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

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

Interhospital Transport on Extracorporeal Membrane Oxygenation of Neonates

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 Telepresence  – Taking Trauma Care to the Next Level

Holographic Telepresence  – 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

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 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

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

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 simulation—delivered... read more

Mapping Sources of Noise in an ICU

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

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

The Association Between Visiting Intensivists and ICU Outcomes

The Association Between Visiting Intensivists and ICU Outcomes

During a period of service reconfiguration, intensivists routinely rostered to work in one ICU worked in another of the hospital's four ICUs. "Home" intensivists were those who continued to work in their usual... read more

Caring for Critically Ill Patients in Humanitarian Settings

Caring for Critically Ill Patients in Humanitarian Settings

Critical care medicine is far from the first medical field to come to mind when humanitarian action is mentioned, yet both critical care and humanitarian action share a fundamental purpose to save the lives and ease the suffering... read more

Number Needed to Treat

Number Needed to Treat

Effectively communicating clinical trial results to patients and clinicians is a requirement for appropriate application in clinical practice. In a recent issue of JAMA, Zhao et al1 reported the results from a randomized... read more

Aid Tool Does Not Help Care Decisions in Prolonged Mechanical Ventilation

Aid Tool Does Not Help Care Decisions in Prolonged Mechanical Ventilation

Treatment decisions commonly have to be made in intensive care units (ICUs). These decisions are difficult for surrogate decision makers and often lead to decisional conflict, psychological distress, and treatments misaligned... read more

Medical Dispatchers’ Perception of Visual Information in Real Out-of-hospital Cardiac Arrest

Medical Dispatchers’ Perception of Visual Information in Real Out-of-hospital Cardiac Arrest

Providing medical dispatchers with visual information from the location of OHCA might improve their understanding of the OHCA-scenario, which might enhance communication, their ability to guide more bystanders and improve... read more

When is Patient Feedback Valid? Supporting Patient Feedback as a Catalyst for Change

When is Patient Feedback Valid? Supporting Patient Feedback as a Catalyst for Change

As part of the revalidation process, doctors must collect patient feedback at least once every five years. While it is encouraging to see patient feedback included in this process, questions must be asked about what message,... read more

Humanizing the ICU

Humanizing the ICU

In the midst of trying to correct organ failures, clinicians may neglect to carefully consider what the patient is experiencing: to be on the brink of death, be unable to speak, be stripped naked, have strangers enter the... read more