The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

The pathophysiology of persistent injury-associated anemia is incompletely understood, and human data are sparse. Objective: To translate pre-clinical findings by characterizing injury-associated anemia among critically ill... read more

Early Interventions for the Prevention of Posttraumatic Stress Symptoms in Survivors of Critical Illness

Early Interventions for the Prevention of Posttraumatic Stress Symptoms in Survivors of Critical Illness

Despite a paucity of high-quality clinical investigations, the preponderance of evidence to date suggests that 1) posttraumatic stress disorder among survivors of critical illness may be preventable and 2) early interventions... read more

Clinical Chronobiology: A Timely Consideration in Critical Care Medicine

Clinical Chronobiology: A Timely Consideration in Critical Care Medicine

Circadian rhythms are currently low on the list of physiological priorities during ICU ward rounds. We have argued that recognition of the influence of this universally important system, and adoption of chronobiological strategies,... read more

Advanced Perioperative Crisis Management

Advanced Perioperative Crisis Management

Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward. Advanced Perioperative Crisis... read more

The Real Doctor Will See You Shortly: A Physician’s First Year

The Real Doctor Will See You Shortly: A Physician’s First Year

In medical school, Matt McCarthy dreamed of being a different kind of doctor—the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died... read more

Drowned: Nurses Under Water

Drowned: Nurses Under Water

Nurses are expensive. We are the largest professional workforce in healthcare, and with over 3.1 million professional nurses in the country, it appears that we are large in number but small as a priority. Nurses are overworked.... read more

Airway Pressure-time Curve Profile Detects Tidal Recruitment/Hyperinflation

Airway Pressure-time Curve Profile Detects Tidal Recruitment/Hyperinflation

Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Shape of the Paw-t curve detects tidal recruitment and tidal hyperinflation. Pulmonary computed... read more

The Case of the Dying Soldiers: Practical Applications of Pharmacology Concepts in Critical Care

The Case of the Dying Soldiers: Practical Applications of Pharmacology Concepts in Critical Care

Pharmacokinetics and pharmacodynamics are very important when it comes to treating critically ill or critically injured patients. However, when we teach this topic we usually present things using complex equations and explanations... read more

Indicators of ICU Capacity Strain

Indicators of ICU Capacity Strain

We identified and characterized 16 indicators of strained ICU capacity across the spectrum of healthcare quality domains. Future work should aim to evaluate their implementation into practice and assess their value for evaluating... read more

A Qualitative Study Exploring Moral Distress in the ICU Team

A Qualitative Study Exploring Moral Distress in the ICU Team

This study identified the ways in which moral distress manifests across critical care disciplines in different ICU environments. Our results have potential implications for patient care. First, when clinicians alter the content... read more

The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in ICUs

The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in ICUs

The true prevalence of burnout, compassion fatigue, secondary traumatic stress and vicarious trauma in ICU healthcare professionals remains open for discussion. A thorough exploration of emotional distress in relation to... read more

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Pain medications, infections, medical illnesses, ventilators, dehydration or withdrawing from alcohol can be risk factors for delirium. Hospitals are one of the biggest culprits. They're noisy, busy and not conducive to getting... read more

Experience and Needs of Family Members of Patients Treated with ECMO

Experience and Needs of Family Members of Patients Treated with ECMO

Sudden onset of an unexpected and severe illness is associated with an increased stress experience of family members. Only one study to date has explored the experience of family members of patients who are at high risk of... read more

Why Do Nurses Quit?

Why Do Nurses Quit?

Estimates are that up to 30-50% of nurses leave their position or quit nursing altogether in the first year. What drives nurses away? Some new grads do not survive the shock. Nursing school is insufficient preparation for... read more