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Showing results for tags 'ICU/ ITU/ HDU'.
Found 118 results
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Content ArticleThe call for meaningful patient and family engagement in healthcare and research is gaining impetus. Healthcare institutions and research funding agencies increasingly encourage clinicians and researchers to work actively with patients and their families to advance clinical care and research. Engagement is increasingly mandated by healthcare organizations and is becoming a prerequisite for research funding. In this article, Burns et al. review the rationale and the current state of patient and family engagement in patient care and research in the ICU. The authors identify opportunities to strengthen engagement in patient care by promoting greater patient and family involvement in care delivery and supporting their participation in shared decision-making. They also identify challenges related to patient willingness to engage, barriers to participation, participant risks, and participant expectations. To advance engagement, clinicians and researchers can develop the science behind engagement in the ICU context and demonstrate its impact on patient- and process-related outcomes. In addition, the authors provide practical guidance on how to engage, highlight features of successful engagement strategies, and identify areas for future research. At present, enormous opportunities remain to enhance engagement across the continuum of ICU care and research.
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News ArticleNew data has shown the number of coronavirus patients being admitted to hospital and intensive care units across the country has risen as lockdown rules are set to be eased further on Monday. The Public Health England (PHE) data, published on Friday, covers 134 NHS trusts across the country and shows the daily rate of new patients admitted to hospital and critical care with COVID-19 has risen compared to recent weeks, with London experiencing a sharp spike in new admissions in the past week. The south east region also saw an increase. The surveillance data on the spread of COVID-19 throughout England has also revealed an increase in the number of people testing positive at their GP. Read full story Source: Independent, 31 May 2020
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Content ArticleThe COVID‐19 pandemic has led to the manufacturing of novel devices to protect clinicians from the risk of transmission, including the aerosol box for use in intubation. The authors of this paper, published in Anaesthesia, evaluated the impact of two aerosol boxes (an early‐generation box and a latest‐generation box) on intubations in patients with severe COVID‐19 with an in‐situ simulation crossover study.
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Content ArticleThe COVID-19 pandemic is challenging health care systems worldwide; none more so than critical and intensive care settings. Significant attention has been placed on the capacity of intensive care units (ICUs) to respond to a COVID-19 surge, particularly in relation to beds, ventilators, staffing and personal protective equipment. This position statement has been produced by the Australian College of Critical Care Nurses and the Australian College of Infection Prevention and Control (ACIPC) to guide critical care nurses in facilitating next-of-kin presence for patients dying from COVID-19 in the ICU.
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News Article
Coronavirus: Delirium 'may be common' in Covid seriously ill
Patient Safety Learning posted a news article in News
Delirium and confusion may be common among some seriously-ill hospital patients with COVID-19, a study in The Lancet suggests. Long stays in intensive care and being ventilated are thought to increase the risk, the researchers say. Doctors should look out for depression, anxiety and post-traumatic stress disorder (PTSD) after recovery, although most patients, particularly those with mild symptoms, will not be affected by mental health problems. The evidence is based on studies of patients with severe acute respiratory syndrome (Sars) and Middle-East respiratory syndrome (Mers), as well early data on COVID-19 patients. Read full story Source: BBC News, 19 May 2020 -
Content Article
Intensive care: a guide for patients and relatives
Claire Cox posted an article in Patient recovery
This guide from ICU Steps, contains advice and information about intensive care. It tells you how critical illness may be treated and what recovery may be like. Not every patient will experience all of these things, but they are more likely to if they have been in intensive care for more than a few days. Most of this guide is written for patients but there is a section specifically for relatives and visitors. By reading the guide, relatives will learn what a patient's recovery may involve and it will give them the answers to some of the questions they may have. -
Content Article
Frontline stories: caring for non-COVID patients (May 2020)
Claire Cox posted an article in Coronavirus (COVID-19)
As the pandemic plays out, hospitals are reconfigured to increase critical care capacity, outpatient clinics become virtual, and elective procedures delayed. How are these affecting care for those who are in hospital but don't have COVID-19? In this podcast, Matt Morgan,honorary senior research fellow at Cardiff University, consultant in intensive care medicine and Partha Kar, consultant in diabetes and endocrinology in Portsmouth, join us to discuss how their working week is changing. -
