We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Sekisui Diagnostics UK Ltd.

Download Mobile App

Resuscitation Units Speed Up Triage of Critically Ill Patients

By HospiMedica International staff writers
Posted on 06 Mar 2016
Print article
Image: The University of Maryland Medical Center (Photo courtesy of UMM).
Image: The University of Maryland Medical Center (Photo courtesy of UMM).
An innovative Shock Trauma Center (STC) model helps direct critically ill non-trauma patients to the operating room (OR) or hospital intensive care unit (ICU) as quickly as possible.

Formed at the University of Maryland Medical Center (UMM; Baltimore, USA) in July 2013, the six-bed critical care resuscitation unit (CCRU) is an ICU located inside the STC, with the goal of speeding up adult critical care transfers to UMMC. An attending intensivist staffs the CCRU around the clock and directs patient throughout assessment and stabilization process; CCRU staff and subspecialists collaborate to rapidly evaluate and stabilize patients, and then transfer them to the unit that will best serve their needs.

In the year after the CCRU opened, overall transfers increased 64.5%, and those of critically ill surgical patients increased by 93.6%. For patients who needed surgery, the median arrival times at the CCRU decreased significantly, from 223 to 118 minutes, as did median time to surgery, from about 57 hours to around 18.5 hours. Likewise, median hospital length of stay declined from 17 to 13 days, and even death rates declined from 16.5 % to 14.6%. UMM reported the outcomes of CCRU implementation in a study published on February 23, 2016, in the Journal of the American College of Cardiology (JACC).

“As the population ages and the nature of their illnesses becomes more complex, often involving multiple diseases, the demand for referral centers like UMMC to handle critically ill patients has increased,” said lead author Thomas Scalea, MD, physician-in-chief at the UMMC STC. “Time is a huge variable. There are a number of things—aortic dissection, acute vascular insufficiency, arguably stroke and sepsis—that are all time-related diseases; the clock starts ticking at the time the disease strikes.”

“Community hospitals seek to transfer their most challenging cases to high-volume centers best equipped to provide specialty urgent care,” concluded Dr. Scalea. “The time it takes to get appropriate care can be important when dealing with time-sensitive diseases like stroke, hemorrhage, severe abdominal pain, respiratory failure, and any number of cardiovascular problems. If you burn the time trying to get the patient to the hospital, you have less time to intervene. The more you can truncate the time, the better patients do.”

Related Links:

University of Maryland Medical Center

Gold Member
SARS‑CoV‑2/Flu A/Flu B/RSV Sample-To-Answer Test
SARS‑CoV‑2/Flu A/Flu B/RSV Cartridge (CE-IVD)
Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Silver Member
Wireless Mobile ECG Recorder
Fiberoptic Laryngoscope Set

Print article


Surgical Techniques

view channel
Image: New studies suggest benefit of total robotic metabolic and bariatric surgery over conventional laparoscopy (Photo courtesy of 123RF)

Total Robotic Metabolic and Bariatric Surgery Proves More Beneficial than Conventional Laparoscopy

According to the U.S. Centers for Disease Control and Prevention (CDC), 42.4% of Americans are affected by obesity. Research indicates that obesity can compromise the immune system, trigger chronic inflammation,... Read more

Patient Care

view channel
Image: The portable, handheld BeamClean technology inactivates pathogens on commonly touched surfaces in seconds (Photo courtesy of Freestyle Partners)

First-Of-Its-Kind Portable Germicidal Light Technology Disinfects High-Touch Clinical Surfaces in Seconds

Reducing healthcare-acquired infections (HAIs) remains a pressing issue within global healthcare systems. In the United States alone, 1.7 million patients contract HAIs annually, leading to approximately... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: POCT offers cost-effective, accessible, and immediate diagnostic solutions (Photo courtesy of Flinders University)

POCT for Infectious Diseases Delivers Laboratory Equivalent Pathology Results

On-site pathology tests for infectious diseases in rural and remote locations can achieve the same level of reliability and accuracy as those conducted in hospital laboratories, a recent study suggests.... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.