Bleeding, Hemorrhagic Shock, and the Global Blood Supply
This article discusses the presentation and management of these causes across the world and provides a brief overview of the current challenges in maintaining a global blood supply. (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Isabella Faria, Neil Thivalapill, Jennifer Makin, Juan Carlos Puyana, Nakul Raykar Source Type: research
Current State of Critical Care Nursing Worldwide
This review provides insights on the current state of roles and responsibilities, on-the-job training, barriers, and facilitators of critical care nursing (CCN) practice. Some of the established roles and training of CCN were providing care for acutely ill patients, delivering expert and specialist care, working as a part of a multidisciplinary team, monitoring, and initiating timely treatment, and providing psychosocial support and advanced system treatment, especially in high-income countries. In low-resource settings, critical care nurses work as health care assistants, technical or ancillary staff, and clinical educato...
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Eunice Ndirangu-Mugo, Lia M. Barros, Benard D. Mutwiri, Constance S. Shumba, Beth Waweru, Wangari Waweru Siika Source Type: research
Focused Cardiac Ultrasound Training for Non-cardiologists
Poor outcomes among the critically ill in low- and middle-income countries (LMICs) have been attributed in part to the challenge of diagnostic delays caused by lack of skilled personnel. Focused cardiac ultrasound (FoCUS) by non-cardiologists may mitigate the shortage of echocardiography experts to perform emergency echocardiography at the point of care in these settings. It is however crucial that FoCUS training for non-cardiologists in LMICs be based on robust evidence to support training delivery if diagnostic accuracy is to be assured. (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Wangari Waweru-Siika, Annette Pl üddemann, Carl Heneghan Source Type: research
The Next Frontier in Neurocritical Care in Resource-Constrained Settings
Neurocritical care (NCC) is an emerging field within critical care medicine, reflecting the widespread prevalence of neurologic injury in critically ill patients. Morbidity and mortality from neurocritical illness (NCI) have been reduced substantially in resource-rich settings (RRS), owing to the development of advanced technologies, neuro-specific units, and subspecialized medical training. Despite shouldering much of the burden of NCI worldwide, resource-limited settings (RLS) face immense hurdles when implementing guidelines generated in RRS. This review summarizes the current epidemiology, management, and outcomes of t...
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Madiha Raees, Beverly Cheserem, Benjamin Mutiso, Tsegazeab Laeke, Brian Jason Brotherton Source Type: research
Factors to be Considered in Advancing Pediatric Critical Care Across the World
This article reviews the many factors that have to be taken into account as we consider the advancement of pediatric critical care (PCC) in multiple settings across the world. The extent of PCC and the range of patients who are cared for in this environment are considered. Along with a review of the ongoing treatment and technology advances in the PCC setting, the structures and systems required to support these services are also considered. Finally the question of how PCC can be made sustainable in a volatile world with the impacts of global crises such as climate change is addressed. (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Andrew C. Argent, Suchitra Ranjit, Mark J. Peters, Amelie von Saint Andre-von Arnim, Md Jobayer Chisti, Roberto Jabornisky, Ndidiamaka L. Musa, Niranjan Kissoon Source Type: research
Building Critical Care Capacity in a Low-Income Country
Critical illness is common throughout the world and is associated with high costs of care and resource intensity. The Corona virus disease 2019 (COVID-19) pandemic created a sudden surge of critically ill patients, which in turn led to devastating effects on health care systems worldwide and more so in Africa. This narrative report describes how an attempt was made at bridging the existing gaps in quality of care for critically ill patients at national and regional levels for COVID and the postpandemic era in a low income country. (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Arthur Kwizera, Cornelius Sendagire, Yewande Kamuntu, Meddy Rutayisire, Jane Nakibuuka, Patience A. Muwanguzi, Anne Alenyo-Ngabirano, Henry Kyobe-Bosa, Charles Olaro Source Type: research
Global Health and Critical Care Medicine
CRITICAL CARE CLINICS (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Authors: Kristina E. Rudd, Wangari Waweru-Siika Source Type: research
Copyright
ELSEVIER (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Source Type: research
Contributors
GREGORY S. MARTIN, MD, MSC (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Source Type: research
Contents
Kristina E. Rudd and Wangari Waweru-Siika (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Source Type: research
Forthcoming Issues
Neurocritical Care (Source: Critical Care Clinics)
Source: Critical Care Clinics - September 24, 2022 Category: Intensive Care Source Type: research
Voices of Pandemic Care: Perspectives from Pediatric Providers During the First SARS-CoV-2 Surge
Pediatric providers were called upon to care for adult patients well beyond their typical scope of practice during the first surge of the SARS-CoV-2 pandemic. Here we share novel viewpoints and innovations from the perspective of providers, consultants and families. We will enumerate several of the challenges encountered, including the need to lead while supporting our teams, balancing competing responsibilities to children while caring for critically ill adult patients, preserving the model of interdisciplinary care, maintaining communication with families and finding meaning in work during this unprecedented crisis. (Sou...
Source: Critical Care Clinics - September 13, 2022 Category: Intensive Care Authors: Lisa Delsignore, Phoebe Yager, Kimberly Whalen, Jenna Pacheco, Tamara Vesel, Sara Ross Source Type: research
Global Critical Care: Innovation for the Sickest Patients Worldwide
Global critical care emphasizes and promotes the practice of critical care medicine worldwide, with consideration of the epidemiologic, resource, logistical, and health systems contexts in which different people live. This concept has been established for at least several decades. Although the first World Congress of Intensive Care Medicine held in 1973 drew delegates from only four countries, the group has grown to become the World Federation of Intensive and Critical Care, with membership from more than 85 critical care societies from across the globe. (Source: Critical Care Clinics)
Source: Critical Care Clinics - August 26, 2022 Category: Intensive Care Authors: Kristina E. Rudd, Wangari Waweru-Siika Tags: Preface Source Type: research
Living on the Edge of Possibility
The birth, expansion, and sustenance of critical care medicine as a specialty have often presented ethical challenges and dilemmas to health care workers in diverse settings. In addition to critical services being provided at the extreme end of a disease process, they are often in limited supply. The authors present patterns of inception and development of this crucial service as they have witnessed in rural Africa. Furthermore, they present the ethical challenges, both typical and unique, as they have experienced them in a tertiary referral center in Kenya. (Source: Critical Care Clinics)
Source: Critical Care Clinics - August 16, 2022 Category: Intensive Care Authors: Immaculate Kariuki-Barasa, Mary B. Adam Source Type: research
Critical Care Pandemic Preparation: Considerations and Lessons Learned From COVID-19
Pandemics, increases in disease incidence that affect multiple regions of the world, present huge challenges to healthcare systems and in particular to policy makers, public health authorities, clinicians and all healthcare workers. The recent COVID-19 pandemic has resulted in millions of severely ill patients patients, many of whom who have required hospital and intensive care unit admission. The discipline of critical care is a vital and integral component of pandemic preparedness. Safe and effective critical care has the potential to improve outcomes, motivate individuals to seek timely medical attention, and attenuate ...
Source: Critical Care Clinics - July 10, 2022 Category: Intensive Care Authors: Mervyn Mer, Diptesh Aryal, Nathan D. Nielsen, Ary Serpa Neto, Bhavna Seth, Madiha Raees, Martin W. D ünser, Kristina E. Rudd Source Type: research
