Airway Management in Microgravity

Airway Management in Microgravity

In the near future, space programs will shift their focus toward long‐duration interplanetary missions, in particular to the Moon and Mars. These exploration missions will be associated with an increased risk of acute medical... 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

Trauma Electives in South Africa Provide Valuable Training for International Surgeons

Trauma Electives in South Africa Provide Valuable Training for International Surgeons

Trauma training and trauma preparedness are increasingly areas of concern worldwide. Formal military conflicts over the past 2 decades have ensured that most military surgeons have been exposed to a significant volume of... read more

Time to Add a Fifth Pillar to Bedside Physical Examination

Time to Add a Fifth Pillar to Bedside Physical Examination

Inspection, palpation, percussion, and auscultation have been the 4 pillars of clinical bedside medicine. Although these basic methods of physical examination have served us well, traditional bedside examination, for a number... read more

In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope

In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope

In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training,... read more

Prehospital Intravenous Fentanyl Administered by Ambulance Personnel

Prehospital Intravenous Fentanyl Administered by Ambulance Personnel

Prehospital acute pain is a frequent symptom that is often inadequately managed. The concerns of opioid induced side effects are well-founded. To ensure patient safety, ambulance personnel are therefore provided with treatment... read more

Relationship Between Level of CPR Training, Self-reported Skills, and Actual Manikin Test Performance

Relationship Between Level of CPR Training, Self-reported Skills, and Actual Manikin Test Performance

As expected, higher levels of BLS training correlated with better cardiopulmonary resuscitation (CPR) quality. However, this study showed that ventilations and hands-on time were the components of CPR that were most affected... read more

A New Bill Introduced in the House Would Protect Millions of Health Care Workers

A New Bill Introduced in the House Would Protect Millions of Health Care Workers

A group of House Democrats introduced a bill to help protect millions of nurses and other health care workers from the high rates of violence they experience on the job. The new bill, called the "Workplace Violence Prevention... read more

Organ and Tissue Donation Education for Critical Care Residents

Organ and Tissue Donation Education for Critical Care Residents

Qualitative data corroborated that residents need more exposure to clinical cases, especially regarding DCD donors. A standardized education curriculum would be beneficial for all residents within the ICU. Developing a better... read more

How Do Resuscitation Teams at Top-Performing Hospitals for In-Hospital Cardiac Arrest Succeed?

How Do Resuscitation Teams at Top-Performing Hospitals for In-Hospital Cardiac Arrest Succeed?

Resuscitation teams at hospitals with high IHCA survival differ from non–top-performing hospitals. Our findings suggest core elements of successful resuscitation teams that are associated with better outcomes and form the... 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

Determination of the Feasibility of a Multicomponent Intervention Program to Prevent Delirium in the ICU

Determination of the Feasibility of a Multicomponent Intervention Program to Prevent Delirium in the ICU

During this study a feasible multicomponent intervention program to prevent ICU delirium was developed based on expert consensus. As no consensus was reached on cognitive training, a pilot study is planned to determine the... read more

Inspiratory Muscle Training for ICU Patients

Inspiratory Muscle Training for ICU Patients

Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend... read more

Hospitalists Are the New Intensivists

Hospitalists Are the New Intensivists

Intensivists may get all the credit, but over 37,000 hospitalists provide much of the care for ICU patients in the U.S. According to a recent survey, they often do it without the presence or availability of intensivists for... read more

The Impact of Enhanced Critical Care Training and 24/7 (Tele‐ICU) Support on Medicare Spending and Postdischarge Utilization Patterns

The Impact of Enhanced Critical Care Training and 24/7 (Tele‐ICU) Support on Medicare Spending and Postdischarge Utilization Patterns

Innovations in workforce training and technology specific to the ICU may be useful in addressing the shortage of intensivist physicians, yielding benefits to patients and payers. Implementation of the advanced practice provider... read more

Start a Neonatal ECMO Program: A Multistep Team Training

Start a Neonatal ECMO Program: A Multistep Team Training

The multistep extracorporeal membrane oxygenation (ECMO) team training increased staff' knowledge, technical skills, teamwork, and self-confidence, allowing the successful development of a neonatal respiratory ECMO program.... read more

ECMO – How can I make the best referral?

Extracorporeal membrane oxygenation or ECMO is one of those treatments we sometimes need to think about with our very sick patients. I recently had to make a referral to my local centre and doing so made me wonder what it... read more