International Journal of Critical Care and Emergency Medicine最新文献

{"title":"Raising Awareness of the Benefits of a Standardized (2222) Telephone Number for In-Hospital Cardiac Arrest","authors":"Isabel Coetzee, Marlize Kuhn, Ged Williams, David Whitaker, Karin Klas, O. Cabrera","doi":"10.29173/ijcc38","DOIUrl":"https://doi.org/10.29173/ijcc38","url":null,"abstract":"This paper calls for the use of a standardized number, 2222, for cardiac arrests that occur in medical centers. Currently, 14 countries so far have adopted this recommendation.  It is thought that many more lives could be saved with this simple intervention. ","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"234 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73488836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from the 17th Emirates Critical Care Conference and 16th World Federation of Critical Care Nurses (WFCCN) Hybrid World Congress","authors":"Evanthia Georgiou, J. Waterson, M. Georgiou, Muna Shaqsi, Pooja Nair, Vilma Cristobal, Tugume Daniel, Kasozi Nammaga, Iman Ateeq, Veronika Kotanidi, N. Middleton, Yuri Sakaki, Mini Thomas, Kanako Yamamoto, Alyssa Escalante, B. Devendiran, Christos Rossis, E. Giannelou, M. Karanikola, M. Giannakopoulou, Elizabeth Papathanassoglou, Faith Sila, Georgios Papageorgiou, M. Mpouzika","doi":"10.29173/ijcc24","DOIUrl":"https://doi.org/10.29173/ijcc24","url":null,"abstract":"Oral and poster abstracts from the 17th Emirates Critical Care Conference and 16th World Federation of Critical Care Nurses (WFCCN) Hybrid World Congress held on the 18th and 19th of June, 2021.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"4623 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84342954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Initiatives in the Emergency Department During the COVID-19 Pandemic: The COVID-19 Update Team","authors":"M. Mpouzika, M. Karanikola, Christos Rossis, George Papageorgiou","doi":"10.29173/ijcc19","DOIUrl":"https://doi.org/10.29173/ijcc19","url":null,"abstract":"The COVID-19 pandemic is a challenge facing healthcare systems worldwide. Emergency Departments are frontline units that need to be properly prepared to protect clinicians from SARS-CoV-2. During the first wave of the pandemic, four emergency nurses of the Nicosia General Hospital in the Republic of Cyprus formed the COVID-19 Update Team. The team aimed to update guidelines about infection prevention and management of COVID-19 disease and inform health care professionals of the emergency department. This report describes the initiatives developed by this team and its future plans.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83713577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Journal for a New Era","authors":"Ged Williams, E. Papathanassoglou, P. Zrelak","doi":"10.29173/ijcc15","DOIUrl":"https://doi.org/10.29173/ijcc15","url":null,"abstract":"Critical care practice has never been more impactful than it is today. On the back of the worst pandemic in over 100 years, critical care clinicians are being exemplified as people who save and restore lives every day in communities worldwide, as never before. It is important to maintain a long-lasting and robust focus on the vital contribution of critical care practice in the health and wellbeing of each community and nation globally and to share our intellectual and practical resources to ensure a better and safer future for all.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91394256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-assessed Competence of Nurses in Critical Care Units in Malawi: A Cross-sectional Survey","authors":"Rodwell Gundo, Beatrice Gundo, E. Chirwa, A. Dickinson, Gael Mearns","doi":"10.29173/ijcc18","DOIUrl":"https://doi.org/10.29173/ijcc18","url":null,"abstract":"Background: The birth of a premature infant and admission to the NICU is often unexpected and traumatic for families, leading to increased distress and can negatively impact parental-infant attachment. Appropriate interventions can help to lessen the negative impact of a NICU admission on families, improving parental mental health, reducing distress, enhancing parent- infant relationships, and improving the long-term physical, cognitive, emotional, and social development of the infant. \u0000Aims: The purpose of this study is to examine and evaluate research evidence on the effectiveness of current interventions for improving parental distress in the NICU. Methods: A rapid review was conducted utilizing a protocol based on the Virginia Commonwealth University guidance. Keyword searches were conducted on CINAHL, MEDLINE, and PsychINFO, and studies were selected according to pre-defined eligibility criteria, published between January 2015 and January 2020. The literature search included primary studies of interventions with parental stress and/or anxiety reduction as outcomes. \u0000Results: A total of 14 articles were included, evaluating the effectiveness of 13 different interventions, including narrative writing, art therapy, structured nursing interventions, anxiety counselling, spiritual care, organizational change, music therapy, relaxation, and mindfulness