Increased Sound Levels in the Cardiac ICU Associated with Increased Heart Rate, Blood Pressure, and Sedation

Sound levels in the CICU were consistently higher than recommended. An increase in heart rate, blood pressure and sedation utilization may suggest a stress response to persistent and sudden loud sounds. Given known negative... read more

Therapy Dogs Aren’t Just for Patients

My hospital brought in a therapy dog for our ED team after a critical incident stress debriefing (CISD). I had never received dog therapy before. The big eyes and loving licks on our hands honestly helped. Perhaps what... read more

Relationship between Concentrations of Oxygen and Levels of Oxidative Stress in Patients Receiving Oxygen Therapy for Severe COVID-19 Pneumonia

We evaluated the potential of high-flow oxygen therapy to increase oxidative stress and inflammation in COVID-19 patients. Our observation of decreased MDA levels when transitioning hypertensive patients from high-flow to... read more

COVID-19 Leaves Lasting Impact on Nursing Practices and Job Satisfaction

The COVID-19 pandemic exacerbated the difficulties nurses experience, especially in emergency departments, requiring adjustments in practice care settings and continuing to impact their overall job satisfaction. Nursing... read more

Long-term Effects of Flexible Visitation in the ICU on Patients’ Mental Health

Flexible ICU visitation, compared to the restrictive visitation, was associated with a significant reduction in the 1-year prevalence of post-traumatic stress symptoms in family members. A total of 519 family members were... read more

Critical Care: A New Nurse Faces Death, Life, and Everything in Between

Doctors heal, or try to, but as nurses we step into the breach, figure out what needs to be done for any given patient today, on this shift, and then, with love and exasperation, do it as best as we can. Critical Care... read more

Critical Care: A New Nurse Faces Death, Life, and Everything in Between

PTSD, Workplace Trauma Lower Among First-Year Residents During COVID-19

Contrary to popular belief, rates of post-traumatic stress disorder (PTSD) and workplace trauma exposure was lower among first-year medical residents during the COVID-19 pandemic than in years prior, according to new research.1 In... read more

PTSD, Workplace Trauma Lower Among First-Year Residents During COVID-19

Overcoming Mental Health Stigma For Nurses

What’s the first thought that comes to mind when you think about mental illness? Is it something negative? If so, it probably comes from the stigma associated with mental health. A stigma is defined as "a mark of disgrace... read more

Overcoming Mental Health Stigma For Nurses

Fear and Insight in the ICU Bed

Mid-morning dressing changes, hours wasted, going through each cut methodically. Dressing off, wound cleaned, redressed. The brunt of pain dealt with by nature before giving in. The intensive care unit (ICU) nurse offers... read more

Fear and Insight in the ICU Bed

Feelings of Strangeness in ICU Patients

After several weeks in the intensive care unit (ICU) following a lung infection, Mr Pol wakes up from a coma and gradually becomes aware of his situation. The healthcare team rejoice in the successful outcome of his extubation:... read more

Feelings of Strangeness in ICU Patients

Who the hell would want to work in healthcare?

Our health sector is in crisis. Doctors are overworked, nurses are burnt out and underpaid. Many healthcare professionals are coming close to retirement and others are simply leaving their professions for greener pastures.... read more

Who the hell would want to work in healthcare?

Music Therapy Intervention to Treat Sedation-Related Delirium in Critical Care

Sedation is an essential component of treatment for some patients admitted to the intensive care unit, but it carries a risk of sedation-related delirium. Sedation-related delirium is associated with higher mortality and... read more

Music Therapy Intervention to Treat Sedation-Related Delirium in Critical Care

The 1,3,5 Approach to Pediatric Cardiac Arrest

While pediatric cardiac arrests are thankfully rare, their shock waves can seem incalculable. Several studies have outlined the mental health toll that these events can have on everyone involved. There is an appreciable... read more

The 1,3,5 Approach to Pediatric Cardiac Arrest

Plasma Hyaluronan, Hyaluronidase Activity and Endogenous Hyaluronidase Inhibition in Sepsis

Elevated plasma hyaluronan levels coincided with a concomitant decrease in effective plasma HYAL activity and increase of endogenous plasma HYAL inhibition both in experimental and clinical sepsis. In acute pancreatitis,... read more

Plasma Hyaluronan, Hyaluronidase Activity and Endogenous Hyaluronidase Inhibition in Sepsis

How One Patient Was Treated for a Stroke Via Telemedicine

A patient believed to have suffered a stroke typically gets transported to the nearest emergency room for tests to determine the best course of action. Telemedicine at Johns Hopkins Medicine enabled one patient to have... read more

How One Patient Was Treated for a Stroke Via Telemedicine

Omicron Magnifies the Distress in the Health Care Labor System

In December 2020, to the tune of rousing cheers, the first health care workers began getting vaccinated against COVID-19. A year later, the cheers have died down, vaccination rates have plateaued, and the Omicron wave... read more

Omicron Magnifies the Distress in the Health Care Labor System

The Relationship Between Vitamin D and Asthma Exacerbation

Asthma is a chronic airway inflammatory condition that affects millions of people worldwide. It presents with reversible bronchoconstriction that makes it difficult for patients to breathe. Asthma flare-ups have several triggers,... read more

The Relationship Between Vitamin D and Asthma Exacerbation