrelevant gadgets? There are arguments to defend... read more

An Exploratory Reanalysis of the Randomized Trial on Efficacy of Corticosteroids as Rescue Therapy for the Late Phase of ARDS

During active intervention, methylprednisolone was safe and effective in achieving disease resolution. Our findings support rapid glucocorticoid discontinuation post extubation as likely cause of disease relapse. Gradual... read more