scholarly journals Stress and burnout in a group of intensive care unit medical personnel – a preliminary study

2021 ◽  
Vol 29 (1) ◽  
pp. 22-25
Author(s):  
Jakub Lickiewicz ◽  
Barbara Salawa ◽  
Wojciech Serednicki ◽  
Patricia Hughes ◽  
Marta Makara
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Personnel ◽  
Preliminary Study

scholarly journals Burnout Syndrome in UK Intensive Care Unit staff: Data from all three Burnout Syndrome domains and across professional groups, genders and ages

2019 ◽  
Vol 20 (4) ◽  
pp. 363-369 ◽  
Author(s):  
Laura Vincent ◽  
Peter G Brindley ◽  
Julie Highfield ◽  
Richard Innes ◽  
Paul Greig ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Emotional Exhaustion ◽  
Comprehensive Evaluation ◽  
Maslach Burnout Inventory ◽  
Medical Personnel ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Age Group ◽  
The Uk

IntroductionThis is the first comprehensive evaluation of Burnout Syndrome across the UK Intensive Care Unit workforce and in all three Burnout Syndrome domains: Emotional Exhaustion, Depersonalisation and lack of Personal Accomplishment.MethodsA questionnaire was emailed to UK Intensive Care Society members, incorporating the 22-item Maslach Burnout Inventory Human Services Survey for medical personnel. Burnout Syndrome domain scores were stratified by ‘risk’. Associations with gender, profession and age-group were explored.ResultsIn total, 996 multi-disciplinary responses were analysed. For Emotional Exhaustion, females scored higher and nurses scored higher than doctors. For Depersonalisation, males and younger respondents scored higher.ConclusionApproximately one-third of Intensive Care Unit team-members are at ‘high-risk’ for Burnout Syndrome, though there are important differences according to domain, gender, age-group and profession. This data may encourage a more nuanced understanding of Burnout Syndrome and more personalised strategies for our heterogeneous workforce.

scholarly journals Intensive Care Unit Setup for COVID-19

2020 ◽  
Vol 04 (01) ◽  
pp. 05-11
Author(s):  
Shweta Panse ◽  
Muralidhar Kanchi ◽  
Jose Chacko ◽  
Srinath Kumar T. S. ◽  
Ranganatha Ramanjaneya ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Healthcare Workers ◽  
Medical Personnel ◽  
Healthcare Systems ◽  
Protective Equipment ◽  
Cross Contamination ◽  
Ventilator Management ◽  
Coronavirus Infection ◽  
The Ideal

AbstractThe coronavirus pandemic has become a challenge to all the healthcare systems in the world. Urgent creation of an intensive care unit (ICU) for the same is the need of the hour. The ideal ICU for COVID -19 should be isolated, fully equipped with invasive and noninvasive monitoring, with 24/7 trained medical personnel, nursing staff and laboratory support. As the coronavirus infection is transmitted by droplets and is highly contagious, protection of healthcare workers is crucial. Personnel working inside the ICU should get personal protective equipment (PPE). Strict guidelines for donning and doffing of PPE should be followed to prevent cross-contamination. Respiratory failure being the commonest complication of COVID-19, knowing the ventilator management for the same is essential. It is of great importance to meticulously manage all the resources to combat this contagion.

scholarly journals Triage Decisions in the Context of COVID-19: Old Burden, New Challenge—The Structured Approach for Intensive Care Unit Triage (SAINT) Protocol

2020 ◽  
Author(s):  
Christoph Jänig ◽  
Roger Forklage ◽  
Jennifer M Gurney ◽  
Robin Groth ◽  
Christine Wirth ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health System ◽  
Scientific Evidence ◽  
Medical Personnel ◽  
Patient Centered ◽  
Military Health ◽  
Treatment Facilities ◽  
Set Up ◽  
Structured Approach

ABSTRACT Introduction The medical treatment facilities (MTF) represent the equivalent of the healthcare system in the home countries, but they face the limitations of an outpost at the end of the supply chain. The capabilities are limited, and the necessary effort to extend the treatment capacity is tremendous. Algorithms based on scientific evidence or at least profound medical expertise are a tool to facilitate the decision-making process in triage under difficult circumstances. The aim of this article is to present a protocol that regards the specific entities military MTF abroad have to deal with in context of the COVID-19 pandemic. Material and Methods To prepare our own health system within the Resolute Support mission, an interdisciplinary team of consultants and nurses located at the multinational role 2E, Camp Marmal, Mazar-e-Sharif, Afghanistan, individually reviewed medical databases and the current literature concerning triage on intensive care units. The identified literature was evaluated by all authors. In the next step, an adapted flow chart for triage on intensive care unit in MTF abroad was set up on the basis of existing triage tools found in the reviewed literature. Results The authors created the “Structured Approach for Intensive Care Unit Triage (SAINT)” protocol. It is an approach that fits to the specific entities (e.g., limited medical resources in the whole system, limited intensive care unit capabilities for long-term stay or organ replacement therapy, etc.) that determine the framework of the special military health system abroad. Conclusions The presented triage protocol may be a tool for medical personnel to facilitate the difficult task of triaging. It provides guidance along patient-centered criteria like individual medical, ethical, and legal issues while taking into account the available resources. Future studies are needed to investigate the effectiveness of the SAINT protocol.

