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Critical Care

Exercising to rhythmic music may be beneficial to ICU survivors

A study focusing on the rehabilitation of patients discharged from an Intensive Care Unit (ICU) reported the effectiveness of exercising to rhythmic music. 18 participants, who had spent at least 5 days in the ICU...

Stroke: Act FAST

Quick action ensures timely therapy. Takeaways: The FAST acronym (Face, Arm, Speech, Time to call 911) are critical to recognizing signs of stroke and ensuring quick treatment. The National Institutes of Health (NIH) stroke scale,...

Preventing postoperative pulmonary complications

Using ERAS and I COUGH to improve outcomes. Takeaways: Postoperative pulmonary complications are costly and responsible for extended hospital stays and mortalities. Enhanced recovery after surgery (ERAS) are multimodal evidence-based guidelines aimed at reducing stress,...

Let’s call her Carol

It was my first year as a nurse in a suburban Intensive Care unit. I worked the night shift and had an elderly female patient that was very ill with cancer, I don’t remember...

New microscopy technique can be used to study the progression of wound healing

A new microscope developed by researchers at the DSK Center for Optical Molecular Imaging has the ability to track collagen that helps in wound healing and can visualize blood vessel distribution around the wound. The...

Myocarditis

Early recognition may help save a life. Takeaways: Nurses should have a high suspicion for serious illness such as myocarditis in pediatric patients who present with respiratory distress that fails to respond to standard treatment. ...

Reducing hemolysis rates

An emergency department’s quality improvement project aims to reduce errors and improve care. Takeaways: Rates of hemolysis decrease with the implementation of proper blood draw procedures. Using venipuncture for blood draws reduces medical errors and...

A COVID-19 story

There was little information about COVID-19 when the pandemic began, but one important piece of information we did have was that the virus was not causing children to become critically ill. This particular fact...

Opioid-induced respiratory depression

Be prepared and know the risks. Takeaways: Risk factors for opioid-induced respiratory depression include impaired rental clearance, high opioid tolerance, and sleep apnea history. Tools for assessing patient sedation levels include Richmond Agitation-Sedation Scale and...

Unplanned Extubation: Eliminating preventable deaths

Know the risk factors and take steps to prevent harm. Takeaways: Unplanned extubations (UEs) can be reduced through the implementation of standardization of best practices, policies and procedures for institution-wide reliability for airway management safety. ...
nurse teamwork at work

Strategies for improving the nurse work environment during the COVID-19 pandemic

I will never forget the first time I called a code blue for a patient under my direct care as a critical care nurse in an adult medical-surgical ICU over a decade ago. I remember...
Rapid response

Rhabdomyolysis

Quick symptom recognition is key. Takeaways: Rhabdomyolysis is a complex medical condition caused by direct trauma, physical exertion, illness, infection, sepsis, congenital or metabolic abnormalities, prolonged seizures, or drugs. It manifests from rapid destruction of...
sharps

Sharps injury prevention

A look at safety 20 years after legislation passes. The year 2020 gives nurses the opportunity to reflect on past successes and opportunities so that we can best plan where to focus efforts ahead. A...