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Found 118 results
  1. Content Article
    CARDMEDIC was inspired by a news article on a patient surviving COVID-19 after an admission to a UK Intensive Care Unit (ICU), where he described feeling terrified of not being able to understand what his healthcare providers were saying, due to the limitations of communicating through Personal Protective Equipment (face masks, visors, hoods etc). CARDMEDIC is a collection of communication flashcards designed to break through the Personal Protective Equipment (PPE) barrier, improving transfer of vital information from frontline healthcare professionals to unwell and critically ill patients. They are also used as an upskilling training tool, for example by healthcare professionals and volunteers working outside their usual realms of practice. They are simple and succinct, using basic language to share information and describe the plan of action. Set out in alphabetical order, it should be easy to find what you’re looking for.   You may wish to use the “HELLO MY NAME IS…” card at the start of every patient interaction to introduce yourself and set the scene for using the flashcards. The flashcards can be used in electronic format on either the patient’s or hospital’s phone / tablet / smart device, or printed, laminated, annotated and re-used – write on, wipe off.  CARDMEDIC are continually expanding their database, so please get in touch with suggestions or comments, as well as ideas for further flashcards.
  2. News Article
    Doctors, nurses and paramedics have been given conflicting advice about when to start resuscitation for coronavirus patients, amid fears the procedure could put them at risk of infection. While Public Health England has said it does not believe CPR creates a risk, the UK’s Resuscitation Council – which is responsible for setting standards for resuscitation in the NHS – has said it believes there is a risk and staff should wear full equipment. The Independent has seen several examples of different messages being sent out to hospital staff and ambulance workers, and some NHS trusts were forced to change their guidance within a matter of days after PHE changed its stance. One set of guidance could mean a delay in starting CPR for patients while staff put on protective equipment, while the other means staff could be at risk of being infected with coronavirus. Ken Spearpoint, a former consultant nurse and resuscitation officer at Imperial College Healthcare Trust, said the situation had led to confusion and created an “ethical dilemma” for some staff who were being forced to choose between the Resus UK’s position and their trust’s guidance. Read full story Source: The Independent, 6 April 2020
  3. Content Article
    A National Patient Safety Alert has been issued on the risk of harm from interruption of high flow nasal oxygen (HFNO) during transfer.
  4. Content Article
    This page provides a list of useful resources for healthcare staff who are working in intensive care units and critical care roles during the COVID-19 pandemic.
  5. Content Article
    This report, published by the Association of Anaesthetists, gives recommendations based on clinical experiences of managing patients throughout Italy. In particular, the authors describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non‐technical aspects of caring for patients diagnosed with coronavirus disease 2019. 
  6. Content Article
    The ICU & Critical Care Nursing Revision is part of the Intensive Nurse blog. It has been designed and structured to assist revision and learning for anyone who is: new to intensive care units (ICU) and critical care participating in an ICU/critical care nursing program or returning due to COVID-19. This blog is part of the Free Open Access Nursing Education (#FOANed) movement which is a global collaboration utilising technology, social media and the agility to discuss relevant healthcare topics in real time. 
  7. Content Article
    This teaching presentation, by Kings Hospital clinical fellows, is based on ‘Kings clinical summary guidelines’ when caring for a patient with diagnosed COVID 19 This presentation includes: Disease progression Diagnosis Bloods Imaging Radiology Guidelines Investigations Treatment Organ Support Prognosis Treatment escalation planning Palliative care PPE Resuscitation Intrahospital transfer.
  8. Content Article
    This free course from the World Health Organization includes content on clinical management of patients with a severe acute respiratory infection. It is intended for clinicians who are working in intensive care units (ICUs) in low and middle-income countries and managing adult and paediatric patients with severe forms of acute respiratory infection (SARI), including severe pneumonia, acute respiratory distress syndrome (ARDS), sepsis and septic shock. It is a hands-on practical guide to be used by healthcare professionals involved in clinical care management during outbreaks of influenza virus (seasonal) human infection due avian influenza virus (H5N1, H7N9), MERS-CoV, COVID-19 or other emerging respiratory viral epidemics. Learning objectives: By the end of this course, participants should possess some of the necessary tools that can be used to care for the critically ill patient from hospital entry to hospital discharge. Course duration: Approximately 10 hours. Target audience: This course is intended for clinicians who are working in intensive care units (ICUs) in low and middle-income countries.
