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Education and training for moral and ethical decision-making at the end of life in critical care
Publication date: December 2014 Source:Trends in Anaesthesia and Critical Care, Volume 4, Issue 6 Author(s): Guglielmo Consales , Lucia Zamidei , Giuliano Michelagnoli End-of-life issues are core components of critical care. Physicians, nurses and caregivers that work in the Intensive Care Unit must know the ethical framework that guides decision-making and must be able to communicate with patients and their families in order to improve the quality of care and to reduce conflicts. A formal education in bioethics and an in-depth training in communication must be introduced in the medicine resident curricula.
Source: Trends in Anaesthesia and Critical Care - January 16, 2015 Category: Anesthesiology Source Type: research

The impact of a cadaver-based airway lab on critical care fellows’ direct laryngoscopy skills
This study sought to determine the impact of a cadaver-based airway lab on critical care medicine fellows’ direct laryngoscopy skills and hypothesised that fellows can improve their self-reported percentage of glottic opening (POGO) scores in cadaver models to achieve POGO scores similar to that of expert faculty. Nineteen fellows attended an airway management skills laboratory utilising five modified cadavers. Initial fellow POGO (POGOi) visualised was recorded at the onset with direct laryngoscopy. Maximum fellow POGO score with optimised direct laryngoscopy was recorded after two additional hours of teaching and also ...
Source: Anaesthesia and Intensive Care - March 3, 2015 Category: Anesthesiology Source Type: research

The impact of a cadaver-based airway lab on critical care fellows’ direct laryngoscopy skills
This study sought to determine the impact of a cadaver-based airway lab on critical care medicine fellows’ direct laryngoscopy skills and hypothesised that fellows can improve their self-reported percentage of glottic opening (POGO) scores in cadaver models to achieve POGO scores similar to that of expert faculty. Nineteen fellows attended an airway management skills laboratory utilising five modified cadavers. Initial fellow POGO (POGOi) visualised was recorded at the onset with direct laryngoscopy. Maximum fellow POGO score with optimised direct laryngoscopy was recorded after two additional hours of teaching and also ...
Source: Anaesthesia and Intensive Care - March 5, 2015 Category: Anesthesiology Source Type: research

Critical Care Medicine and Infectious Diseases: An Emerging Combined Subspecialty in the United States
The recent rise in unfilled training positions among infectious diseases (ID) fellowship programs nationwide indicates that ID is declining as a career choice among internal medicine residency graduates. Supplementing ID training with training in critical care medicine (CCM) might be a way to regenerate interest in the specialty. Hands-on patient care and higher salaries are obvious attractions. High infection prevalence and antibiotic resistance in intensive care units, expanding immunosuppressed host populations, and public health crises such as the recent Ebola outbreak underscore the potential synergy of CCM-ID trainin...
Source: Clinical Infectious Diseases - July 29, 2015 Category: Infectious Diseases Authors: Kadri, S. S., Rhee, C., Fortna, G. S., O'Grady, N. P. Tags: VIEWPOINTS Source Type: research

Conflict Management Strategies in the ICU Differ Between Palliative Care Specialists and Intensivists
Conclusions: We found that palliative care specialists engage in less task-focused communication when managing conflict with surrogates compared with intensivists. These differences may help explain the benefit of palliative care involvement in conflict and could be the focus of interventions to improve clinicians’ conflict resolution skills.
Source: Critical Care Medicine - April 16, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Addressing spirituality during critical illness: A review of current literature
Conclusions Spiritual care has an essential role in the treatment of critically ill patients and families. Current literature offers few insights to support clinicians in navigating this often-challenging aspect of patient care and more research is needed.
Source: Journal of Critical Care - February 27, 2018 Category: Gastroenterology Source Type: research

The effects of team-training in intensive care medicine: A narrative review
ConclusionsTeam-training has been studied in multiple ICU team types, with crew resource management (CRM) and TeamSTEPPS curricula commonly used to support teaching via simulation. Clinical skills taught have included ALS provision, ECMO initiation, advanced airway management, sepsis management and trauma response skills. Team-training in ICU is well received by staff, facilitates clinical learning, and can positively alter staff behaviors. Few clinical outcomes have been demonstrated and the duration of the behavioral effects is unclear.
Source: Journal of Critical Care - October 5, 2018 Category: Gastroenterology Source Type: research

