scholarly journals The Experience Of The Intensive Care Unit In A British Army Field Hospital During The 2003 Gulf Conflict

2003 ◽  
Vol 149 (4) ◽  
pp. 284-290 ◽  
Author(s):  
M. Roberts ◽  
M. Fox ◽  
C. Hamilton-Davies ◽  
S. Dowson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
British Army ◽  
Field Hospital

scholarly journals Outcomes of COVID-19-Related ARDS Patients Hospitalized in a Military Field Intensive Care Unit

2021 ◽  
Author(s):  
Marc Danguy des Déserts ◽  
Quentin Mathais ◽  
Jean Baptiste Morvan ◽  
Gwendoline Rager ◽  
Jacques Escarment ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Laboratory Data ◽  
Simplified Acute Physiology Score ◽  
French Society ◽  
Median Length ◽  
Field Hospital ◽  
Military Health ◽  
Institutional Review

ABSTRACT Introduction Little evidence of outcome is available on critically ill Coronavirus Disease 2019 (COVID-19) patients hospitalized in a field hospital. Our purpose was to report outcomes of critically ill COVID-19 patients after hospitalization in a field intensive care unit (ICU), established under military tents in a civil–military collaboration. Methods All patients with COVID-19-related acute respiratory distress syndrome (ARDS) admitted to the Military Health Service Field Intensive Care Unit in Mulhouse (France) between March 24, 2020, and May 7, 2020, were included in the study. Medical history and clinical and laboratory data were collected prospectively. The institutional review board of the French Society Anesthesia and Intensive Care approved the study. Results Forty-seven patients were hospitalized (37 men, median age 62 [54-67] years, Sequential Organ Failure Assessment score 7 [6-10] points, and Simplified Acute Physiology Score II score 39 [28-50] points) during the 45-day deployment of the field ICU. Median length of stay was 11 [6-15] days and median length of ventilation was 13 [7.5-21] days. At the end of the deployment, 25 (53%) patients went back home, 17 (37%) were still hospitalized, and 4 (9%) died. At hospital discharge, 40 (85%) patients were alive. Conclusion In this study, a military field ICU joined a regional civil hospital to manage a large cluster of COVID-19-related ARDS patients in Mulhouse, France. This report illustrates how military teams can support civil authorities in the provision of advanced critical care. Outcomes of patient suggest that this field hospital deployment was an effective adaptation during pandemic conditions.

scholarly journals Communication in the intensive care unit during COVID-19: early experience with the Nightingale Communication Method

2020 ◽  
Author(s):  
Jonathan Shurlock ◽  
James Rudd ◽  
Annette Jeanes ◽  
Aphrodite Iacovidou ◽  
Antonio Creta ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Setting ◽  
Field Hospital ◽  
Cross Sectional ◽  
Role Identification ◽  
Staff Members ◽  
Perceived Utility ◽  
Frequency Of Use ◽  
Communication Method

Abstract Objective To assess the utility and frequency of use of the Nightingale Communication Method, during the early operational phase of the Nightingale Hospital London (NHL) 4000-bed field hospital’s intensive care unit. Design Survey-based cross-sectional assessment. Setting The intensive care unit at the Nightingale London hospital. Participants Staff working in the clinical area and therefore requiring full personal protective equipment (PPE). Intervention Survey of all staff members sampled from a single shift at the Nightingale Hospital. This investigated perceived utility and actual use of identification methods (name and role labels on visors and gowns, coloured role identification tapes) and formal hand signals as an adjunctive communication method. Main Outcome Measure Self-reported frequency of use and perceived utility of each communication and personnel identification adjunct. Results Fifty valid responses were received (72% response rate), covering all clinical professional groups. Prominent name/role identifications and coloured role identification tapes were very frequently used and were perceived as being highly useful. Formal hand signals were infrequently used and not perceived as being beneficial, with respondents citing use of individual hand signals only in specific circumstances. Conclusion PPE is highly depersonalizing, and interpersonal identification aids are very useful. Despite being difficult, verbal communication is not completely prohibited, which could explain the low utility of formal hand signals. The methods developed at the Nightingale hospital have enhanced communication in the critical care, field hospital setting. There is potential for wider application to a variety of healthcare settings, in both the current situation and future pandemic scenarios.

Intensive Care Unit Buildup Within a Field Hospital Setting

2020 ◽  
pp. 231-244
Author(s):  
Ami Mayo ◽  
Nisim Ifrach ◽  
Dekel Stavi ◽  
Nimrod Adi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Setting ◽  
Field Hospital

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Coping and Family Relationships in the Neonatal Intensive Care Unit

2014 ◽  
Author(s):  
Gina M. Brelsford ◽  
Kim Doheny ◽  
Kristin Veneman ◽  
Joshua Ramirez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Family Relationships ◽  
Neonatal Intensive Care

Developmental care approaches for mitigating stress in preterm neonates in the neonatal intensive care unit: A systematic review.

2018 ◽  
Vol 11 (2) ◽  
pp. 117-131 ◽  
Author(s):  
Nathália de Figueiredo Silva ◽  
Maria Beatriz Martins Linhares ◽  
Cláudia Maria Gaspardo
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Preterm Neonates ◽  
Developmental Care
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