scholarly journals Association between out-of-hours discharge and mortality in adult patients leaving critical care

Critical Care ◽  
2015 ◽  
Vol 19 (Suppl 1) ◽  
pp. P564 ◽  
Author(s):  
S Edie ◽  
K Burt ◽  
J Paddle
Keyword(s):  
Critical Care ◽  
Adult Patients ◽  
Out Of Hours

scholarly journals Multicountry survey of emergency and critical care medicine physicians’ fluid resuscitation practices for adult patients with early septic shock

BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e010041 ◽  
Author(s):  
Lauralyn McIntyre ◽  
Brian H Rowe ◽  
Timothy S Walsh ◽  
Alasdair Gray ◽  
Yaseen Arabi ◽  
...  
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
Fluid Resuscitation ◽  
Adult Patients ◽  
Critical Care Medicine

EP.TH.919Developing A Fast Track Paediatric Herniotomy Service In A District General Hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Tsitsi Chituku ◽  
Pradip Gupta ◽  
Karen Bartholomew ◽  
Michael Moncrieff
Keyword(s):  
Critical Care ◽  
Inguinal Hernia ◽  
Fast Track ◽  
Elective Surgery ◽  
District General Hospital ◽  
Out Of Hours ◽  
Clinic Patient ◽  
Patient Demographics ◽  
Tertiary Centre ◽  
Paediatric Critical Care

Abstract Introduction Previously to 2011, babies presented as emergency to our Trust with irreducible inguinal hernia at a rate of 1 baby/year. They were referred to our regional tertiary centre for surgery because there is no out of hours Paediatric Surgeon or Anaesthetist. Usually, patients were either, awaiting an appointment to see surgeon or on an 18-week waiting list. The aims of this SIP were to: expedite elective surgery for paediatric inguinal hernias, and prevent emergency paediatric inguinal hernia referrals to our tertiary centre. Method Referrals to paediatric surgical clinics were triaged by the clinic sister. Hernia referrals were expedited to the next available clinic. A provisional date for surgery was arranged ASAP with an identified surgeon and anaesthetist whilst in clinic. Patient demographics and data collected retrospectively. Results A 73% reduction in waiting time for surgery, 1 baby (1.4%) presented as emergency and was referred to our tertiary centre for surgery, the post-op complication rate fell from 6.5% to 0%. Conclusion The success of the fast-track paediatric herniotomy service at our DGH shows that it is possible to provide timely and safe surgery in a DGH in line with the recommendations of the Paediatric Critical Care and Surgery in Children Review (November 2019).

Paediatric ultrasound

2019 ◽  
pp. 217-224
Author(s):  
Jason Fischer ◽  
Lianne McLean
Keyword(s):  
Critical Care ◽  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Imaging Modality ◽  
Point Of Care ◽  
Adult Patients ◽  
Point Of Care Ultrasound ◽  
Lung Pathology ◽  
Skull Fractures ◽  
Body Habitus

This chapter highlights the increasing use of point-of-care ultrasound (PoCUS) in children. The size and body habitus of infants and children are often ideal for sonographic visualization and make PoCUS an ideal imaging modality for paediatric patients. PoCUS applications that have been traditionally used for adult patients are increasingly being adopted for the care of children. Paediatric-specific applications are also being developed for problems common and unique to paediatrics. Focused abdominal scans for appendicitis, intussusception, and pyloric stenosis are now frequently used in patients presenting with abdominal pain or vomiting. PoCUS can differentiate lung pathology and is helpful in the assessment of suspected skull fractures in non-verbal infants. Ongoing integration of PoCUS into shock, trauma, and triage algorithms support its increasing role in paediatric emergency and critical care.

Acute care physiotherapy management of COVID-19 patients in Qatar: best practice recommendations

2020 ◽  
Vol 27 (11) ◽  
pp. 1-15
Author(s):  
MS Ajimsha ◽  
Neeraj Gampawar ◽  
Praveen J Surendran ◽  
Prasobh Jacob ◽  
Reshma Praveen ◽  
...  
Keyword(s):  
Critical Care ◽  
Extracorporeal Membrane Oxygenation ◽  
Acute Care ◽  
Clinical Reasoning ◽  
Best Practice ◽  
Critical Evaluation ◽  
Adult Patients ◽  
Consensus Process ◽  
Practice Recommendations ◽  
Reasoning Algorithm

This document outlines best practice recommendations for acute care physiotherapy for patients with COVID-19, with an emphasis on critical care rehabilitation, including patients on extracorporeal membrane oxygenation support. These recommendations were developed for practice in Qatar but are adaptable to any setting. This recommendation is the result of a combination of systematic evidence searches, subsequent critical evaluation of the retrieved evidence and a consensus process. The agreed recommendations were integrated into a physiotherapeutic clinical reasoning algorithm. It includes recommendations on physiotherapy referrals, screening, management categories and best practice recommendations. It is intended for use by physiotherapists and other relevant stakeholders, in acute care settings, for adult patients with suspected or confirmed COVID-19.

