Medical emergency teams: Graduate nurses interactions, attitudes and perceptions during resuscitation events in the non-critical care environment

2008 ◽  
Vol 21 (1) ◽  
pp. 54
Keyword(s):  
Critical Care ◽  
Medical Emergency ◽  
Graduate Nurses ◽  
Care Environment ◽  
Medical Emergency Teams ◽  
Attitudes And Perceptions

Intensive care unit organization and management

2019 ◽  
pp. 591-643
Author(s):  
Carl Waldmann ◽  
Andrew Rhodes ◽  
Neil Soni ◽  
Jonathan Handy
Keyword(s):  
Critical Care ◽  
Severity Of Illness ◽  
Scoring Systems ◽  
Medical Emergency ◽  
Critically Ill Patient ◽  
Aeromedical Evacuation ◽  
Organization And Management ◽  
Medical Emergency Teams ◽  
Unit Organization

This chapter discusses ICU organization and management and includes discussion on consent on the ICU, rationing in critical care, ICU layout, medical staffing, ICU staffing (both nursing and staffing for supporting professions), fire safety in the ICU, legal issues and the Coroner, patient safety, Severity of Illness Scoring systems, comparison of ICUs, critical care disaster planning, health technology assessment, transfer of the critically ill patient, aeromedical evacuation, outreach and medical emergency teams, critical care follow-up, rehabilitation, and managing antibiotic resistance.

scholarly journals Medical emergency teams at the ottawa Hospital: the first two years

2008 ◽  
Vol 55 (4) ◽  
pp. 223-231 ◽  
Author(s):  
Alan D. Baxter ◽  
Pierre Cardinal ◽  
Jonathan Hooper ◽  
Rakesh Patel
Keyword(s):  
Medical Emergency ◽  
Ottawa Hospital ◽  
Medical Emergency Teams

scholarly journals 379 The Critical Care Experience of Irish Surgical Non-Consultant Hospital Doctors, Are We Equipped to Assist During the Covid-19 Outbreak and Beyond?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
E Burke ◽  
P Balfe
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Healthcare Systems ◽  
Care Environment ◽  
Care Experience ◽  
Electronic Survey ◽  
Surgical Trainees ◽  
Hospital Doctors ◽  
Basic Course ◽  
Further Development

Abstract Introduction The ongoing COVID-19 pandemic has presented unforeseen threats and stresses to healthcare systems around the world, most notably in the ability to provide critical care. Aim To assess surgical NCHD experience in providing critical care and working in an intensive care environment. Method An electronic survey was distributed amongst surgical trainees and then amongst individual surgical departments. Ten questions were included in the survey assessing the NCHD’s experience with aspects of critical care. Results 39 respondents including 16 specialist registrars, 3 senior registrars, 11 registrars and 9 senior house officers. 18% of respondents had previous experience in anaesthetics or intensive care. 23% self-reported being competent in performing endotracheal intubation. 15% self-reported being competent in the use of CPAP and BiPaP, 5% did not know what these were. 20% self-reported being competent in the use of AIRVO. 15% self-reported being competent in placing central and arterial lines. 15% self-reported being competent in starting and adjusting inotropes/vasopressors. 49% reported completing a CCRISP or BASIC course. 85% felt that a rotation in anaesthesia should be a routine part of surgical training. Conclusions Whilst there is critical care experience amongst the surgical NCHD cohort there remains room for further development.

scholarly journals Outcomes of Patients Treated with Prehospital Noninvasive Ventilation: Observational Retrospective Multicenter Study in the Northern French Alps

2021 ◽  
Vol 10 (7) ◽  
pp. 1359
Author(s):  
Julie Pinczon ◽  
Nicolas Terzi ◽  
Pascal Usseglio-Polatera ◽  
Gaël Gheno ◽  
Dominique Savary ◽  
...  
Keyword(s):  
Noninvasive Ventilation ◽  
Medical Emergency ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Acute Cardiogenic Pulmonary Edema ◽  
Prehospital Management ◽  
Medical Emergency Teams ◽  
Prehospital Diagnosis ◽  
Current Guidelines ◽  
Retrospective Multicenter Study

Noninvasive ventilation (NIV) improves the outcome of acute cardiogenic pulmonary edema (AcPE) and acute exacerbation of chronic obstructive pulmonary disease (aeCOPD) but is not recommended in pneumonia. The aim of this study was to assess the appropriateness of the use of NIV in a prehospital setting, where etiological diagnostics rely mainly on clinical examination. This observational multicenter retrospective study included all the patients treated with NIV by three mobile medical emergency teams in 2015. Prehospital diagnoses and hospital diagnoses were extracted from the medical charts. The appropriateness of NIV was determined by matching the hospital diagnosis to the current guidelines. Among the 14,067 patients screened, 172 (1.2%) were treated with NIV. The more frequent prehospital diagnoses were AcPE (n = 102, 59%), acute respiratory failure of undetermined cause (n = 46, 28%) and aeCOPD (n = 17, 10%). An accurate prehospital diagnosis was more frequent for AcPE (83/88, 94%) than for aeCOPD (14/32, 44%; p < 0.01). Only two of the 25 (8%) pneumonia cases were diagnosed during prehospital management. Prehospital NIV was inappropriate for 32 (21%) patients. Patients with inappropriate NIV had a higher rate of in-hospital intubation than patients with appropriate NIV (38% vs. 8%; p < 0.001). This high frequency of inappropriate NIV could be reduced by an improvement in the prehospital detection of aeCOPD and pneumonia.

In-situ simulation

Trauma ◽  
2017 ◽  
Vol 20 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Louise Schofield ◽  
Emma Welfare ◽  
Simon Mercer
Keyword(s):  
Medical Emergency ◽  
In Situ Simulation ◽  
Advantages And Disadvantages ◽  
Medical Emergency Teams ◽  
Clinical Workplace ◽  
Trauma Teams ◽  
New Guidelines

‘In-situ’ simulation or simulation ‘in the original place’ is gaining popularity as an educational modality. This article discusses the advantages and disadvantages of performing simulation in the clinical workplace drawing on the authors’ experience, particularly for trauma teams and medical emergency teams. ‘In-situ’ simulation is a valuable tool for testing new guidelines and assessing for latent errors in the workplace.

Benner’s Framework and Clinical Decision-Making in the Critical Care Environment

2016 ◽  
Vol 30 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Kristi J. Stinson
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Clinical Experience ◽  
Strong Correlation ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
Clinical Experiences ◽  
Care Environment ◽  
Decision Making Processes

Completed as part of a larger dissertational study, the purpose of this portion of this descriptive correlational study was to examine the relationships among registered nurses’ clinical experiences and clinical decision-making processes in the critical care environment. The results indicated that there is no strong correlation between clinical experience in general and clinical experience in critical care and clinical decision-making. There were no differences found in any of the Benner stages of clinical experience in relation to the overall clinical decision-making process.

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