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Total 22675 results found since Jan 2013.

Pediatric care in rural emergency rooms significantly improved by telemedicine consultations
Telemedicine consultations with pediatric critical-care medicine physicians significantly improve the quality of care for seriously ill and injured children treated in remote rural emergency rooms, where pediatricians and pediatric specialists are scarce, a study by researchers at UC Davis Children's Hospital has found. The study also found that rural emergency room physicians are more likely to adjust their pediatric patients' diagnoses and course of treatment after a live, interactive videoconference with a specialist...
Source: Health News from Medical News Today - August 12, 2013 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Critical care transfers: core principles and logistics
Publication date: Available online 10 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Euan J. McIntosh, Chris Lochrin, Wayne AutonAbstractIn the UK over 11,000 critically ill patients are transferred between hospitals each year. In addition, a significant number of critically ill patients are transferred to hospital from locations outside hospital such as rural general practice surgeries or the community. While specialist teams are available for some transfers, the majority are conducted by teams from the referring hospital. The aim of this article is to give an overview of the principles of critical ...
Source: Anaesthesia and intensive care medicine - September 11, 2019 Category: Anesthesiology Source Type: research

Facilitators and barriers to brokering between research and care by senior clinical-scientists in general practice and elderly care medicine.
CONCLUSIONS: This study reveals barriers to overcome and facilitators to develop related to the brokering role of CSs. To make the best use of CSs, brokering activities and the added value of CSs should be recognised and supported. Awareness of what CSs need to function effectively in demanding work settings could be important for the future impact of the role on the fields of GP and EM. PMID: 30753793 [PubMed - as supplied by publisher]
Source: Education for Primary Care - February 14, 2019 Category: Primary Care Tags: Educ Prim Care Source Type: research

Futile treatment in critical care common, costs can be substantial
Critical care treatment for patients that was perceived to be futile was common and cost an estimated at $2.6 million at one academic medical center during a three-month period, according to a report published by JAMA Internal Medicine, a JAMA Network publication. Physicians often perceive as futile those intensive care interventions that prolong life without achieving an effect for the patient that would be viewed as a benefit. Thanh N. Huynh, M.D., M.S.H.S...
Source: Health News from Medical News Today - September 10, 2013 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Protocol-Based Care versus Individualized Management of Patients in the Intensive Care Unit
Semin Respir Crit Care Med 2015; 36: 870-877DOI: 10.1055/s-0035-1566157The delivery of evidence-based care in the high-acuity environment of the intensive care unit can be challenging. In an effort to help turn guidelines and standards of care into consistent and uniform practice, physicians and hospitals turn toward protocol-based medical care. A protocol can help guide a practitioner to make correct interventions, at the right time, and in the proper order when managing a given disease. But to be considered a success, a protocol must meet several standards. A protocol must facilitate consistent practice, guiding the prac...
Source: Seminars in Respiratory and Critical Care Medicine - November 23, 2015 Category: Respiratory Medicine Authors: Siner, Jonathan M.Connors, Geoffrey R. Source Type: research

Natural History of COPD Exacerbations in a General Practice Based COPD Population.
Conclusions A large proportion of COPD patients do not exacerbate over a maximum 10 years of follow-up. AECOPD frequency in a single year predicts long-term AECOPD rate. Increasing frequency and severity of AECOPD is associated with risk of death, and highlights the importance of preventing AECOPD. PMID: 29474094 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - February 23, 2018 Category: Respiratory Medicine Authors: Rothnie KJ, Müllerová H, Smeeth L, Quint JK Tags: Am J Respir Crit Care Med Source Type: research

Patient Outcomes Not Improved By Having A Nighttime Critical Care Physician In The ICU
With little evidence to guide them, many hospital intensive care units (ICUs) have been employing critical care physicians at night with the notion it would improve patients' outcomes...
Source: Health News from Medical News Today - May 22, 2013 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Identifying risk factors for progression to critical care admission and death among individuals with acute pancreatitis: a record linkage analysis of Scottish healthcare databases
Conclusions National record-linkage analysis of routinely collected data constitutes a powerful resource to model CC admission and prognosticate death during AP. Mortality in patients with AP who require CC admission remains high.
Source: BMJ Open - June 14, 2016 Category: Journals (General) Authors: Mole, D. J., Gungabissoon, U., Johnston, P., Cochrane, L., Hopkins, L., Wyper, G. M. A., Skouras, C., Dibben, C., Sullivan, F., Morris, A., Ward, H. J. T., Lawton, A. M., Donnan, P. T. Tags: Open access, Gastroenterology and hepatology, Intensive care, Public health, Surgery Research Source Type: research