An analysis of medicine costs of adult patients on a critical care unit

2014 ◽  
Vol 29 (3) ◽  
pp. 472.e7-472.e12 ◽  
Author(s):  
Sumayah Abdul-Jabbar ◽  
Ian Bates ◽  
Graham Davies ◽  
Rob Shulman
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Adult Patients

scholarly journals Factors Associated with Perceived Stressors among Critical Care Units Adult Patients: An Exploratory Study

2021 ◽  
pp. 204-209
Author(s):  
Swapnil Rahane ◽  
Roma Patel ◽  
Devrajsingh Chouhan
Keyword(s):  
Critical Care ◽  
Health Care Professionals ◽  
Critical Care Unit ◽  
Sampling Technique ◽  
Adult Patients ◽  
Exploratory Research ◽  
Related Complication ◽  
Early Recovery ◽  
Financial Problems ◽  
Critical Care Units

The critical care unit environment has been observed as a leading stressor not only amongst the health care professionals but in patients also. Unfamiliar surroundings, dependency on others, financial problems, etc. are among factors that are responsible for the development of stress in the patients admitted to the critical care units. Stress and its factors are also responsible for the patient's deliberate recovery and depraved prognosis. In this study, we explored the association between selective factors and perceived stressors among adult patients admitted to critical care units. A quantitative, exploratory research design study was conducted, to identify the association between the perceived stressors and selected factors of adult patients admitted in Critical Care Units of the selected multispecialty hospitals at Vadodara. A total of sixty patients admitted to the critical care departments were selected through the convenience sampling technique. A demographic variables datasheet and hospitals stress rating interview scale was used after the expert’s content validation to collect the data. Analysis and interpretation of data were done by using descriptive and inferential statistics. Results: Study findings revealed that all the patients, who were interviewed through the hospital stress interview scale, expressed the perception of stressors as indicated by the total perceived stressors score of above (1%). The study also revealed that separation from family members or spouses and financial problems are the highly rated perceived stressors among the patients admitted to the critical care unit. Patients also reported the least perceived stressful area was the problem with medication. There was a significant association between the socioeconomic status and medical-surgical diagnosis of patients with perceived stressors. Conclusion: Therefore, the findings of the study concluded that the study, patients admitted in the critical care department also suffer from stress due to some stressors, and it affects their prognosis and early recovery. Nursing professionals need to focus on the subjective characteristics of patients so that perceived stressors and early detection of the related complication can be prevented.

Oxford Textbook of Critical Care

2016 ◽  
Keyword(s):  
Critical Care ◽  
Health Care Providers ◽  
Best Practice ◽  
Strong Support ◽  
Care Providers ◽  
Out Of Hours ◽  
International Differences ◽  
Support Mechanisms ◽  
Clinical Problems

Since the first edition of the Oxford Textbook of Critical Care was published there have been many advances in in our understanding and management of critical illness. The first edition was prefaced with a note on the exacting nature of critical care—the holistic complexity of the patient with multisystem dysfunction, the out-of-hours commitment, the often stressful and highly charged situations requiring considerable agility of brain and hand, and the continuing evolution (and occasional revolution) in perceived ‘best practice’. These challenging demands are precisely what attract the critical care practitioner to the specialty. The importance of strong support mechanisms—from colleagues, national and international societies, and robust educational and research outputs—is paramount to sustain and enhance the quality of care patients receive. The format used in the first edition with system-orientated sections continues. Each section has been subdivided into short topics grouped according to clinical problems, facilitating manageable and relevant searches in electronic media. It is a single-volume major reference book aiming to cover the breadth of clinical and organizational aspects of adult critical care medicine in readable chunks. The editors acknowledge that every single topic cannot possibly be covered in detail, but hope the book’s comprehensive nature will be found useful by all health care providers who look after critically-ill patients. There are often local, national, and international differences in philosophy and management strategy. Some of these differences are seemingly contradictory and it is often difficult for physicians in one country to assimilate information produced for another. This is an international text attempting to give a balanced view where international differences exist. The book informs, rather than dictates.

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