News Article
Coronavirus: Restarting NHS services will be a major challenge, warn experts
Patient Safety Learning posted a news article in News
Restarting NHS services will be an even greater challenge than coping with the first coronavirus infections, health think tanks and hospital chiefs have warned. Since March, the NHS has freed up more than 33,000 beds to prepare for an influx of COVID-19 patients needing intensive care, but since the peak of infection health chiefs have worried that delays to care were harming patients. Around 46,000 so-called excess deaths have been recorded during the pandemic, as compared against a five-year average. Around a quarter of these are believed to be unrelated to COVID-19. In a joint statement, the Health Foundation, Nuffield Trust and King’s Fund think tanks have said it could take months before the NHS and social care are able to fully restart. All three bodies will be giving evidence to the Commons health committee on Thursday, where they will warn about the impact on the health service’s “exhausted staff” and demand action to help care homes – which are now at the frontline in the fight against coronavirus. The experts will stress the need for the NHS to begin planning for a second peak of infections, especially if it comes in winter – when the service is usually overwhelmed by seasonal flu. They will warn about concerns over how the NHS manages the risk of infection, with the need for more protective equipment, social distancing and increased testing. This will “severely limit capacity for many months”, they said. Read full story Soruce: The Independent, 14 May 2020 -
Content Article
When and how should we transition safely into ‘normal work’ in healthcare?
Claire Cox posted an article in Blogs
In her latest blog, Claire reflects on the last few months working as a critical care outreach nurse during the pandemic and looks to the future and how we can transition into the new 'normal'. She urges us all to work together to redesign our health and social care services, building a service that meets all our needs.- Posted
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Content ArticleTo match the increasing demands that the coronavirus pandemic will place on critical care, new and flexible models of care are required. This document: states principles for deploying and redeploying staff to match the needs of a critical care department, independent of where this care is delivered sets out indicative staffing ratios and competencies suggests professional groups that could potentially form part of this new workforce during times of surge and super-surge. This guidance is correct at the time of publishing. However, as it is subject to updates, please use the hyperlinks within the document to confirm the information is accurate.
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Content Article
Critical Care Recovery
Claire Cox posted an article in Suggest a useful website
Researchers, patients, family members, health care staff and website developers have come together to create this website. It is based on over 120 interviews with former Intensive Care patients and family members at different stages of recovery. This website is aimed at: patients who have been on intensive care relatives and families who have been affected by their loved one being in intensive care. -
Content ArticleThis guidance, from the Intensive Care Society, states that prone positioning is a simple intervention that can be done in most circumstances, is compatible with all forms of basic respiratory support and requires little or no equipment in the conscious patient. Given its potential for improving oxygenation in COVID-19 patients the authors advocate that a trial of conscious prone positioning be performed on all suitable patients on the ward. This guidance includes a flow diagram to identify when it may be beneficial to trial conscious proning.
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Content Article
COVID-19 therapies in the US
Claire Cox posted an article in Good practice and useful resources
This document designed by the Patient Safety Movement is a dynamic document that gives a summary of therapies given to COVID patients in the US. -
Content ArticleThis resource has been developed by a group of multi-disciplinary health professionals at Lancashire Teaching Hospitals. The purpose of the website is to support patients with their initial recovery once discharged from hospital following treatment for COVID-19. It is hoped that the information and advice provided will assist patients and their families starting their rehabilitation journey. Although hospital admission is referred to throughout this resource, it can also be used for patients who remain in their own homes and we hope that the information and advice provided will assist all patients and their families starting their rehabilitation journey following COVID-19.
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Content ArticleThe COVID-19: Recovery Response service has been set up by the UK Sepsis Trust and offers professional support to anyone who has been critically ill in hospital with COVID-19 and their family.
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Content ArticlePhysiotherapy is critical for treating those worst affected by Covid19, including access to community rehabilitation after discharge from hospital. We face a huge increase in demand for high quality community rehab services. The Chartered Society of Physiotherapy (CSP) sets out what system leaders and policy makers will need to do to meet this challenge.
