Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients

Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients

Self-reported and behavioral pain assessment scales are often used interchangeably in critically ill patients due to fluctuations in mental status. The correlation between scales is not well elucidated. The purpose of this... read more

Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival

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

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

R.E.B.E.L. EM – Fluid Responsiveness and the Six Guiding Principles of Fluid Resuscitation

R.E.B.E.L. EM – Fluid Responsiveness and the Six Guiding Principles of Fluid Resuscitation

Fluid resuscitation is a crucial aspect of emergency and critical care. Since the advent of the concept of early goal-directed therapy, we have placed a huge emphasis on aggressive fluid resuscitation in patients with severe... read more

Managing Sepsis and Septic Shock Current Guidelines and Definitions

Managing Sepsis and Septic Shock Current Guidelines and Definitions

While sepsis defies simple definition, it's generally understood to be a clinical syndrome caused by infection that may have profound adverse physiologic consequences. Although its precise incidence is unknown, sepsis is... read more

Factors Associated with Life-Sustaining Treatment Restriction in the ICU

Factors Associated with Life-Sustaining Treatment Restriction in the ICU

Few previous studies have investigated associations between clinical variables available after 24 hours in the ICU and decisions to restrict life-sustaining treatment. The aim of this study was to identify factors associated... read more

Ultrasonography in Trauma: a Nation-wide Cross-Sectional Investigation

Ultrasonography in Trauma: a Nation-wide Cross-Sectional Investigation

The Focused Assessment with Sonography in Trauma (FAST) protocol is considered beneficial in emergent evaluation of trauma patients with blunt or penetrating injury and has become integrated into the Advanced Trauma Life... read more

The ADRENAL Trial: Steroids in Septic Shock

The ADRENAL Trial: Steroids in Septic Shock

Randomized clinical trials evaluating the efficacy of adjunctive corticosteroids in septic shock have shown conflicting evidence of clinical relevance. Two trials in particular looked at lower dose hydrocortisone (200mg/day)... read more

AACN Essentials of Critical Care Nursing

AACN Essentials of Critical Care Nursing

Endorsed by the American Association of Critical-Care Nurses (AACN) and written by top clinical experts in critical care nursing, this textbook covers all the must-know details on the care of adult, critically ill patients... read more

Critical Care Notes: Clinical Pocket Guide

Critical Care Notes: Clinical Pocket Guide

This pocket-sized, quick reference is your go-to guide for the clinical information you need to care for adult patients safely and effectively. Completely revised and updated, the 2nd Edition offers even more of what you... read more

Enhancing Recovery From Sepsis

Enhancing Recovery From Sepsis

Survival from sepsis has improved in recent years, resulting in an increasing number of patients who have survived sepsis treatment. Current sepsis guidelines do not provide guidance on posthospital care or recovery. In the... read more

Delay Within the 3-Hour Surviving Sepsis Campaign Guideline on Mortality for Patients With Severe Sepsis and Septic Shock

Delay Within the 3-Hour Surviving Sepsis Campaign Guideline on Mortality for Patients With Severe Sepsis and Septic Shock

The guideline recommendations showed that shorter delays indicates better outcomes. There was no evidence that 3 hours is safe; even very short delays adversely impact outcomes. Findings demonstrated a new approach to incorporate... read more

The Contents of a Patient Diary and its Significance in the ICU

The Contents of a Patient Diary and its Significance in the ICU

The aim of this study was to describe the contents of a patient diary and its significance for persons cared for in an ICU. What formerly critically ill patients appreciate most about the diary is that the diary is personally... read more

Fifty Years of Research in ARDS

Fifty Years of Research in ARDS

Mechanical ventilation (MV) is critical in the management of many patients with acute respiratory distress syndrome (ARDS). However, MV can also cause ventilator-induced lung injury (VILI). The selection of an appropriate... read more

Current Therapy of Trauma and Surgical Critical Care

Current Therapy of Trauma and Surgical Critical Care

A comprehensive and contemporary summary of the treatment and post-operative management of traumatic injuries. The concise format makes it ideally suited for everyday use, and new, full-color illustrations highlight the most... read more

Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency – Part II

Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency – Part II

This part II of the guidelines for the diagnosis and management of critical illness-related corticosteroid insufficiency (CIRCI) in critically ill patients is related to acute illnesses that may be complicated by CIRCI. We... read more

Integration of Nurse Practitioners Into the Critical Care Team

Integration of Nurse Practitioners Into the Critical Care Team

As the demands of critical care medicine increase one viable option to meet needs is the addition of a nurse practitioner to the traditional structure of the critical care team. The purpose of this article is to convey our... read more