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Gender Parity in Critical Care Medicine.
Abstract Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific clinical circumstances. These documents inform and shape patient care around the world. In this perspective we discuss the importance of diversity on guideline panels, the disproportionately low representation of women on critical care guideline panels, and existing initiatives to increase the representation of women in corporations, universities and government. We propose five strategies to ensure gender parity within critical care medicine. PMID...
Source: American Journal of Respiratory and Critical Care Medicine - February 26, 2017 Category: Respiratory Medicine Authors: Mehta S, Burns KE, Machado FR, Fox-Robichaud AE, Cook DJ, Calfee CS, Ware LB, Burnham EL, Kissoon N, Marshall JC, Mancebo J, Finfer S, Hartog C, Reinhart K, Maitland K, Stapleton RD, Kwizera A, Amin P, Abroug F, Smith O, Laake JH, Shrestha GS, Herridge MS Tags: Am J Respir Crit Care Med Source Type: research

Variation in Pediatric Palliative Care Allocation Among Critically Ill Children in the United States*
The objectives are as follows: 1) estimate palliative care consult rates and trends among critically ill children and 2) characterize which children receive palliative care consults, including those meeting previously proposed ICU-specific palliative care screening criteria. DESIGN: Retrospective cohort. SETTING: Fifty-two United States children’s hospitals participating in the Pediatric Health Information Systems database. PATIENTS: Hospitalized children with nonneonatal ICU admissions from 2007 to 2018. MEASUREMENTS AND MAIN RESULTS: The primary outcome was palliative care consultation, as i...
Source: Pediatric Critical Care Medicine - May 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Educating Physicians About Firearm Safety and Injury Prevention
On this episode of the Academic Medicine Podcast, guests Katherine Hoops, MD, MPH, Andra Blomkalns, MD, MBA, and Allison Augustus-Wallace, PhD, MS, MNS, join host Toni Gallo to talk about firearm safety and injury prevention education. They discuss the role of physicians in engaging patients and communities in firearm injury risk reduction, the current state of firearm injury prevention education, and where the academic medicine community needs to go from here. This episode is now available through Apple Podcasts, Spotify, and anywhere else podcasts are available. A transcript is below. Read the articles d...
Source: Academic Medicine Blog - August 22, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast firearm injury prevention firearm safety medical education Source Type: blogs

Establishing Pulmonary and Critical Care Medicine As a Subspecialty in China: Joint Statement of the Chinese Thoracic Society and the American College of Chest Physicians.
Abstract This commentary heralds the recognition in China of a new subspecialty, Pulmonary and Critical Care Medicine, and the first national fellowship-training pathway in any medical specialty. Because of striking environmental healthcare similarities that existed in the US, the Chinese medical community decided to model the specialty after that in the US. Because of its expertise in educating pulmonary and critical care physicians in the US, the ACCP was chosen by the Chinese Thoracic Society with the approval of the Chinese government, to help with the transformation of this new specialty. A work group represe...
Source: Chest - September 12, 2013 Category: Respiratory Medicine Authors: Qiao R, Rosen MJ, Chen R, Wu S, Marciniuk D, Wang C Tags: Chest Source Type: research

The intensive care workforce summit.
Authors: Venkatesh B, Turner A Abstract In the past 5 years, there has been a significant rise in the number of trained and fully qualified specialists in intensive care medicine. Recent concerns about saturation of specialist employment opportunities and the prospect of new Fellows unable to find appropriate employment after completion of training has brought intensive care workforce issues to the forefront. The board members of the College of Intensive Care Medicine (CICM) and Australia and New Zealand Intensive Care Society (ANZICS) held the Intensive Care Workforce Summit with presidents of other medical colleg...
Source: Critical Care and Resuscitation - May 31, 2015 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Failure of postexposure prophylaxis in a patient given rabies vaccine intramuscularly in the gluteus muscle, Himachal Pradesh, India
Omesh Kumar Bharti, Vivek SharmaIndian Journal of Critical Care Medicine 2018 22(3):189-190 A 48–year-old male was bitten by a dog on the forehead and on the RIGHT side of left eyebrow on November 26, 2017, at 2 pm. The patient was immediately rushed to a nearby private hospital where an MBBS doctor gave him immediate wound wash with soap and water and prescribed five doses of rabies vaccine intramuscularly (IM). Since the patient weight was 60 kg, he was also prescribed 2400 IU of equine rabies immunoglobulin (ERIG), but as eRIG was not available, it was not administered. All the four doses of rabies vaccine...
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Omesh Kumar Bharti Vivek Sharma Source Type: research

Critical Care 1950 to 2022
Critical care units —designed for concentrated and specialized care—came from multiple parallel advances in medical, surgical, and nursing techniques and training taking advantage of new therapeutic technologies. Regulatory requirements and government policy impacted design and practice. After WWII, medical practic e and education promoted further specialization. Hospitals offered newer, more extreme, and specialized surgeries and anesthesia enabled more complex procedures. ICUs developed in the 1950s, providing a recovery room’s level of observation and specialized nursing to serve the critically ill, wheth er medical or surgical.
Source: Critical Care Clinics - May 24, 2023 Category: Intensive Care Authors: D. Kirk Hamilton, Jeanne Kisacky, Frank Zilm Source Type: research