  9. Content Article
    The international Society for Rapid Response Systems (iSRRS) is the peak international body related to Rapid Response Teams (RRTs) and Critical Care Outreach (CCO) services around the work. The aim of the iSRRS is to improve the prevention of, and response to acute deterioration in hospitalised patients.
  10. Content Article
    In this letter, published by the International Society for Quality Health Care, Dr Francesco Venneri shares his experience of the response to COVID-19 in Italy from the perspective of his involvement as both a clinical risk manager and as an emergency front line worker.
  11. News Article
    Details of a massive ramp-up in intensive care beds have been circulated to NHS bosses in London, amid concerns from national leaders that they are four days away from full capacity. In a call with local leaders, the NHS’ national director for mental health, Claire Murdoch, spoke about the intense pressures facing the acute system due to the coronavirus outbreak. According to several people on the call, she said London “runs out of [ICU] beds in four days” if urgent action is not taken. She also warned the need for intensive care beds will now double every three days, the sources said. The capital’s hospitals are frantically planning to try to quadruple their “surge capacity” in intensive care over the next fortnight, from around 1,000 surge beds over the weekend just passed, to more than 4,000 in two weeks’ time. Read full story Source: HSJ, 24 March 2020
  12. Content Article
    This video demonstrates how to perform an intubation safely on a patient with coronavirus.
  13. News Article
    New guidelines have been published to help doctors and nurses decide how to prioritise patients during the coronavirus pandemic. The advice from the National Institute for Health and Care Excellence (NICE) was produced amid concerns that the NHS would be overwhelmed by the demand for intensive care beds and ventilators. The three new NICE guidelines, which have been drawn up within a week rather than the usual timescale of up to two years, cover patients needing critical care, kidney dialysis and cancer treatment. They say all patients admitted to hospital should still be assessed as usual for frailty “irrespective of Covid-19 status”. Decisions about admitting patients to critical care should consider how likely they are to recover, taking into account the likelihood of recovery “to an outcome that is acceptable to them”. Doctors are advised to discuss possible “do not resuscitate” decisions with adults who are assessed as having increased frailty, such as those who need help with outside activities or are dependent for personal care. Read full story Source: Independent, 22 March 2020
  14. Content Article
    This lecture, presented to staff at Southport and Ormskirk Hospital NHS Trust on 26 March 2020, gives an overview of the coronavirus, transmission, symptoms and treatment of the virus. Martin Kiernan qualified as a Registered General Nurse in 1984, and obtained a Master in Public Health in 1997. He currently works as a Nurse Consultant where he is responsible for the infection prevention and control programme for an integrated healthcare provider NHS Trust covering acute and primary care. He manages a team of two specialist nurses, a surveillance nurse, a healthcare assistant and an information officer. A significant part of his clinical duties includes assessment and application of policies and guidelines to ensure optimal clinical practice.
  15. Content Article
    'Visiting the Intensive Care Unit' is an activity book for children who are visiting a relative in an intensive care unit (ICU). This resource is free to NHS hospitals.
  16. Content Article
    A culture of teamwork and learning from mistakes are universally acknowledged as essential factors to improve patient safety. Both are part of the Comprehensive Unit-based Safety Program (CUSP), which improved safety in intensive care units but had not been evaluated in other inpatient settings.
  17. Content Article
    Studies comprehensively assessing interventions to improve team communication and to engage patients and care partners in intensive care units are lacking. This study from Dykes et al. examines the effectiveness of a patient-centered care and engagement program in the medical ICU. They found implementation of a structured team communication and patient engagement program in the ICU was associated with a reduction in adverse events and improved patient and care partner satisfaction.
  18. Content Article
    Newborn babies may need extra care in a neonatal intensive care unit or special care baby unit if they were born prematurely or if they need care for a particular health condition. Babies and infants that need long-term care can be transferred to a local unit or discharged to receive care at home. A baby with complex health needs may move between distinct areas of care or 'pathways'. This Care Quality Commission (CQC) review looked at how risks for newborn babies are identified and managed and at the care for infants in the community who need respiratory support. This review draws on one particular case that had a tragic outcome for a baby and her parents. Elizabeth Dixon was born prematurely but suffered brain damage as a result of missed high blood pressure. She died shortly before her first birthday in 2001, when there was a failure to correctly maintain her tracheostomy tube. While this review was not an investigation of the specific circumstances of Elizabeth's case, it drew on this to examine current practice, systems and guidance.
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