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A critical care pandemic staffing framework in Australia – Authors' response
We thank Ramnarain and Pouwels1 for their comments on our recently published critical care pandemic staffing framework in Australia.2 It is with interest that they report using strategies similar to those we have recommended in our framework. This allowed them to upscale their intensive care unit capacity to more than 250%. We agree with the important points made that modelling staffing requirements is extraordinarily challenging, particularly in the context of severe acute respiratory syndrome coronavirus 2 infection and coronavirus disease 2019, an area in which we are continually learning.
Source: Australian Critical Care - March 1, 2021 Category: Nursing Authors: Andrea P. Marshall Source Type: research

Australian critical care nurses' knowledge, preparedness, and experiences of managing SARS-COV-2 and COVID-19 pandemic
Coronavirus disease 2019 (COVID-19) has again highlighted the crucial role of healthcare workers in case management, disease surveillance, policy development, and healthcare education and training. The ongoing pandemic demonstrates the importance of having an emergency response plan that accounts for the safety of frontline healthcare workers, including those working in critical care settings.
Source: Australian Critical Care - May 12, 2021 Category: Nursing Authors: Shizar Nahidi, Cristina Sotomayor-Castillo, Cecilia Li, Judy Currey, Rosalind Elliott, Ramon Z. Shaban Tags: Research paper Source Type: research

The end, through the eyes of a critical care nurse
On the day you die from COVID, many things will happen. A colleague and I will enter the room to carefully prepare and clean your body. We will shut off all the IV pumps. We will turn off the ventilator. We will silence and turn off the monitor that is screaming at us that somethingRead more …The end, through the eyes of a critical care nurse originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 13, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lauren-bever" rel="tag" > Lauren Bever, RN < /a > < /span > Tags: Conditions COVID-19 coronavirus Critical Care Infectious Disease Source Type: blogs

The impact of resource limitations on care delivery and outcomes: routine variation, the coronavirus disease 2019 pandemic, and persistent shortage
Purpose of review Resource limitation, or capacity strain, has been associated with changes in care delivery, and in some cases, poorer outcomes among critically ill patients. This may result from normal variation in strain on available resources, chronic strain in persistently under-resourced settings, and less commonly because of acute surges in demand, as seen during the coronavirus disease 2019 (COVID-19) pandemic. Recent findings Recent studies confirmed existing evidence that high ICU strain is associated with ICU triage decisions, and that ICU strain may be associated with ICU patient mortality. Studies a...
Source: Current Opinion in Critical Care - September 3, 2021 Category: Nursing Tags: CRITICAL CARE OUTCOMES: Edited by Hayley B. Gershengorn Source Type: research

Coronavirus disease 2019 in the pediatric emergency department: unique considerations in preparation and response
Purpose of review Pediatric Emergency Departments (PEDs) have experienced unique considerations throughout the coronavirus disease 2019 (COVID-19) pandemic. We review the adaptations and challenges surrounding the preparation and response for pediatric emergency patients, with a specific focus on operational modifications, evolving personal protected equipment (PPE) needs, protected resuscitation responses, clinical characteristics in children, and the unintended effects on children and youth. Recent findings COVID-19 has thus far proven to have a milder course in children, with manifestations ranging from asymp...
Source: Current Opinion in Pediatrics - May 13, 2021 Category: Pediatrics Tags: EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean E. Klig and Clifford W. Bogue Source Type: research

Clinical Epidemiology of Pediatric Coronavirus Disease 2019 and its Postacute Sequelae
Semin Respir Crit Care Med 2023; 44: 066-074 DOI: 10.1055/s-0042-1759566The coronavirus disease 2019 (COVID-19) pandemic has affected individuals of all ages across. Although children generally experience a benign illness from COVID-19, the emergence of novel variants of the virus has resulted in significant changes in the morbidity and mortality rates for this age group. Currently, COVID-19 is the eighth leading cause of pediatric deaths in the United States. In addition to acute respiratory illness, some children can develop a severe postinfectious condition known as a multisystem inflammatory syndrome in children, which...
Source: Seminars in Respiratory and Critical Care Medicine - January 16, 2023 Category: Respiratory Medicine Authors: Habet, Victoria Oliveira, Carlos R. Tags: Review Article Source Type: research

The Impact of Coronavirus Disease 2019 Pandemic on U.S. and Canadian PICUs
Conclusions: PICUs have been significantly impacted by the pandemic. They have provided care not only for children but also adults. Patients with coronavirus disease 2019 have a high frequency of comorbidities, require longer stays, more ventilatory support than usual PICU admissions. These data suggest several avenues for further exploration.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

COVID-19 Critical Illness: A Data-Driven Review
Annu Rev Med. 2021 Sep 14. doi: 10.1146/annurev-med-042420-110629. Online ahead of print.ABSTRACTThe coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges in critical care medicine, including extreme demand for intensive care unit (ICU) resources and rapidly evolving understanding of a novel disease. Up to one-third of hospitalized patients with COVID-19 experience critical illness. The most common form of organ failure in COVID-19 critical illness is acute hypoxemic respiratory failure, which clinically presents as acute respiratory distress syndrome (ARDS) in three-quarters of ICU patients. Noni...
Source: Annual Review of Medicine - September 14, 2021 Category: General Medicine Authors: Jennifer C Ginestra Oscar J L Mitchell George L Anesi Jason D Christie Source Type: research