techniques. With the Pexception of three, all the studies found significant results in the reduction of stress and/or anxiety levels of the subjects, with mothers having overall higher levels of stress indicated by higher stress scores on standardized measurement tools. \u0000Conclusion:  There is a need for ongoing assessment of parental distress and integration of appropriate interventions within the NICU settings. In this review, both individualized and group interventions including narrative writing, art therapy, music therapy, spiritual care, activity-based group therapy, music therapy, audio-assisted relaxation techniques, mindfulness based neurodevelopmental care, cognitive behavioral based counselling, family nurture intervention and a structured nursing intervention were shown to be effective in reducing parental stress and/or anxiety in the NICU.  The small scale of the studies included in this review impact generalizability to a broader audience and emphasizes the need for larger scope, multi-center studies at an international level to build on and broaden our level of knowledge on how to better support families and reduce parental distress in the NICU. \u0000 ","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91351460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Current Interventions to Alleviate Parental Distress in the NICU: A Rapid Review","authors":"Darylle Shudra, Elizabeth Papathanassoglou, A. Reichert","doi":"10.29173/ijcc23","DOIUrl":"https://doi.org/10.29173/ijcc23","url":null,"abstract":"Background: The birth of a premature infant and admission to the NICU is often unexpected and traumatic for families, leading to increased distress and can negatively impact parental-infant attachment. Appropriate interventions can help to lessen the negative impact of a NICU admission on families, improving parental mental health, reducing distress, enhancing parent- infant relationships, and improving the long-term physical, cognitive, emotional, and social development of the infant. \u0000Aims: The purpose of this study is to examine and evaluate research evidence on the effectiveness of current interventions for improving parental distress in the NICU. \u0000Methods: A rapid review was conducted utilizing a protocol based on the Virginia Commonwealth University guidance. Keyword searches were conducted on CINAHL, MEDLINE, and PsychINFO, and studies were selected according to pre-defined eligibility criteria, published between January 2015 and January 2020. The literature search included primary studies of interventions with parental stress and/or anxiety reduction as outcomes. \u0000Results: A total of 14 articles were included, evaluating the effectiveness of 13 different interventions, including narrative writing, art therapy, structured nursing interventions, anxiety counselling, spiritual care, organizational change, music therapy, relaxation, and mindfulness techniques. With the Pexception of three, all the studies found significant results in the reduction of stress and/or anxiety levels of the subjects, with mothers having overall higher levels of stress indicated by higher stress scores on standardized measurement tools. \u0000 Conclusion: There is a need for ongoing assessment of parental distress and integration of appropriate interventions within the NICU settings. In this review, both individualized and group interventions including narrative writing, art therapy, music therapy, spiritual care, activity-based group therapy, music therapy, audio-assisted relaxation techniques, mindfulness based neurodevelopmental care, cognitive behavioral based counselling, family nurture intervention and a structured nursing intervention were shown to be effective in reducing parental stress and/or anxiety in the NICU. The small scale of the studies included in this review impact generalizability to a broader audience and emphasizes the need for larger scope, multi-center studies at an international level to build on and broaden our level of knowledge on how to better support families and reduce parental distress in the NICU.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"AES-15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84548578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ICU Clinician Perceptions of COVID-19 ICU Readiness: Results of a Thematic Analysis of National U.S. Survey Data","authors":"Wendy Kollross, B. Pilon, R. Maves, David Ferraro, R. Kleinpell","doi":"10.29173/ijcc30","DOIUrl":"https://doi.org/10.29173/ijcc30","url":null,"abstract":"The COVID-19 pandemic has greatly impacted intensive care unit (ICU) clinicians worldwide. Case number surges resulted in high or even above-capacity ICU patient census, limited bed availability, clinical staffing strains, and concerns about maintaining adequate medication, personal protective equipment (PPE), and equipment supplies to ensure optimal patient care. In the United States, a series of rapid cycle COVID-19 surveys were disseminated to ICU clinicians to assess ICU readiness and ongoing challenges posed by the pandemic. This article reports on a qualitative thematic analysis of the descriptive data for general themes provided by over 800 ICU nurses, advanced practice providers, physicians, pharmacists and respiratory therapists, reflecting upon their perceptions from the early to mid-pandemic timeline.