Evidence-based Recommendations on the Use of Intravenous Lipid Emulsion Therapy in Poisoning

Evidence-based Recommendations on the Use of Intravenous Lipid Emulsion Therapy in Poisoning

Although intravenous lipid emulsion (ILE) was first used to treat life-threatening local anesthetic (LA) toxicity, its use has expanded to include both non-local anesthetic (non-LA) poisoning and less severe manifestations... read more

Developing the Role of the Critical Care Pharmacist

Developing the Role of the Critical Care Pharmacist

The evolution of the critical care pharmacist — from lone practitioner to integral multidisciplinary team member. Pharmacists keen on a career in critical care need to understand that this is a complicated area and that... read more

No Electrodes, No Problems

No Electrodes, No Problems

This is what Emmanuel had to say about his innovation: “There are times in the emergency department (ED) when there are no electrodes available to place patient on a monitor. In resource limited settings like Ghana, it... read more

Heuristic Thinking in the Emergency Department

Heuristic Thinking in the Emergency Department

This paper explores the use of heuristics among highly-trained physicians diagnosing heart disease in the emergency department, a common task with life-or-death consequences. Using data from a large private-payer claims database,... read more

Preventing Harm in the ICU – Building a Culture of Safety and Engaging Patients and Families

Preventing Harm in the ICU – Building a Culture of Safety and Engaging Patients and Families

Preventing harm remains a persistent challenge in the ICU despite evidence-based practices known to reduce the prevalence of adverse events. This review seeks to describe the critical role of safety culture and patient and... read more

Association Between Survival and Time of Day for RRT Calls

Association Between Survival and Time of Day for RRT Calls

Rapid response team activation is less frequent during the early morning and is followed by a spike in mortality in the 7 AM hour. These findings suggest that failure to rescue deteriorating patients is more common overnight.... read more

Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Adequate staffing in ICUs is an increasing problem worldwide. We would like to elaborate on staffing problems that arise in ICUs across Europe, including the Dutch situation. This staffing problem is caused by the increased... read more

Critical Care Reviews Book 2017 (Free eBook)

Critical Care Reviews Book 2017 (Free eBook)

The 2017 Critical Care Reviews Book seeks to summarize, critique and put in context the best critical care trials of 2016. Five intensivsts working in Northern Ireland have spent the past year writing this edition. This is... read more

Effective Care for High-Need Patients

Effective Care for High-Need Patients

To advance insights and perspectives on how to better manage the care of the high-need patient population, the National Academy of Medicine, with guidance from an expert planning committee, was tasked with convening three... read more

The Air is Everywhere

The Air is Everywhere

A 12-year-old male with a history of mild persistent asthma presented to the Emergency Department (ED) with acute onset of chest pain and a "crackling" feeling along his sternum. Two days prior he was seen by his... read more

Fewer Hospital Patients Harmed by Bedsores and Injuries

Fewer Hospital Patients Harmed by Bedsores and Injuries

No one who enters a hospital for care expects to be harmed or sickened accidentally. Unfortunately, preventable errors and mishaps are all too common, occurring during one in six hospital admissions and killing at least 500... read more

Burn Till You’re Out

Burn Till You’re Out

When using the technical definition of burnout: "The reduction of a fuel to nothing", it clearly describes the state of being of the few people that I have met who are having a burnout. The problem is huge and almost... read more

Reflections on the ICU Liberation ABCDEF Bundle Improvement Collaborative

Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative. Dr. Pun reflects upon Collaborative work, including origins and logistics of the project, team training... read more

Breaking Health Care Rules to Improve Care

Breaking Health Care Rules to Improve Care

This Viewpoint summarizes rules in health care organizations that their own leaders identified as ones that contribute little or no value to care, impede the work of clinicians, frustrate patients and families, and waste... read more