The quinary pattern of blast injury

2007 ◽  
Vol 2 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Yoram Kluger, MD, FACS ◽  
Adi Nimrod, MD ◽  
Philippe Biderman, MD ◽  
Ami Mayo, MD ◽  
Patric Sorkin, MD
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Center ◽  
Venous Pressure ◽  
Management Strategies ◽  
Medical Personnel ◽  
Blast Injury ◽  
Injury Pattern ◽  
Inflammatory State ◽  
Materials Used

Objective: Bombing is the primary weapon of global terrorism, and it results in a complicated, multidimensional injury pattern. It induces bodily injuries through the well-documented primary, secondary, tertiary, and quaternary mechanisms of blast. Their effects dictate special medical concern and timely implementation of diagnostic and management strategies. Our objective is to report on clinical observations of patients admitted to the Tel Aviv Medical Center following a terrorist bombing. Results: The explosion injured 27 patients, and three died. Four survivors who had been in close proximity to the explosion, as indicated by their eardrum perforation and additional blast injuries, were exposed to the blast wave. They exhibited a unique and immediate hyperinflammatory state, two upon admission to the intensive care unit and two during surgery. This hyper-inflammatory state manifested as hyperpyrexia, sweating, low central venous pressure, and positive fluid balance. This state did not correlate with the complexity of injuries sustained by any of the 67 patients admitted to the intensive care unit after previous bombings. Conclusion: The patients’ hyperinflammatory be-havior, unrelated to their injury complexity and severity of trauma, indicates a new injury pattern in explosions, termed the “quinary blast injury pattern.” Unconventional materials used in the manufacture of the explosive can partly explain the observed early hyperinflammatory state. Medical personnel caring for blast victims should be aware of this new type of bombing injury.

The quinary pattern of blast injury

2006 ◽  
Vol 4 (1) ◽  
pp. 51 ◽  
Author(s):  
Yoram Kluger, MD, FACS ◽  
Adi Nimrod, MD ◽  
Philippe Biderman, MD ◽  
Ami Mayo, MD ◽  
Patric Sorkin, MD
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Center ◽  
Venous Pressure ◽  
Management Strategies ◽  
Medical Personnel ◽  
Blast Injury ◽  
Injury Pattern ◽  
Materials Used ◽  
Low Central Venous Pressure

Objective: Bombing is the primary weapon of global terrorism, and it results in a complicated, multidimensional injury pattern. It induces bodily injuries through the well-documented primary, secondary, tertiary, and quaternary mechanisms of blast. Their effects dictate special medical concern and timely implementation of diagnostic and management strategies. Our objective is to report on new clinical observations of patients admitted to the Tel Aviv Medical Center following a recent terrorist bombing.Results: The explosion injured 27 patients and three died. Four survivors, who had been in close proximity to the explosion as indicated by their eardrum perforation and additional blast injuries, were exposed to the blast wave. They exhibited a unique and immediate hyperinflammatory state, two upon admission to the intensive care unit and two during surgery. This hyperinflammatory state was manifested by hyperpyrexia, sweating, low central venous pressure, and positive fluid balance. This state did not correlate with the complexity of injuries sustained by any of the 67 patients admitted to the intensive care unit after previous bombings.Conclusion: The patients’ hyperinflammatory behavior, unrelated to their injury complex and severity of trauma, indicates a new injury pattern in explosions, termed the quinary blast injury pattern. Unconventional materials used in the manufacture of the explosive can partly explain the observed early hyperinflammatory state. Medical personnel caring for blast victims should be aware of this new type of bombing injury.

scholarly journals Prevention of nosocomial pneumonia in conditions of resuscitation and intensive care unit: literature review

2020 ◽  
Vol 37 (4) ◽  
pp. 62-70
Author(s):  
L. A. Panacheva
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Pneumonia ◽  
High Frequency ◽  
Medical Personnel ◽  
Epidemiological Surveillance ◽  
Review Of Literature ◽  
Health Care Associated Infections

The article presents a review of literature on the prevention of nosocomial pneumonia (NP), which has a high frequency in the resuscitation and intensive care unit, severe complications (up to 52.1 % of cases) and mortality. The following aspects are shown: risk factors for NP and multiple antimicrobial resistance; the goal and program of NP prevention aimed at reducing the likelihood of contamination and infection of patients; the need for epidemiological surveillance of health care associated infections and observance of principles of asepsis and antiseptics by medical personnel; the prevention of oropharyngeal colonization and aspiration; methods of timely verticalization of patients who suffered from acute cerebral insufficiency of any etiology; stimulating spirometry, respiratory gymnastics and chest massage.

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