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Impact of board-certified intensive care training facilities on choice of adjunctive therapies and prognosis of severe respiratory failure: a nationwide cohort study.
J Intensive Care
December 2024
Department of Health Data Science, Graduate School of Data Science, Yokohama City University, 22-2 Seto, Yokohama, Kanazawa, 236-0027, Japan.
Background: Patients with severe respiratory failure have high mortality and need various interventions. However, the impact of intensivists on treatment choices, patient outcomes, and optimal intensivist staffing patterns is unknown. In this study, we aimed to evaluate treatments and clinical outcomes for patients at board-certified intensive care training facilities compared with those at non-certified facilities.
View Article and Find Full Text PDFAssessing the impact of physical, mental and cognitive impairments on health-related quality of life in sepsis survivors following intensive care admission in New Zealand.
N Z Med J
December 2024
Research Professor and Director of Nutrition in Medicine Research Group, Department of Pathology and Biomedical Science, University of Otago, Christchurch.
Aim: To assess the impact of physical, mental and cognitive impairments on health-related quality-of-life (QoL) of individuals who have survived sepsis after admission to an Intensive Care Unit (ICU) in New Zealand.
Methods: Survivors from a trial investigating vitamin C as an adjunctive therapy in patients with sepsis in Christchurch Hospital ICU were invited to enrol in a longitudinal QoL follow-up study. Patients were interviewed at hospital discharge, 30, 90 and 180 days, using validated physical and mental health assessment questionnaires (Short-Form-36, EuroQol-5-Dimension).
Effects of a scoring aid on glasgow coma score assessment and physicians' comprehension: a simulator-based randomized clinical trial.
J Neurol
December 2024
Clinic for Intensive Care Medicine, University Hospital Basel, Basel, Switzerland.
Purpose: Examining the impact of scoring aids on the accuracy of assessing the Glasgow Coma Score (GCS) in a standardized trauma scenario (primary outcome). Evaluating physicians' understanding of the GCS assessment and clinical application (secondary outcome).
Materials And Methods: This randomized trial was performed at the simulator center of a Swiss tertiary academic medical hospital.
Weekly flipped classroom modules in intensive care medical training: Feasibility and acceptance.
J Crit Care
December 2024
Department of Intensive Care Medicine, Teaching and Research Hospital of Lucerne, Spitalstrasse 6000, Switzerland.. Electronic address:
Background: Teaching intensive care medicine competencies poses challenges due to trainees' heterogenous backgrounds, shift schedules, and short rotations. To address these challenges, weekly flipped classroom modules (FCMs) were introduced, combining online preparation, control questions, and an on-site course co-facilitated by a trainee and an intensivist. This study aimed to evaluate the feasibility and acceptance of these FCMs.
View Article and Find Full Text PDFHow I Do It: Nurse Practitioners and Physician Assistants: Building a Team and Optimizing Practice in the Medical ICU.
Chest
November 2024
University of Illinois Chicago, College of Nursing.
The integration of Nurse Practitioners (NPs) and Physician Assistants (PAs) in the Medical Intensive Care Unit (MICU) is becoming increasingly vital due to the rising number of critically ill patients and the shortage of board-certified intensivists. Successful recruitment and utilization of NPs and PAs into the MICU setting require a unique understanding of potential variations of the scope of practice based on state law and educational backgrounds, as well as the implementation of best practices around training and leadership support. The purpose of this article is to review the best strategies for creating a MICU team with NPs and PAs.
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