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Navigating the Multiverse: Heterogeneity in Pediatric Burn Care in the United States*
No abstract available
Source: Pediatric Critical Care Medicine - November 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

A Brief History of Cardiothoracic Surgical Critical Care Medicine in the United States
This article describes the early days of cardiothoracic surgery and cardiothoracic intensive care medicine.PMID:36557057 | DOI:10.3390/medicina58121856
Source: Medicina (Kaunas) - December 23, 2022 Category: Universities & Medical Training Authors: Rafal Kopanczyk Nicolas Kumar Amar M Bhatt Source Type: research

SCCM Pod-33 CC: Patient Safety and CPOE
Brian Jacobs, MD, project director of Integrating Clinical Information Systems, or ICIS, at Cincinnati Children's Hospital Medical Center, discusses how efforts in computerized physician order entry relate to patient safety. The ICIS system is a computer-based system implemented Thuoughout the hospital Thuough which all medical orders are entered and documented electronically. The system, believed to be the most comprehensive in any pediatric hospital in the United States, is expected to reduce medical errors significantly.
Source: SCCM PodCast - iCritical Care - June 2, 2006 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

"A National Survey of Burnout and Depression Among Fellows Training in Pulmonary and Critical Care Medicine: A Special Report by the APCCMPD.
Abstract BACKGROUND: The prevalence of burnout and depressive symptoms is high among physician trainees. RESEARCH QUESTION: What is the burden of burnout and depressive symptoms among fellows training in pulmonary and critical care medicine (PCCM) and what are associated individual fellow, program, and institutional characteristics? STUDY DESIGN/METHODS: We conducted a cross-sectional electronic survey of fellows enrolled in pulmonary, PCCM, and critical care medicine training programs in the United States to assess burnout and depressive symptoms. Burnout symptoms were measured using the Maslach Burnout...
Source: Chest - September 17, 2020 Category: Respiratory Medicine Authors: Sharp M, Burkart KM, Adelman MH, Ashton RW, Biddison LD, Bosslet GT, Doyle ST, Eckmann T, Khurram S Khan MM, Lenz PH, McCallister JW, O'Toole J, Rand CS, Riekert KA, Soffler MI, Winter GR, Zaeh S, Eakin MN Tags: Chest Source Type: research

Increasing Access to Palliative Care Services in the Intensive Care Unit.
CONCLUSION: The use of an evidence-based screening tool to trigger palliative care consultation in the ICU setting can aid in increasing the proportion of critical care patients who receive a palliative care referral. The increase in the proportion of palliative care referrals by the pulmonary critical care service warrants expansion of the intervention to include additional medical subspecialists who frequently admit patients in this ICU setting. Further assessment of the intervention is warranted to determine whether the screening tool can aid in increasing palliative care consultations for more patients admitted to the ...
Source: Dimensions in Critical Care Nursing - March 30, 2018 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Boarding of Critically Ill Patients in the Emergency Department
Conclusions: Emergency department boarding of critically ill patients was common and was associated with worse clinical outcomes. Health systems have generated a number of strategies to mitigate these effects. A definition for emergency department boarding is proposed. Future work should establish formal criteria for analysis and benchmarking of emergency department–based boarding overall, with subsequent efforts focused on developing and reporting innovative strategies that improve clinical outcomes of critically ill patients boarded in the emergency department.
Source: Critical Care Medicine - July 30, 2020 Category: Emergency Medicine Tags: Review Articles Source Type: research

Medications for Children Receiving Intensive Care: A National Sample
Objective: To examine medication administration records through electronic health record data to provide a broad description of the pharmaceutical exposure of critically ill children. Design: Retrospective cohort study using the Cerner Health Facts database. Setting: United States. Patients: A total of 43,374 children 7 days old to less than 22 years old receiving intensive care with available pharmacy data. Interventions: None. Measurements and Main Results: A total of 907,440 courses of 1,080 unique medications were prescribed with a median of nine medications (range, 1–99; 25–75th percentile, 5–16...
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Association between access to pediatric trauma care and motor vehicle crash death in children: An ecologic analysis of United States counties
BACKGROUND Access to pediatric trauma care is highly variable across the United States. The purpose of this study was to measure the association between pediatric trauma center care and motor vehicle crash (MVC) mortality in children (
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 29, 2021 Category: Orthopaedics Tags: EAST 2021 PODIUM PAPERS Source Type: research

Informing Leadership Models: Nursing and Organizational Characteristics of Neonatal Intensive Care Units in Freestanding Children's Hospitals.
CONCLUSION: This study identified (1) variation in staffing models signaling an opportunity for collaboration, (2) the need to establish ongoing processes for sites to participate in future collaborative efforts, and (3) survey modifications necessary to ensure a more comprehensive understanding of nursing and organizational characteristics in freestanding children's hospital NICUs. PMID: 29596292 [PubMed - in process]
Source: Dimensions in Critical Care Nursing - March 30, 2018 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

"MD ANES" listed below "Non-ICU MD" in Society of Critical Care Medicine's U.S. ICU resource Availability for COVID-19 Report. WTF
Infographic says it all........ SCCM | United States Resource Availability for COVID-19 With the onset of COVID-19,1 the Society of Critical Care Medicine (SCCM) has updated its statistics on critical care resources available in the United States to answer common questions regarding care for an overwhelming number of critically ill patients, many of whom may require mechanical... sccm.org
Source: Student Doctor Network - March 17, 2020 Category: Universities & Medical Training Authors: cocopuff Tags: Anesthesiology Source Type: forums

COVID-19 Resources: Critical Care for the Non-ICU Clinician
Source: Society of Critical Care Medicine. Published: 3/18/2020. As the COVID-19 pandemic spreads, the number of critically ill patients is expected to surge in hospitals across the United States. This may result in non-ICU clinicians being needed to care for critically ill patients. This web page provides online education courses for healthcare professionals who may benefit from critical care training. (Video or Multimedia)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - March 18, 2020 Category: International Medicine & Public Health Source Type: news

Impact of Pharmacists to Improve Patient Care in the Critically Ill: A Large Multicenter Analysis Using Meaningful Metrics With the Medication Regimen Complexity-ICU (MRC-ICU) Score*
OBJECTIVES: Despite the established role of the critical care pharmacist on the ICU multiprofessional team, critical care pharmacist workloads are likely not optimized in the ICU. Medication regimen complexity (as measured by the Medication Regimen Complexity-ICU [MRC-ICU] scoring tool) has been proposed as a potential metric to optimize critical care pharmacist workload but has lacked robust external validation. The purpose of this study was to test the hypothesis that MRC-ICU is related to both patient outcomes and pharmacist interventions in a diverse ICU population. DESIGN: This was a multicenter, observatio...
Source: Critical Care Medicine - August 24, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Critical Care Nurses' Experiences During the COVID-19 Pandemic: A US National Survey
CONCLUSIONS: Intensive care unit nurses in the United States experienced unprecedented and immense burden during the COVID-19 pandemic. Understanding these experiences provides insights into areas that must be addressed to build and sustain an ICU nurse workforce. Studies are needed to further describe nurses' experiences during the COVID-19 pandemic and identify effective resources that support ICU nurse well-being.PMID:34704108 | DOI:10.4037/ajcc2022312
Source: American Journal of Critical Care - October 27, 2021 Category: Nursing Authors: Jill L Guttormson Kelly Calkins Natalie McAndrew Jacklynn Fitzgerald Holly Losurdo Danielle Loonsfoot Source Type: research