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941

THE COVID-19 THREAT

As the threat of a COVID-19 pandemic stares us in the face, it may be opportune to consider some scenarios ahead, especially in light of lessons from other, similar outbreaks in recent decades. The first problem is sporadic bursts of public concern, alternating with periods of denial. Managing both requires measured doses of reliable information […]

942

Intensive care in the emergency department: emergence of new models

The ICU (intensive care unit) is easily one of a hospital’s highest value resources. A scarcity of intensive care beds means patients require prioritization when demand exceeds supply.  As a result, there are frequent delays in admission to an ICU. Though it is accepted that such delays adversely impact patient outcomes, there has been little […]

944

Point of Care Testing: Complementing the Laboratory

Point-of-care testing (POCT) is typically described as a clinical test which is done at, or close to, the physical location of a patient. This could be at a patient’s home, in a pharmacy, a GP’s office or an in-hospital bed site. POCT typically consists of portable devices and instruments, which return results quickly. As a […]

946

A helping hand for pediatric intensive care

Doctors working in the eight-bed Pediatric Intensive Care Unit at the Ramón y Cajal University Hospital in Madrid use point-of-care ultrasound extensively to evaluate the condition of critically ill children, and find it essential to their work. Dr José Luis Vázquez Martínez, Head of UCIP at Hospital Ramón y Cajal, with over 25 years’ experience […]

950

Reducing NICU noise improves wellbeing of infants

Neonatal intensive care units can be noisy places which can disturb the sleep patterns of the youngest patients in the hospitals and have a negative effect on their health. In an effort to ameliorate this, some NICUs have set quiet times to limit exposure to noise. However, little was known about the effects of the […]