Health Affairs Briefing: Advanced Illness and End-of-Life Care
Few areas of health care are as personal, or as fraught, as care for people with serious illnesses who are approaching death. At a point in their lives when their needs are often as much social and spiritual as they are medical, people are confronted with a fragmented, rescue-driven health care system that produces miraculous results but also disastrous failures. As the nation’s population of individuals over the age of 65 is expected to reach 84 million by 2050, addressing these challenges becomes increasingly important, requiring coordination across multiple sectors and levels of government. Innovations are needed to p...
Source: Health Affairs Blog - June 28, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs Featured Advanced Illness End-of-Life Palliative Care Source Type: blogs

Health Affairs Briefing: Advanced Illness And End-Of-Life Care
Few areas of health care are as personal, or as fraught, as care for people with serious illnesses who are approaching death. At a point in their lives when their needs are often as much social and spiritual as they are medical, people are confronted with a fragmented, rescue-driven health care system that produces miraculous results but also disastrous failures. As the nation’s population of individuals over the age of 65 is expected to reach 84 million by 2050, addressing these challenges becomes increasingly important, requiring coordination across multiple sectors and levels of government. ...
Source: blog.bioethics.net - June 29, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Perspectives from firearm stakeholders on firearm safety promotion in pediatric primary care as a suicide prevention strategy: a qualitative study
AbstractThe primary objective of the current study was to examine the perspective of firearm stakeholders, including firearm safety course instructors, members of law enforcement, and firearm retailers, with regard to the implementation of an evidence-based approach to firearm safety promotion, the Firearm Safety Check, as a universal suicide prevention strategy in pediatric primary care. Twelve firearm stakeholders participated in semi-structured interviews. Using an integrated analytic approach, several themes emerged from the interviews. With regard to acceptability of the intervention, participants generally found coun...
Source: Journal of Behavioral Medicine - July 31, 2019 Category: Psychiatry Source Type: research

CHEST: On the front lines of pulmonary and critical care in China
(American College of Chest Physicians) The American College of Chest Physicians (CHEST) has been working on the ground for nearly five years in China to prepare physicians in the first-ever government-recognized medical subspecialty in China in the area of pulmonary and critical care medicine.
Source: EurekAlert! - Biology - May 13, 2016 Category: Biology Source Type: news

Trumping Up a Health Care Charity - Trump Organization Received Increasing Revenue from a Children ' s Cancer Care Charity
While health and health care are clearly not central interests of the currentUS President, Donald J Trump, we have noted some disturbing stories about the effects of his leadership on health care.  Most importantly, prior to the election, a story appeared alleging that Mr Trump licensed his name, and actively supported the Trump Network, which sold dodgy vitamin supplements to gullible consumers based on the results of urine tests of unproven, at best, accuracy (lookhere). While Mr Trump is controversial, to say the least, on multiple levels, never in modern history can I recall a president who was alleged to have bee...
Source: Health Care Renewal - June 7, 2017 Category: Health Management Tags: boards of trustees cancer Donald Trump health care corruption health care foundations mission-hostile management Source Type: blogs

Spatial Analysis of Air Pollution and Mortality in California.
Abstract Rationale: Although substantial scientific evidence suggests that chronic exposure to ambient air pollution contributes to premature mortality, uncertainties exist in the size and consistency of this association. Uncertainty may arise from inaccurate exposure assessment. Objective: To assess the associations of three criteria air pollutants (fine particulate matter, ozone and nitrogen dioxide) with risk of mortality in a large cohort of California adults using individualized exposure assessments. Methods: For fine particulate matter and nitrogen dioxide, we used land use regression models to derive predic...
Source: American Journal of Respiratory and Critical Care Medicine - June 27, 2013 Category: Respiratory Medicine Authors: Jerrett M, Burnett RT, Beckerman BS, Turner MC, Krewski D, Thurston G, Martin R, von Donkelaar A, Hughes E, Shi Y, Gapstur SM, Thun MJ, Pope CA Tags: Am J Respir Crit Care Med Source Type: research

Can the Practice of Primary Care Medicine ever be Practical Again?
By HANS DUVEFELT When I first lost power and then saw my generator fail during a storm last winter, two other failures struck. As I scrambled to fill my water containers for the horses, the failing generator delivered just enough electricity for dim lights and a slow trickle of water. And then, when the power came back on, I had no water and the furnace didn’t work. I trudged through the snow to the pump house up in the woods and found the water pump clicking as if it tried to start, but couldn’t. I ended up a day or two later with a whole new water pump. The furnace had power, but I saw a red light with what ...
Source: The Health Care Blog - July 14, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs

Current state of health care reform: dysfunctional government, divided country.
PMID: 24585157 [PubMed - in process]
Source: American Journal of Critical Care - March 1, 2014 Category: Nursing Authors: Savel RH, Munro CL Tags: Am J Crit Care Source Type: research