A decade of progress in critical care echocardiography: a narrative review
ConclusionCCE is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings.
Source: Intensive Care Medicine - March 24, 2019 Category: Intensive Care Source Type: research

Entrustable professional activities (EPAs) for postgraduate competency based intensive care medicine training in the Netherlands: The next step towards excellence in intensive care medicine training
ConclusionEPAsICM is an assessment tool that formalises entrustment decisions and can be a valuable addition in international ICM training.
Source: Journal of Critical Care - September 14, 2019 Category: Gastroenterology Source Type: research

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

Assessment of long-term impact of formal certified cardiopulmonary resuscitation training program among nurses
Conclusions: Formal certified CPR training program increases CPR knowledge and skill. However, significant long-term effects could not be found. There is a need for regular and periodic recertification.
Source: Indian Journal of Critical Care Medicine - April 10, 2016 Category: Intensive Care Authors: PP SarammaL Suja RajPK DashPS Sarma Source Type: research

Synergy, Salary, and Satisfaction: Benefits of Training in Critical Care Medicine and Infectious Diseases Gleaned From a National Pilot Survey of Dually Trained Physicians
Conclusions. CCM-ID graduates prefer the acute care setting, predominantly CCM or a combination of CCM and ID. They find combination training and practice to be synergistic and satisfying, but most have had to seek CCM and ID training independently at separate institutions. Given these findings, avenues for combined training in CCM-ID should be considered.
Source: Clinical Infectious Diseases - September 11, 2016 Category: Infectious Diseases Authors: Kadri, S. S., Rhee, C., Magda, G., Strich, J. R., Cai, R., Sun, J., Decker, B. K., O'Grady, N. P. Tags: ARTICLES AND COMMENTARIES Source Type: research

A retrospective study of physiological observation-reporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country
Conclusions: Observations commonly used to detect deterioration are poorly reported, and reporting practices would need to be improved prior to EWS implementation. These findings reinforce the need for training in acute care and resuscitation skills for health-care teams in LMIC settings as part of a program of improving recognition and response to acute deterioration.
Source: Indian Journal of Critical Care Medicine - June 15, 2017 Category: Intensive Care Authors: Ambepitiyawaduge Pubudu De Silva Jayasingha Arachchilage Sujeewa Nirodha De Silva Rathnayake Mudiyanselage Danapala Rathnayake Lakmal Vithanage Ponsuge Chathurani Sigera Sithum Munasinghe Abi Beane Tim Stephens Priyantha Lakmini Athapattu Kosala Saroj Ama Source Type: research

Effects of a Telephone- and Web-based Coping Skills Training Program Compared to an Education Program for Survivors of Critical Illness and Their Family Members: A Randomized Clinical Trial.
CONCLUSIONS: CST did not improve psychological distress symptoms compared to an education program. However, CST improved symptoms of distress at 6 months among patients with high baseline distress while the education program improved distress at 3 months among those ventilated for >7 days. Future efforts to address psychological distress among critical illness survivors should target high-risk populations. Clinical trial registration available at www.clinicaltrials.gov, ID NCT0198325. PMID: 28872898 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - September 5, 2017 Category: Respiratory Medicine Authors: Cox CE, Hough CL, Carson SS, White DB, Kahn JM, Olsen MK, Jones DM, Somers TJ, Kelleher SA, Porter LS Tags: Am J Respir Crit Care Med Source Type: research

Checklists and cognitive aids in simulation training and daily critical care practice: Simple tools to improve medical performance and patient outcome
Publication date: February 2018 Source:Anaesthesia Critical Care & Pain Medicine, Volume 37, Issue 1 Author(s): Thomas Geeraerts, Morgan Le Guen
Source: Anaesthesia, Critical Care and Pain Medicine - January 31, 2018 Category: Anesthesiology Source Type: research