We recommend several actions that could improve hospitals' abilities to deliver critical care during epidemics involving large numbers of victims. In the absence of careful pre-event planning, demand for critical care services may quickly exceed available intensive care unit (ICU) staff, beds and equipment, leaving the bulk of the infected populace without benefit of potentially lifesaving crit...

Surgicalcriticalcare.net is a website maintained by the Surgical Critical Care Fellowship program at Orlando Regional Medical Center. It is directed at any member of the health care field who is interested in surgical critical care, from medical students to intensivists to allied health professionals. In keeping with this aim, its content is both administrative and educational. This report focu...

Cardiopulmonary Critical Care is a conveniently small textbook that discusses clinically relevant physiology and treatment of cardiac and pulmonary derangements in intensve care unit patients. I appreciate the compact size of this textbook because my stamina for lifting heavy, more comprehensive textbooks is yielding to the electronic medium. By restricting discussions to cardiac and pulmonary ...

Climate change and environmental stewardship are phrases that have been defining the past few decades and promoting change in our societies. The sensitivities of intensive care as a specialty make the process of greening an intensive care unit a challenge, but not one that is insurmountable. This paper discusses opportunities for critical care to reduce its environmental impact and provide a fr...

A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function rev...

1.1 Ventilator associated pneumonia Ventilator associated pneumonia (VAP) is one of the sub-types of nosocomial acquired pneumonia occur in patients admitted to ICU who are under ventilator assistant mechanical ventilation occurring more than 48 h after patients have been intubated and received mechanical ventilation. Between 250,000 and 300,000 cases per year occur in the United States solely,...

This web resource provides a selection of hyperlinks to a variety of sites of interest mainly to anaesthetists, but also contains intensive care unit and emergency medicine links. The homepage offers a choice of French or English as the primary language. There is a search function that enables one to search the links either by category or by using a word string. On the homepage there is also a ...

Background Cuff management varies widely in Europe and North America. Little is known about current practice in Australia and New Zealand. Objective To characterize important aspects of cuff management in intensive care units in Australia and New Zealand to compare with international reports. Methods A questionnaire was sent to all nurse managers of adult intensive care units in Australia and N...

e c e c o begin a fellowship in surgical critical care, residents ust have completed at least 3 years of a general surgery esidency and have a guaranteed, categorical, surgical spot n which to complete their last years of general surgery raining. However, the majority of fellows choose to comlete their entire general surgery residency before beginning fellowship. This order of training is recom...