When post-intubation wait times increased during the COVID19 crisis, Julie, an Emergency Department nurse, took “saving lives in the ED” to a whole new level. She shares with us what communication and patient autonomy mean to her and how she is applying that to how she cares for patients in the ED. One nurse can make a ripple effect throughout an entire hospital system.

Early deep sedation is an independent predictor of increased mortality:

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0176012

https://pubmed.ncbi.nlm.nih.gov/22859526/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435917/

https://journals.lww.com/ccejournal/fulltext/2021/12000/the_air_sed_study__a_multicenter_cohort_study_of.16.aspx

Delirium recognition, prevention, and treatment in the ED:

Tools for helping with ETT comfort:

https://secureservercdn.net/166.62.112.107/ejx.050.myftpupload.com/wp-content/uploads/2022/01/Checklist-ETT-tolerance_v2.pdf

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We know that ventilator-associated pneumonia (VAP) is a lethal hospital-acquired condition. The evidence is clear- VAP increases time on the ventilator, time in the ICU, time in the hospital, mortality, as well as healthcare costs. On average, 1 VAP increases costs by $45,609.

So why aren’t hospital systems panicked about VAPs?

When reported cases of VAP drastically decreased from 2005 to 2013, was that because practices improved, or did the reporting change?

https://jamanetwork.com/journals/jama/fullarticle/2583369

What is going on with VAPs during COVID and why is the diagnosis and reporting of VAPs inconsistent and unreliable?

Dr. Benjamin Wang, the creator of NEVAP ASSETT, shares with us the real story behind ventilator-associated pneumonia in the USA.

https://nevap.co

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Walking Home From The ICU

Walking Home From The ICU

ICU Nurse Practitioner passionate about improving patient care and long term outcomes.