Addressing Anxiety Among Health Care Professionals During COVID-19

The coronavirus disease (COVID-19) pandemic has become one of the central health crises of a generation. The pandemic has affected people of all nations, continents, races, and socioeconomic groups. The responses required,... read more

The Walls Manual of Emergency Airway Management

The Walls Manual of Emergency Airway Management is the world's most trusted reference on emergency airway management, and is the foundation text in the nationally recognized The Difficult Airway Course: Emergency and The... read more

The Walls Manual of Emergency Airway Management

Critical Care / ICU, Fluids, Electrolytes and Nutrition

Filled with detailed work-ups, treatments, pearls, illustrations, differential diagnosis and references. Everything you ever needed to know about critical care and nutrition issues in an easy to read and navigate format created... read more

Critical Care / ICU, Fluids, Electrolytes and Nutrition

ICU Doctors Already Know How to Get COVID-19 Patients Off Ventilators Faster

The coronavirus pandemic is instilling chaos that is shaking the world. When intensive care units are running out of ventilators and essential medications, and some 95,000 people die in a matter of a few months, society panics... read more

Cardiologists Join COVID-19 Front Line in Converted Cardiac ICUs

The Mount Sinai Health System in New York is one of many systems in the U.S. that has been adapting in the attempt to care for the influx of patients with known or suspected COVID-19. As elective surgeries are no longer... read more

Yale study finds self-isolation would dramatically reduce ICU bed demand

As soon as Alison Galvani learned of the COVID-19 virus in China and its devastating spread there, she foresaw what might happen to healthcare facilities in the United States. The Yale professor and colleagues at the... read more

What We Do When a COVID-19 Patient Needs an Operation

We wish to share the protocol that we use in our hospital in preparing an operating room (OR) for confirmed or suspected COVID-19 patients coming for surgery. An OR with a negative pressure environment located at a corner... read more

Inside a South Korean COVID-19 ICU

In a South Korean ICU, nurses wearing heavy self-contained respiratory systems work two-hour shifts. South Korea has seen a great success mitigating its large COVID-19 outbreak. South Korea has 12.3 hospital beds per... read more

A Comparison of Albumin and Saline for Fluid Resuscitation in the ICU

In this randomized trial, we found that the use of 4 percent albumin or normal saline for intravascular volume resuscitation in a heterogeneous population of patients in the ICU resulted in equivalent rates of death from... read more

Emergency Department Surge Capacity Strategies in the COVID-19 Pandemic

No matter where you practice emergency medicine there will be, or has been, capacity problems in the COVID-19 crisis. Even if we "flatten the COVID-19 curve" there will be a load on the systems that exceeds our capacity.... read more

Characteristics and Outcomes of 21 Critically Ill COVID-19 Patients in Washington State

This study represents the first description of critically ill patients infected with SARS-CoV-2 in the US. Patients with confirmed SARS-CoV-2 infection (positive result by polymerase chain reaction testing of a nasopharyngeal... read more

Models of Peer Support to Remediate Post-Intensive Care Syndrome

A number of different models of peer support are currently being developed to help patients and families recover and grow in the post-critical care setting. Via an iterative process of in-person and email/conference calls,... read more

Humanizing the ICU Experience with Enhanced Communication

Decisions to limit therapy (DTLT) are routine for ICU physicians. Although breaking bad news is one of the most difficult tasks clinicians face, ongoing communication is even more crucial as families (not necessary following... read more

Focus on Clinical Trial Interpretation

In a recently published meta-epidemiological study of 604 randomised clinical trials (RCTs) published between 1977 and 2018 from 53 Cochrane systematic reviews in critical care, less than 7% of the RCTs had overall low risk... read more

Critical Care and the COVID-19 Outbreak in Italy: Early Experience and Forecast

There was an immediate sharp increase in ICU admissions from day 1 to day 14. The increase was steady and consistent. Publicly available data indicate that ICU admissions (n = 556) represented 16% of all patients (n = 3420)... 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

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

Emergency & Critical Care Pocket Guide

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

Intensive Care Unit in Disaster

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

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

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