Approaches to EOL Decision-making For Patients Affected by Sepsis and ARDS

A Qualitative Study of Patients With Acute Respiratory Distress Syndrome (ARDS) and Sepsis and Their Surrogates. The purpose of this study was to develop hypotheses of patient and surrogate's rationale for decision-making. Patients... read more

Compliance With Evidence-Based Processes of Care After Transitions Between Staff Intensivists

No significant impact of transitions of care observed between individual staff physicians on evidence-based processes of care for mechanically ventilated adult patients. However, transitions were associated with a lower likelihood... read more

2019 Elf on the Shelf

It is time for the second annual Elf on the Shelf social media photo sweepstakes! Your creative entries help make the season bright. So, just snap a photo of an Elf on the Shelf scene in your unit, and submit it here. Three... read more

Patient and Family Member-Led Research in the ICU

Patient and family member-led research is a novel research approach that is feasible to conduct and can be used to identify opportunities for improving care. Study participants described shared key experiences in the... read more

That Good Night: Life and Medicine in the Eleventh Hour

As the American born daughter of immigrants, Dr. Sunita Puri knew from a young age that the gulf between her parents' experiences and her own was impossible to bridge, save for two elements: medicine and spirituality. Between... read more

That Good Night: Life and Medicine in the Eleventh Hour

Cardiogenic Shock – The Next Level & Mechanical Circulatory Support

We could center this discussion about the SCAI paper that came out (attached). A nice collaborative expert panel piece outlining a CS pyramid used quickly at the bedside in the ED, ICU, Cath Lab, etc to help us identify these... read more

Critical: Science and Stories From the Brink of Human Life

Following in the wake of hugely successful medical memoirs such as Do No Harm and Fragile Lives, Critical is an intelligent, compelling and profoundly insightful journey into the world of intensive care medicine and the lives... read more

Critical: Science and Stories From the Brink of Human Life

The Speaker Gender Gap at Critical Care Conferences

There is a speaker gender gap at critical care conferences, with male faculty outnumbering female faculty. This gap is more marked among physician speakers than those speakers representing nursing and allied health professionals.... read more

Occupational Therapy in the ICU

The role of occupational therapists in ICU rehabilitation is not currently well established. Current interventions in the ICU are dominated by physical rehabilitation with a growing role in communication and delirium... read more

Traditional vs. Alternative Metrics to Measure the Impact on Critical Care Medicine

In this analysis of major pulmonary and critical care journals the correlation between traditional publishing metrics and Altmetric Attention Scores (AAS) was fair, with a strong positive correlation between citations and... read more

Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis

A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration... read more

Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis

Key Enablers and Barriers for Improving ICU Outcomes

Several enablers and barriers to implementing ICU follow-up clinics and peer support groups should be taken into account and leveraged to improve ICU recovery. Among the most important enablers are motivated clinician leaders... read more

Implementation of a Standardized Transfusion Protocol for Cardiac Patients Treated With Venoarterial ECMO Is Associated With Decreased Blood Component Utilization and May Improve Clinical Outcome

The data indicate that implementation of a standardized transfusion protocol, using more restrictive transfusion indications in cardiac ECMO patients, was associated with reduced blood product utilization, decreased complications,... read more

Audiobooks As Good As The Old-fashioned Reading

With the rise of new technologies, long gone are the days of cassette tapes and CDs that made stopping, rewinding, learning, and restarting an audio recording an annoyance. Digital media now makes it possible for individuals... read more

Audiobooks As Good As The Old-fashioned Reading

Interhospital Transport on Extracorporeal Membrane Oxygenation of Neonates

In recent years the number of extracorporeal membrane oxygenation (ECMO) cases in neonates has been relatively constant. Future expansion lays in new indications for treatment. Regionalization to high-volume ECMO centers... read more

Holographic Telepresenceā€Š – Taking Trauma Care to the Next Level

Advancing technology is all set to bring in a new era of highly-realistic holographic Telepresence. Throughout the history of science fiction and video gaming, we've seen holograms come in various shapes and sizes. Today,... read more

Poor Communication Between Physicians and Nurses Linked to Patient Catheter Issues

Communication is contextual, and improving physician-nurse communication about appropriate catheter use may require innovations that address the identified contextual barriers. Several barriers to communication between physicians... read more

Pain in the PICU: How and What Are We Doing?

Pain management in critically ill children is complex. Epidemiological research is needed to identify how often patients in pediatric intensive care units (PICU) experience pain and the practices being used to lessen pain. Critically... read more

Penn Finds a Way to Reduce ICU Doctor Burnout

Reducing the length of rotations in medical ICUs in half also reduces rates of physician burnout in half while additionally improving feelings of fulfillment, according to a new pilot study from Penn Medicine. The results... read more

Translational Simulation: Not “Where?” But “Why?” A Functional View of In SITU Simulation

Healthcare simulation has been widely adopted for health professional education at all stages of training and practice and across cognitive, procedural, communication and teamwork domains. Recent enthusiasm for in situ simulationā€”delivered... read more

Mapping Sources of Noise in an ICU

Excessive noise in hospitals adversely affects patients' sleep and recovery, causes stress and fatigue in staff and hampers communication. The World Health Organization suggests sound levels should be limited to 35 decibels.... read more

Just as in Life and Medicine, Time Is the Biggest Challenge in Writing

For Matt Morgan, writing is a means to relieve work stress and turn it into something useful. In his first book, which will soon be published with Simon & Schuster, he shares stories from the intensive care unit, one of the... read more