scholarly journals Fire safety and emergency evacuation guidelines for intensive care units and operating theatres: for use in the event of fire, flood, power cut, oxygen supply failure, noxious gas, structural collapse or other critical incidents

Anaesthesia ◽  
2021 ◽  
Author(s):  
F. E. Kelly ◽  
C. R. Bailey ◽  
P. Aldridge ◽  
P. A. Brennan ◽  
R. P. Hardy ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Fire Safety ◽  
Critical Incidents ◽  
Oxygen Supply ◽  
Emergency Evacuation ◽  
Structural Collapse ◽  
Operating Theatres

scholarly journals COVID-19: from epidemiology to treatment

2020 ◽  
Vol 41 (22) ◽  
pp. 2092-2112 ◽  
Author(s):  
J M Pericàs ◽  
M Hernandez-Meneses ◽  
T P Sheahan ◽  
E Quintana ◽  
J Ambrosioni ◽  
...  
Keyword(s):  
Intensive Care ◽  
Clinical Practice ◽  
Health Services ◽  
Clinical Review ◽  
Intensive Care Units ◽  
Health Workers ◽  
Daily Clinical Practice ◽  
Operating Theatres

Abstract The COVID-19 pandemic has greatly impacted the daily clinical practice of cardiologists and cardiovascular surgeons. Preparedness of health workers and health services is crucial to tackle the enormous challenge posed by SARS-CoV-2 in wards, operating theatres, intensive care units, and interventionist laboratories. This Clinical Review provides an overview of COVID-19 and focuses on relevant aspects on prevention and management for specialists within the cardiovascular field.

scholarly journals Critical incidents connected to nurses’ leadership in Intensive Care Units

2017 ◽  
Vol 70 (5) ◽  
pp. 1018-1025 ◽  
Author(s):  
Elaine Cantarella Lima ◽  
Andrea Bernardes ◽  
Priscila Lapaz Baldo ◽  
Vanessa Gomes Maziero ◽  
Silvia Helena Henriques Camelo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incident ◽  
Critical Incidents ◽  
Quality Care ◽  
Communication Process ◽  
Leadership Theories ◽  
Leadership Model ◽  
Daily Exercise ◽  
The Face

ABSTRACT Objective: The goal of this study is to analyze nurses’ leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents. Method: Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark. Results: Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses’ behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses’ activities; people management; and the setting of high quality care targets. Final considerations: Researchers identified a mixed leadership model, leading them to the conclusion that nurses’ knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization’s results.

Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis

2021 ◽  
Vol 62 ◽  
pp. 102950
Author(s):  
Matteo Danielis ◽  
Fabrizio Bellomo ◽  
Federico Farneti ◽  
Alvisa Palese
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incidents

scholarly journals The effect of care provided by paediatric critical care transport teams on mortality of children transported to paediatric intensive care units in England and Wales: a retrospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah E. Seaton ◽  
◽  
Elizabeth S. Draper ◽  
Christina Pagel ◽  
Fatemah Rajah ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incidents ◽  
Paediatric Intensive Care ◽  
Junior Doctors ◽  
England And Wales ◽  
The Impact ◽  
Paediatric Critical Care ◽  
Paediatric Intensive Care Units

Abstract Background Centralisation of paediatric intensive care units (PICUs) has the increased the need for specialist paediatric critical care transport teams (PCCT) to transport critically ill children to PICU. We investigated the impact of care provided by PCCTs for children on mortality and other clinically important outcomes. Methods We analysed linked national data from the Paediatric Intensive Care Audit Network (PICANet) from children admitted to PICUs in England and Wales (2014–2016) to assess the impact of who led the child’s transport, whether prolonged stabilisation by the PCCT was detrimental and the impact of critical incidents during transport on patient outcome. We used logistic regression models to estimate the adjusted odds and probability of mortality within 30 days of admission to PICU (primary outcome) and negative binomial models to investigate length of stay (LOS) and length of invasive ventilation (LOV). Results The study included 9112 children transported to PICU. The most common diagnosis was respiratory problems; junior doctors led the PCCT in just over half of all transports; and the 30-day mortality was 7.1%. Transports led by Advanced Nurse Practitioners and Junior Doctors had similar outcomes (adjusted mortality ANP: 0.035 versus Junior Doctor: 0.038). Prolonged stabilisation by the PCCT was possibly associated with increased mortality (0.059, 95% CI: 0.040 to 0.079 versus short stabilisation 0.044, 95% CI: 0.039 to 0.048). Critical incidents involving the child increased the adjusted odds of mortality within 30 days (odds ratio: 3.07). Conclusions Variations in team composition between PCCTs appear to have little effect on patient outcomes. We believe differences in stabilisation approaches are due to residual confounding. Our finding that critical incidents were associated with worse outcomes indicates that safety during critical care transport is an important area for future quality improvement work.

scholarly journals FIRE SAFETY PRECAUTIONS TAKEN AS A RESULT OF FIRE ENVIRONMENT ANALYSIS IN INTENSIVE CARE UNITS AND PATHOLOGY LABORATORIES

2016 ◽  
pp. 13-13
Author(s):  
Zuhal ŞIMŞEK ◽  
Recep YAMANKARADENIZ ◽  
Nilüfer AKINCITÜRK ◽  
Nurettin YAMANKARADENIZ ◽  
Hande UFAT ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Fire Safety ◽  
Environment Analysis ◽  
Fire Environment

Intubation Practice in Intensive Care Units — Is it Time for Change!

2003 ◽  
Vol 4 (3) ◽  
pp. 83-84
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incidents ◽  
Cricoid Pressure ◽  
North West ◽  
The North ◽  
The United Kingdom ◽  
Intensive Care Unit Nurses

An email questionnaire was sent to doctors working in the intensive care units of hospitals in the North West region of the United Kingdom. The questionnaire enquired about the post held by the respondent within the trust, the size of the hospital and intensive care unit and the staff performing tracheal intubations. Further questions related to the quality of assistance including application of cricoid pressure, the routine availability of capnography and the availability of equipment for difficult intubations. Respondents were asked to comment on critical incidents or volunteer personal views on the subject. Of the 49 replies analysed 25 doctors were unhappy regarding the unavailability of capnography for intubation. Ten doctors reported critical incidents. Seventeen tespondents (34%) thought intensive care unit nurses were insufficiently trained in the application of cricoid pressure.

scholarly journals Oxygen Conservation Strategies in Hospital- Current Perspectives

2021 ◽  
Vol 9 (1) ◽  
pp. 1-1
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Oxygen Supply ◽  
Supply And Demand ◽  
Indian Society ◽  
Conservation Strategies ◽  
Corona Virus ◽  
Patient’S Outcome

The significance of oxygen has never been more apparent. The Covid pandemic has swept the globe like never before, and the need for oxygen in hospitals and intensive care units has skyrocketed. The oxygen supply cannot be raised overnight, but the corona virus is quickly spreading, causing a supply and demand mismatch. Until the availability of oxygen is increased, judicious use of oxygen is needed, and oxygen conservation strategies must be strictly followed. Many societies, such as the Indian Society of Anaesthesia, have stepped forward in these trying times and published widely read advisories. It is important to follow these notifications in order to conserve oxygen.oxygen is extremely valuable in these unpredictable times. Every effort should be made to preserve it. To maximise the patient's outcome, proper monitoring must be maintained.

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