Book contents
- Practical Emergency Resuscitation and Critical Care
- Practical Emergency Resuscitation and Critical Care
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 General Critical Care
- 1 Shock
- 2 Airway Management
- 3 Mechanical Ventilation
- 4 The Boarding ICU Patient in the Emergency Department
- Section 2 Infectious Disease Emergencies
- Section 3 Neurological Emergencies
- Section 4 Cardiovascular Emergencies
- Section 5 Respiratory Emergencies
- Section 6 Gastrointestinal Emergencies
- Section 7 Renal Emergencies
- Section 8 Hematology–Oncology Emergencies
- Section 9 Endocrine Emergencies
- Section 10 Environmental Emergencies
- Section 11 Trauma
- Section 12 End of Life
- Index
- References
4 - The Boarding ICU Patient in the Emergency Department
from Section 1 - General Critical Care
Published online by Cambridge University Press: 02 November 2023
Book contents
- Practical Emergency Resuscitation and Critical Care
- Practical Emergency Resuscitation and Critical Care
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 General Critical Care
- 1 Shock
- 2 Airway Management
- 3 Mechanical Ventilation
- 4 The Boarding ICU Patient in the Emergency Department
- Section 2 Infectious Disease Emergencies
- Section 3 Neurological Emergencies
- Section 4 Cardiovascular Emergencies
- Section 5 Respiratory Emergencies
- Section 6 Gastrointestinal Emergencies
- Section 7 Renal Emergencies
- Section 8 Hematology–Oncology Emergencies
- Section 9 Endocrine Emergencies
- Section 10 Environmental Emergencies
- Section 11 Trauma
- Section 12 End of Life
- Index
- References
Summary
Critical illness should be viewed as a continuum from prehospital development of disease, through emergency department (ED) presentation to intensive care unit (ICU) admission to post-ICU care and ultimately to hospital discharge. Over two million patients are admitted to ICUs from EDs each year in the US. Critical care visits increased by 80% between 2006 and 2014. More than 50% of ICU admissions remain in the ED in excess of 6 hours. ICU patients who remain in the ED have been shown to have worse outcomes.
- Type
- Chapter
- Information
- Practical Emergency Resuscitation and Critical Care , pp. 39 - 46Publisher: Cambridge University PressPrint publication year: 2023
References
Bednarczyk, JM, Fridfinnson, JA, Kumar, A, et al. Incorporating dynamic assessment of fluid responsiveness into goal-directed therapy: A systematic review and meta-analysis. Crit Care Med 2017;45:1538–1545.CrossRefGoogle ScholarPubMed
Jayaprakash, N, Pflaum-Carlson, J, Gardner-Gray, J, et al. Critical care delivery solutions in the emergency department: Evolving models in caring for ICU boarders. Ann Emerg Med 2020;76:709–716.CrossRefGoogle ScholarPubMed
Mathews, KS, Durst, MS, Vargas-Torres, C, et al. Effect of emergency department and ICU occupancy on admission decisions and outcomes for critically ill patients. Crit Care Med 2018;46:720–727.CrossRefGoogle ScholarPubMed
Mohr, NM, Wessman, BT, Bassin, B, et al. Boarding of critically ill patients in the emergency department. Crit Care Med 2020;48:1180–1187.CrossRefGoogle ScholarPubMed
Rhodes, A, Evans, LE, Alhazzani, W, et al. Surviving sepsis campaign: International guidelines for management of sepsis and septic shock: 2016. Crit Care Med 2017;45:486–552.CrossRefGoogle ScholarPubMed
Rose, L, Scales, DC, Atzema, C, et al. Emergency department length of stay for critical care admissions: A population-based study. Ann Am Thorac Soc 2016;13:1324–1332.CrossRefGoogle ScholarPubMed