Sepsis: Learn the Signs and Document

Sepsis: Learn the Signs and Document

Writing in the MJA, researchers have reported the findings of a prospective cohort study comparing estimates of the incidence and mortality of sepsis using clinical diagnosis or the Australian and New Zealand Intensive Care... read more

Preventing Burnout and Compassion Fatigue

Preventing Burnout and Compassion Fatigue

Burnout and compassion fatigue can happen to any healthcare professional, and it can have a negative impact on patients and even your larger nursing career. Fortunately it's very preventable, as our guest this week will attest... read more

Cognitive Function 3 and 12 Months After ICU Discharge

Cognitive Function 3 and 12 Months After ICU Discharge

In this prospective cohort study of Danish ICU patients, we found significantly reduced cognitive function for intensive care patients 3 and 12 months after discharge. We included 161 patients, 79 patients had a 3-month and... read more

Withdrawing vs. Not Offering Cardiopulmonary Resuscitation: Is There a Difference?

In light of the SCC's Cuthbertson v. Rasouli decision, the distinction between withdrawing and not offering a medical treatment is increasingly relevant. Because CPR is a "default" treatment for cardiac arrest, it requires... read more

ICU Usage for Pneumonia Doubles Length of Hospital Stay

ICU Usage for Pneumonia Doubles Length of Hospital Stay

A recently released report using data from the National Hospital Care Survey (NHCS) verifies existing data on the prevalence of pneumonia in hospitalizations and emergency department (ED) visits and provides the first-ever... read more

Breaking it Down: Post Intensive Care Syndrome and Recovery – Emotions

Breaking it Down: Post Intensive Care Syndrome and Recovery – Emotions

The emotional aftermath of critical illness/injury is something that often catches people by surprise but can have a significant impact on daily life. People who have been critically ill/injured often describe difficulty... read more

Do Nurse Staffing Ratios Work? New Research Says No

Do Nurse Staffing Ratios Work? New Research Says No

Advocates of mandated staffing ratios say they improve patient outcomes. A recent study finds otherwise. Nurse-to-patient ratios are a hot button issue. Look no further than Massachusetts for an example. After a battle that... read more

The Needs of Families of Trauma Intensive Care Patients

The Needs of Families of Trauma Intensive Care Patients

This mixed methods study identified that families of trauma patients have different needs to families of general patients and the nurses rated the needs of the families of trauma patients as less important than the families... read more

Lessons From Everest’s Sherpas Could Aid Intensive Care Treatment

Lessons From Everest’s Sherpas Could Aid Intensive Care Treatment

A research expedition to Mount Everest has shed light on the unique physiological basis of adaptations seen in the native Sherpa people, which make them better suited to life at high altitude. This improved understanding,... read more

Failures in the Respectful Care of Critically Ill Patients

Failures in the Respectful Care of Critically Ill Patients

Care that is inadequately respectful to patients and families in the setting of critical illness is prevalent but does not appear to be associated with clinical characteristics. The incidence of such emotional harms is nuanced,... read more

Time-limited Trial of Intensive Care Treatment

Time-limited Trial of Intensive Care Treatment

In critically ill patients, it is frequently challenging to identify who will benefit from admission to the intensive care unit and life-sustaining interventions when the chances of a meaningful outcome are unclear. In addition,... read more

Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

These results confirm previous observational reports that the presence of an endotracheal tube (ETT) remains a major obstacle to the provision of rehabilitation for critically ill patients. Despite rehabilitation being effective... read more

Measuring Sleep in the Intensive Care Unit: A Critical Appraisal of the Use of Subjective Methods

Measuring Sleep in the Intensive Care Unit: A Critical Appraisal of the Use of Subjective Methods

Research using questionnaires to assess sleep is commonplace in light of practical barriers to polysomnography or other measures of sleep. A methodologically sound approach to tool development and testing is crucial to gather... read more

Identifying Distinct Subgroups of ICU Patients: A Machine Learning Approach

Identifying Distinct Subgroups of ICU Patients: A Machine Learning Approach

Identifying subgroups of ICU patients with similar clinical needs and trajectories may provide a framework for more efficient ICU care through the design of care platforms tailored around patients' shared needs. However,... read more