Latest Blog Posts in ICU

Will point-of-care ultrasound replace the stethoscope?

With a technology like point-of-care ultrasound (POCUS), there are two options for how to develop this technology and spread it in the community. Either you bring technology and have people use it, or you realise that the value of technology by itself is very limited without augmenting it by providing education. I use the example of the stethoscope,...
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Gender as Parameter when Planning Quality Improvement in Clinical Pathways

Different preferences based on gender, influence the patient’s perspective of good quality in care and treatment. As future healthcare points towards more outpatient treatment and less hospitalisation, and as the majority of quality-studies are related to patients who are hospitalised or have chronic diseases, it seems interesting to explore the patient...
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What is the Role of Benchmarking for Intensive Care?

Although the evaluation of a single intensive care unit (ICU) over time can produce insightful results, self-reflection can lead to excessive optimism or criticism. Benchmarking against other ICUs can provide ICU staff and hospital managers with a broader view and clearer perspectives of targets for improvement. This approach is now used among hospital...
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Apps on Intensive Care

My app on Intensive care Complete: ABG is for bedside diagnosis. It uses a physiochemical approach and is a mix of traditional approach and Stewart’s. The complete ABG is an app designed for bedside use. The point-of-care version of the app is available for the Iwatch . Both the Complete ABG and ABG Book are the only apps that use...
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From Expert to Novice or Expert to Expert? The Transition from Practice to Academia

In 2016 I would never have guessed that a year later I would encounter a significant career change. Since the age of 17 I was incredibly passionate about the Ambulance Service and I was overjoyed when I got my Paramedic registration, aged 20, after two years training at university and in-service. The sense of achievement was astonishing and since then...
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Why Have Procedure-Specific Postoperative Pain Guidelines?

The pro cedure spec ific postoperative pain managemen t (PROSPECT) initiative provides evidence-based procedure-specific guidelines for postoperative pain management . This is really important, because the problem is that guidelines on postoperative pain management are broad and are not procedure-specific. Every type of surgery...
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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 every leader in healthcare agrees that this is a major problem (Swenson et al. 2016). Although many problems arise from using surveys...
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What’s the future of intensive care medicine?

Over time, I think we are going to recognise that we can’t continue to develop or introduce new technology. Because of cost we are going have to be satisfied with the technologies that we have. I think the future of intensive care will be smaller as people get healthier. They are going to be less likely to come into intensive care units and more likely...
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5 ICU Design Projects

Leland Kaiser, Hospital Futurist says, "The hospital is a human intervention and as such, can be reinvented at any time." With rapid advancement in technology and architecture, the hospitals of tomorrow are likely to be more home than hospital. The Intensive Care Unit is no different and the layout and structure of future ICUs is likely to be very...
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What Does it Mean to be an Intensivist? A Philosophical View of Intensive Care

Wikipedia defines intensive care medicine as a branch of medicine concerned with the diagnosis and management of life-threatening conditions requiring sophisticated organ support and invasive monitoring . 1 To this, I would add the line ‘for the patient’s benefit’ since this alters the above definition fundamentally. ...
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