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"901 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90376142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Wernicke's Encephalopathy in a Post-Bariatric Surgery Patient in a Community Emergency Department","authors":"Steinberg Daniel S, Wilbert Christopher","doi":"10.23937/2474-3674/1510135","DOIUrl":"https://doi.org/10.23937/2474-3674/1510135","url":null,"abstract":"A 22-year-old woman with a history of idiopathic intracranial hypertension who presented to our emergency department with acute onset strabismus and bilateral sixth nerve palsy in the setting of recent sleeve gastrectomy and vomiting. Further testing revealed multiple vitamin deficiencies, including thiamine, leading to a diagnosis of Wernicke’s encephalopathy. Her symptoms resolved after vitamin and nutritional repletion. Incidence of similar presentations is increasing in the setting of rising obesity and increasing usage of minimally invasive surgical techniques for treatment and management of its complications. Emergency physicians must be aware of this occult diagnosis, especially in post-bariatric surgery patients complaining of vomiting.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"467 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78330263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified HScore Predicts Increased Length of Stay but not Mortality in ICU Patients with COVID-19- A Retrospective Cohort Study","authors":"Gill Jaskirat K, Anders Megan G, Bhutta Adnan T, G. Miranda, R. Peter, S. Thomas, Tabatabai Ali","doi":"10.23937/2474-3674/1510133","DOIUrl":"https://doi.org/10.23937/2474-3674/1510133","url":null,"abstract":"Hemophagocytic Lymphohistiocytosis (HLH) is an acute and rapidly progressive systemic inflammatory disorder that can be classified into primary HLH (pHLH), which is a pediatric disease, and secondary HLH (sHLH), which can be associated with infection, malignancy, systemic diseases or drugs [1 ]. The disease is characterized by cytopenia, excessive cytokine production, and hyperferritinemia, and clinically presents with ongoing fevers, lymphadenopathy, hepatosplenomegaly, and multiorgan failure. Of these characteristics, impaired cytotoxic cell function is perhaps the most important and leads to massive cytokine release and a cytokine storm [2 ]. In 2014 Fardet, et al. developed the HScore which combines physical exam findings and laboratory values to aid in the diagnosis of HLH with a 93% sensitivity and 86% specificity [ 2 , 3]. Viral infections are the predominant cause of sHLH, with the most recent inclusion of severe acute respiratory syndrome from coronavirus 2 (SARS-CoV-2), or COVID-19. Overall hospital mortality from COVID-19 early on in the disease was reported to be approximately 15-20%, with up to 40% of patients requiring ICU admission whereas more recent mortality numbers range from 10-20% [ 4 , 5 ]. The wider range can be attributed to proportionally more younger patients being affected later in the course, additional experience over time and the widespread use of therapies such as prone positioning, steroids and immune modulators. While an association between elevated HScore and adverse outcomes in COVID-19 patients has been proposed, its utility as a risk-stratification tool has not been established in patients with COVID-19 [ 6]. We therefore undertook this study to investigate whether HScore within the first 24 hours of admission can be used as a prognostic tool to predict outcomes of critically ill adults with COVID-19. We hypothesized that a higher score may be associated with higher mortality.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"179 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86720444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Need for Trauma Intervention and Improving Under-Triaging in Geriatric Trauma Patients: Under-Triaged or Misclassified","authors":"Beam Gabriel, G. Kimberly, N. Siddhartha, Zipf Jami, S. Thomas, Dumire Russell","doi":"10.23937/2474-3674/1510136","DOIUrl":"https://doi.org/10.23937/2474-3674/1510136","url":null,"abstract":"Background: Combining the Need for Trauma Intervention (NFTI) calculation with the Cribari Matrix Method (CMM) more accurately determines appropriate triage, particularly of geriatric trauma patients. These patients (>/= age 65 years) have comorbidities, increased frailty, and decreased overall functional capacity. The CMM alone does not address (ISS) the percent of following the of Results: Application of NFTI criteria to patients classified as under-triaged by CMM + ISS the study time period under-triage from 7.6% activations and 2.5% 3,123 utility of NFTI-adjusted triage determination in under-triaged geriatric trauma patients. Further, these results imply the benefit of applying NFTI earlier in the continuum of care, perhaps even requiring the initiation of formal process","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77685832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}