ECMO During COVID-19 Collaborative Survey

ECMO During COVID-19 Collaborative Survey

This collaborative survey done by the Society of Thoracic Surgeons/Extracorporeal Life Support Organization highlights several key changes in ECMO utilization and practice in North America: programs performing >20 VV ECMO... read more

Transesophageal Echocardiography Training of Emergency Physicians Through an E-Learning System

Transesophageal Echocardiography Training of Emergency Physicians Through an E-Learning System

A transesophageal echocardiography (TEE) training course resulted in a 50% increase in surveyed participants feeling comfortable using TEE in cardiac arrest and a 40% increase in participants scoring ≥80% on a test of knowledge. We... read more

Preventing Major Airway Complications

Preventing Major Airway Complications

Every anaesthetist fears the moment they might become faced with a "can't intubate, can't oxygenate" (CICO) scenario, but thankfully such events are exceedingly rare. They nevertheless receive much attention in the academic... read more

Critical Care Clinician Reports on COVID-19

Critical Care Clinician Reports on COVID-19

This national ICU clinician survey indicates that hospitals are expanding ICU bed capacity to prepare for coronavirus disease 2019 patient surge. Importantly, amid this preparation, ICU clinicians harbor concerns regarding... read more

Neuroprognostication Practices in Postcardiac Arrest Patients

Neuroprognostication Practices in Postcardiac Arrest Patients

Neuroprognostic approaches to hypoxic-ischemic encephalopathy vary among physicians and are often not consistent with current guidelines. The overall inconsistency in approaches and deviation from evidence-based recommendations... read more

Effect Sizes in Ongoing Randomized Controlled Critical Care Trials

Effect Sizes in Ongoing Randomized Controlled Critical Care Trials

For some of the largest ongoing critical care trials, many clinicians regard prior probabilities as low and consider that plausible effects on absolute mortality are less than 5%. Further work is needed to determine whether... read more

A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness

A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness

Non-technical skills and human factors are increasingly recognized as critical ingredients in the success or failure of acute care delivery in a number of high stakes clinical domains. This is reflected in the evolution of... read more

Clinician Perception of a Machine Learning–Based Early Warning System Designed to Predict Severe Sepsis and Septic Shock

Clinician Perception of a Machine Learning–Based Early Warning System Designed to Predict Severe Sepsis and Septic Shock

In general, clinical perceptions of Early Warning System 2.0 were poor. Nurses and providers differed in their perceptions of sepsis and alert benefits. These findings highlight the challenges of achieving acceptance of predictive... read more

Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship

Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship

Pediatric procedural sedation lacks a clearly defined training pathway. Most fellows find pediatric procedural sedation a valuable skill set. We propose that all Pediatric Critical Care Medicine fellows receive training that... read more

More Healthcare Workers Born Outside the USA

More Healthcare Workers Born Outside the USA

The healthcare sector continues to lead the way in hiring. A new study found more than 16% of healthcare professionals surveyed in 2016 were born outside the U.S.... read more

Most Physicians Disenchanted With Their Profession

Most Physicians Disenchanted With Their Profession

Seven out of ten physicians would not recommend their profession to their children or other family members, and more than half are thinking about retiring within the next five years, including one-third of those under the... read more

Differences in attitudes towards end-of-life care among intensivists, oncologists and prosecutors in Brazil

Differences in attitudes towards end-of-life care among intensivists, oncologists and prosecutors in Brazil

There is great variability in end-of-life care and the legal context may interfere with decisions on limitation of medical treatment. In Brazil, end-of-life care was initially regulated in 2006, but legal controversies still... read more

Women in Intensive Care

Women in Intensive Care study: a preliminary assessment of international data on female representation in the ICU physician workforce, leadership and academic positions. Despite limited information globally, available data... 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