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Content Article
ICU Remote Learning Course
PatientSafetyLearning Team posted an article in Good practice and useful resources
This course, endorsed by the Intensive Care Society, provides non-ICU clinicians with rapid, targeted and effective training to support critical care delivery for COVID-19 patients. Topics include: ICU monitoring and interpretation Physiotherapy assessment and management of ICU patients Basic good ICU care Ventilation COVID and ARDS Management Vasoactive and sedative drugs. To register, contact CIRLCrehab@brunel.ac.uk -
Content ArticleThis blog from the European Respiratory Society, discusses a joint statement that was signed by individuals working on behalf of the Italian Thoracic Society (ITS - AIPO), Association for the Rehabilitation of Respiratory Failure (ARIR) and the Italian Respiratory Society (SIP/IRS). They conclude that the dramatic spread of the current COVID-19 epidemic in Italy has spurred into action also respiratory rehabilitation specialists (pulmonologists and respiratory therapists), who have been engaged for years in the care of patients with disabilities secondary to respiratory diseases and/or conditions. Their experience acquired in the management of chronic and acute respiratory failure is proving to be a fundamental asset for the management of patients during COVID-19 epidemic. Hence, it is likely that the reorganisation involved in taking care of this scenario will not be a short-term matter.
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Content ArticleThis is the YouTube Channel for the UCSF School of Medicine in the USA. Here you are able to listen and watch webinars on the latest 'grand rounds' on COVID-19. These webinars cover: paediatrics shape of the pandemic, digital innovation epidemiology, science & clinical manifestations of COVID-19 research general updates.
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Content ArticleWorking in collaboration, The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists have developed this website to provide the UK intensive care and anaesthetic community with information, guidance and resources required to support their understanding of and management of COVID-19. Intensive care practitioners and anaesthetists are integral to the safe and effective care of patients diagnosed with COVID-19, and play a role in informing and reassuring the public about this viral outbreak.
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Content ArticleThis clinical guidance from the NHS provides information on the care of critically ill adult patients with COVID-19 to practising clinicians at the bedside. The COVID-19 pandemic is placing an extraordinary burden on critical care, which is being met through the creation of surge capacity within and beyond hospital walls. A large number of non-specialist healthcare providers will be supporting critical care specialists to provide care. Staff safety and wellbeing will be crucial in maintaining the resilience of critical care provision. This guide summarises the clinical characteristics of COVID-19 and offers advice on: • antibiotics and corticosteroids • treatment of other conditions in the context of COVID-19. • clinical decision-making when resources may be constrained • management of respiratory failure • management of other organ failure. • continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV) • early intubation – indications and role.
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Content Article
Standard Operating Procedure for ICU/HDU Handover
Claire Cox posted an article in Transfers of care
This Standard Operating Procedure for ICU/HDU handover has been produced by the anaesthetic team at Brighton and Sussex Universoty Hospitals to aid a safe handover of care to the receiving team on the Intensive Care Unit/High Dependency Unit (ICU/HDU). This double sided document is used to prepare the patient for transfer and collate all necessary information ready for the receiving team. It also includes the process and a handy check list. The form can then be placed in the patient notes as documentation of the handover. Also attached is the South East Coast Critical Care Network Critical Care Intrahospital Transfer form. -
Content Article
Safe handover of a critically unwell patient to intensive care
Claire Cox posted an article in Techniques
Handing over a patient to a team in critical care needs to be clear, concise and safe. Quite often there are distractions from staff moving the patient, attaching monitoring, starting the ventilator, asking questions and general background noise. This can lead to important information being missed, not understood or misinterpreted which could lead to patient harm. -
Content Article"We talk about coronavirus all the time, but it’s often in terms of a bigger picture. I find it hard to make sense of that bigger picture from the frontline. In a crisis of scale I want to tell the story I’ve seen – the story of a pandemic unfolding one person at a time." A blog published in the Guardian by Shaan Sahota, a junior doctor working in London.
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Content ArticleSince the severity of disease is closely related to the prognosis, the basic and essential strategies to improve outcomes that we should adhere to remain the early detection of high-risk and critically ill patients This retrospective analysis of casein Jiangsu Province proved a good consistency between early screening of SpO2, RR, HR and early warning model. Therefore, a flowchart integrating early warning model and early screening procedure is recommended for high risk patients recognition and all patients’ screening to make it possible for early intervention. This article includes flow charts for: early recognition of high-risk and critically ill patients management of critically ill patients.