Trainers' and trainees' expectations of entrustable professional activities (EPAs) in a primary care training programme.
Abstract Introducing Entrustable Professional Activities (EPAs) into primary care postgraduate medical education (PGME) programmes may be challenging, due to the general nature of primary care medicine, but trainers and trainees both stand to benefit from their use. We investigated the expectations of trainers and trainees in a primary care PGME programme regarding the use of EPAs. We held two focus group discussions with trainers and four with trainees from the Dutch General Practice training programme, to explore their views on the use of EPAs in their training programme. Focus group discussions were audio-recor...
Source: Primary Care - December 10, 2018 Category: Primary Care Authors: Bonnie LHA, Visser MRM, Bont J, Kramer AWM, van Dijk N Tags: Educ Prim Care Source Type: research

Why FOAM? Facts, Fallacies and Foibles
Still not convinced that you should be involved in FOAM? In this talk I explore the facts, fallacies and foibles of ‘Free Open Access Med(ical edu)cation’ and hope to convince you that FOAM cannot be ignored and that you have a moral imperative to get involved. I recorded the video for the first Slovenian emergency medicine trainees’ conference (@SolaUrgence on Twitter), being held at  the University Clinical Centre in Maribor, 6th and 7th December 2013. http://www.youtube.com/watch?v=eWBnq-Mgvvs Here are the slides: Here is the audio only version: References and Links Journal articles Berger E. W...
Source: Life in the Fast Lane - December 4, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Education Emergency Medicine Featured FOAM FOAMed Health Intensive Care Social Media Video audio critical care Free Open Access Meducation lecture notes medical education Twitter Source Type: blogs

Mastering Intensive Care 029 with Claire Davies
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Listen to our intensive care nurses This week was International Nurses Week, which culminated in International Nurses Day on Saturday May 12th, the date on which Florence Nightingale was born. To celebrate this, my special guest this week is an intensive care nurse, Claire Davies. Claire is my wife. To me, she is intelligent, caring, kind and compassionate, as both a nurse and a person. So after struggling for a while with the choice of who I should have as my first nurse ...
Source: Life in the Fast Lane - May 12, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Mastering Intensive Care Andrew Davies claire davies ICU nurses intensive care nurses Source Type: blogs

A Delphi Survey of Canadian Respiratory Therapists' Practice Statements on Pediatric Mechanical Ventilation
CONCLUSIONS: This was the first study to survey RTs for their perspectives on the general practice of pediatric mechanical ventilation management in Canada, generally aligning with the ESPNIC guideline. These practice statements considered information from health organizations and institutes, supplemented with clinical remarks. Future studies are necessary to verify and understand these practices' effectiveness.PMID:35922069 | DOI:10.4187/respcare.09886
Source: Respiratory Care - August 3, 2022 Category: Respiratory Medicine Authors: Shirley Quach Katherine Reise Carolyn McGregor Efrosini Papaconstantinou Mika L Nonoyama Source Type: research

Medicare Access and Chip Reauthorization Act (MACRA) Proposed Rule, MIPS, APM’s and Advanced Care Information
Discussion Welcome news is the elimination of the all or nothing criteria of the meaningful use program. The exclusion of most ACO's under Medicare shared shavings is probably the most controversial part of the proposed rule as health systems have invested millions in the current Medicare shared savings program. That CMS is estimating that 87% of solo practitioners will be paying a penalty will also not be well received. Under MIPS CMS is estimating that non MD providers with the exception of nurse practitioners and physician assistants fare the worst including Chiropractors, Podiatrists and Dentists. Overall the propose...
Source: Policy and Medicine - April 28, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Creation of Point-of-Careology
Conclusions Point-of-care testing now is being written into a professional textbook in medical schools in China. Point-of-careology is the outcome of evolution in intelligent diagnostics. Notable achievements in critical care medicine, emergency response, and general practice have resulted from the implementation of point-of-care testing over the past 4 decades. As a new discipline, point-of-careology will contribute to key medical areas, such as disaster preparedness and public health, which we explore. The creation of this new specialty is justified by trends in modern medicine with improved service to the public and b...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 23, 2019 Category: Pathology Tags: Original Articles Source Type: research

Exploring the provision of supportive care for patients with severe, life-limiting COPD in Malaysia
Conclusion: The Malaysian health care system is responding poorly to the needs of patients with severe, life-limiting COPD. A complete examination and overhaul of the system is required, starting with awareness of this hidden neglected population.This study was sponsored by the NIHR RESPIRE Global Health Research Unit and is written on behalf of the RESPIRE collaboration.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Liew, S. M., Khoo, E. M., Pinnock, H., Mccarthy, S., Lim, Z. N., Pang, Y. K., Hanafi, N. S., Hussein, N., Abu Bakar, A. I., Sheikh, A. Tags: General practice and primary care Source Type: research