🌱 Growing body of evidence highlights the importance of healing environments to improve wellbeing of critically ill patients, families & staff. Incorporating nature 🌿imperative step towards enhancing patient recovery, uplifting family well-being, and nurturing resilience of our caregivers... planning to build an #ICU outdoor garden?? 🌳 here some things to consider! #FOAMcc on @ICM
🔓 https://rdcu.be/dkf76

PS also check this 🖋️#ICMfromtheInside piece on Balcony of Hope
🪟 https://rdcu.be/dkf74

📢 August issue of @ICM is out! Manuscripts on
🟫 liver failure
🩸trauma
🧫 infections, #sepsis & antibiotics
🫁 ventilator associated tracheobronchitis & pneumonia
🫁 #ARDS & MV
🧠 neurological diseases
💪🏼 #ICUrehab
🖋️ #ICMfromtheInside
& more!
🔗 bit.ly/ICMAug2023

🚨Gun violence is leading cause of death in children in US. Here poem written by a father/critical care pediatrician on behalf of traumatized children & families, as lamentation of inertia that surrounds a preventable scourge that kills US children daily, fantasizing about a solution to the problem that seems mythical yet reassuring.
#ICMfromtheInside #PedsICU
🖋️ https://rdcu.be/djeqc

📢 June issue of Intensive Care Medicine is online!!
🫁 ERS/ESICM/ESCMID/ALAT guidelines for severe community-acquired pneumonia
🩸 microcirculation in shock
🅰️ hemodynamic impact of prone position
🏥 recent Advances in #ICU
AKI
invasive MV
HFNO
🏥 what's new in ICM
delirium
antifungal stewardship
critical care in conflict zones
liver #transplantation
📸 imaging in ICM
🖋️#ICMfromtheInside
& more! Most free to read #FOAMcc
🖇️ https://bit.ly/ICMJun2023

Critically ill patients facing physical suffering and pain should be supported in all their complexity, with holistic approach reconsidering spiritual, psychological, and physical realms as one, respecting patients’ wishes in each of these realms. Utilize available resources and take actions that promote a spiritual and emotional understanding during patient interactions, family discussions, and in the way we educate our teams.
#ICMfromtheInside
Goodbye Paolo.
🖋️ https://rebrand.ly/9yh40lt

On awareness of dying and family relationships at the end of life
🖋️ #ICMfromtheInside free to read #FOAMcc on @ICM
🖇️ https://rdcu.be/dbgcL

Ableism, discrimination that treats individuals with disabilities as lesser or less valuable vs those without, is pervasive issue that extends into healthcare system ie
➡️ assumption that individuals with disabilities are not capable of making decisions about their own care
➡️ lack of accessibility to reasonable adjustments to aid communication for individuals with disabilities
➡️ lack of knowledge/understanding of disabilities among most #ICU providers
🖋️#ICMfromtheInside
🖇️ https://rdcu.be/da6xn

📢 April issue of @ICM is online!!
🔥 Burnout in #ICU
🖥️ #POCUS
🚑 out-of-hospital cardiac arrest
🧠 neuromonitoring on #ECMO
🫀 double sequential external defibrillation
♻️ green critical care medicine
🫴🏻 end of life & communication
📸 imaging in ICM
🖋️#ICMfromtheInside
& more! Most free to read #FOAMcc
🖇️ https://bit.ly/ICMApr2023

🌕 A tale of compassion
Compassion is all around me where I work, strangers helping strangers: when we sat in silence absorbing/accepting a family’s grief, when this doctor needed reminding of how much value she adds to our team. Compassion felt so natural in the world around me, so why could not I show myself that same kindness? Why could I show strangers more compassion than I could ever show myself?
#ICMfromtheinside
🖇️ https://rdcu.be/c8FqU

Artificially intelligent reflection? Smoke & mirrors and a tale of two perspectives. This reflection was authored by ChatGpt through OpenAI platform.
🖋️#ICMfromtheInside free to read
💨 🪞 https://rdcu.be/c7qOm

Parental love vs the “best” decision? As intensivists, we strive to make decisions in the best interest of our patients & in line with parental wishes/beliefs, hoping to converge on the right decision. We know how to manage patients' pain, breathlessness, anxiety, but our ability to alleviate their parents' suffering is often inadequate. So, we keep carrying of the complicated web of love, guilt, regret, denial and decisions for rest of our lives.
🖋️ #ICMfromtheInside
🖇️ https://rdcu.be/c6Iq9

Balcony of Hope? To be included in #ICU design! Outdoor spaces where spend periods feeling sunlight & air breeze in contact with family are valuable therapeutic backing: well-being of critically ill can positively influence recovery & impact on patient (& family)'s outcome.
🖋️ #ICMfromtheInside
https://bit.ly/3QGfg4g

Systematic reviews highlighted music’s ability to produce anxiolysis & analgesia in critically ill... Trough music, patients could be transported beyond the confines #ICU.
🖋️ #ICMfromtheInside
🖇️ https://rdcu.be/c0tct