Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: PTSD Symptom Scale Author(s): Critical Care Practitioner Publisher or Source: Critical Care Practitioner Type of Media: One-Pager Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: The PTSD scoring system To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Post-ICU Syndrome Author(s): InnovaHUCI Publisher or Source: InnovaHUCI Type of Media: One-Pager Media Originally for: General Public Country of Origin: Spain Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: During recovery period patients could develop: Physical, Cognitive, and Psychiatric disabilities To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Long Covid: The two sides of the coin Author(s): Gillian Moore Groarke, Dr. Publisher or Source: Irish Examiner Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: Ireland Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Since March, I have been working online with patients who have had a positive diagnosis for Covid-19. Many patients are still sick months after catching the virus as a result of post-viral symptoms. These symptoms are not just physical symptomatology we are seeing, but more psychological in nature. Patients both young and old are describing severe anxiety, pandemic insomnia, depression, OCD, fatigue and brain fog. While most patients recover within two weeks, those with so called 'long Covid' have symptoms that persist beyond a three-week period and up to 6 months after their positive diagnosis. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients - part 1: general ultrasonography Author(s): Heidi L. Frankel, MD, FACS, FCCM, FCCP; Andrew W. Kirkpatrick, MD, MHSC, FRSC, FACS; Mahmoud Elbarbary, MD, PhD, MSc, EDIC; Michael Blaivas, MD, FACEP, FAIUM; Himanshu Desai, MD; David Evans, MD, RDMS; Douglas T. Summerfield, MD; Anthony Slonim, MD, DrPH, FCCM; Raoul Breitkreutz, MD; Susanna Price, MD, PhD, MRCP, EDICM, FFICM, FESC; Paul E. Marik, MD, FCCM, FCCP; Daniel Talmor, MD, MPH, FCCM; Alexander Levitov, MD, FCCM, FCCP, RDCS Publisher or Source: Society of Critical Care Medicine Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: United States of America (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: To establish evidence-based guidelines for the use of bedside ultrasound by intensivists and specialists in the ICU and equivalent care sites for diagnostic and therapeutic purposes for organs of the chest, abdomen, pelvis, neck, and extremities. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: PICS (Post-ICU Syndrome): A Serious Challenge for COVID-19 Survivors Author(s): Shaista Meghani, MScN, BScN, RN, RM, PhD Student Publisher or Source: Daily Nurse Type of Media: Magazine Article Media Originally for: General Public, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Even healthcare professionals may not be aware and prepared for a condition called Post-ICU Syndrome (PICS) that can occur in the aftermath of COVID-19. What about those who were hospitalized for COVID-19, treated in ICU, and are unaware of the possible long-term impact and rehabilitation phase? There is a tendency to think that once the patient is discharged from the hospital, has tested negative, and looks well, the problem is resolved. However, the struggle of COVID-19 survivors and family members or caregivers may not end there. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Antibiotics for exacerbations of asthma Author(s): Normansell R, Sayer B, Waterson S, Dennett EJ, Del Forno M, Dunleavy A Publisher or Source: Cochrane Database of Systematic Reviews Type of Media: Medical Journal Media Originally for: Critical Care Physicians,General Medical Professionals Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Asthma is a chronic respiratory condition that affects over 300 million adults and children worldwide. It is characterised by wheeze, cough, chest tightness, and shortness of breath. Symptoms typically are intermittent and may worsen over a short time, leading to an exacerbation. Asthma exacerbations can be serious, leading to hospitalisation or even death in rare cases. Exacerbations may be treated by increasing an individual's usual medication and providing additional medication, such as oral steroids. Although antibiotics are sometimes included in the treatment regimen, bacterial infections are thought to be responsible for only a minority of exacerbations, and current guidance states that antibiotics should be reserved for cases in which clear signs, symptoms, or laboratory test results are suggestive of bacterial infection. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Complex tracheal disease service (children) Author(s): NHS England Publisher or Source: NHS England Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians, General Medical Professionals Country of Origin: United Kingdom Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: The service deals with the management of children with serious tracheal disease in childhood. It is primarily concerned with the treatment of long segment congenital tracheal stenosis (and its associated [60%] lesions), severe tracheo bronchomalacia and a variety of other, rarer pathologies. Management involves assessment of airway disease by bronchoscopy, bronchography, optical coherence tomography, echocardiography, 3-D imaging by computed tomography (CT) and magnetic resonance imaging (MRI). Treatment may involve surgery, for example slide tracheoplasty for tracheal stenosis, or stenting for malacia. Follow up is both by shared care with referring institutions but by annual review at Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) with anatomic, physiologic and quality of life assessment To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Long-Term Outcomes after Critical Illness. The Best Predictor of the Future Is the Past Author(s): Brian H. Cuthbertson, and Hannah Wunsch Publisher or Source: American Thoracic Society Type of Media: Medical Journal Media Originally for: Critical Care Physicians, General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: or many years, we believed that a good outcome for critically ill patients was for them to leave the intensive care unit (ICU) alive. Sadly, we now know from substantial research, including in-depth follow-up of individual patients, that this is not the case. Many cohort studies of critically ill patients that prospectively followed people after hospital discharge raised concerns regarding long-term outcomes (1–4). Despite the importance of this work, such prospective cohort studies are limited in the type and amount of information they can provide because of small sample size or number of outcome events, uncertain generalizability, and a lack of information on prehospital trajectories. Perhaps most important, many of these exploratory studies lacked comparison with appropriate controls. Therefore, the burden of morbidity and mortality after critical illness was quantified, but with uncertainty regarding the level of attribution to the critical illness and its associated treatments and the contribution of either underlying comorbidity or hospitalization of any kind. In effect, these studies identified that “we have a problem,” but their limitations did not allow us to more fully understand the severity, duration, causation, and trajectory of these problems from the perspectives of our patients and our health systems. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Study Finds ICU Patients Who Survive Respiratory Condition May Suffer from Prolonged Post-Intensive Care Syndrome Author(s): Jess Gomez Publisher or Source: Intermountain Healthcare Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Now, a new study of 645 ARDS survivors by researchers at Intermountain Medical Center, Johns Hopkins University, and the University of Utah, has identified subgroups of ARDS survivors who suffer what’s been called post-intensive care syndrome, a collection of symptoms that can linger for years. “A lot of work has been done around post-intensive care syndrome. We’re realizing the people who are surviving are often terribly wounded, and they have emotional and psychological distress as severe as combat veterans returning from war,” said Samuel M. Brown, MD, lead author of the study and director of the Center for Humanizing Critical Care at Intermountain Medical Center. “They may have profound weakness or shortness of breath or other important limitations to their quality of life after they survive.” Results of the new study, which was funded by the National Heart Lung and Blood Institute, are published inThorax, one of the world’s leading journals for specialists in respiratory and critical care medicine. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Organ donation for transplantation: improving donor identification and consent rates for deceased organ donation Author(s): The National Institute for Health and Care Excellence Publisher or Source: The National Institute for Health and Care Excellence Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians, General Medical Professionals Country of Origin: United Kingdom Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: A significant proportion of people in England and Wales would wish to donate their organs after death for the purpose of transplantation. This guideline recognises the complexities that arise owing to the majority of potential organ donors lacking the capacity to be directly involved in decision making at the time of their death. This guideline seeks to promote the identification and fulfilment of these wishes through: • more effective and expedient identification and referral of potential organ donors • a more informed, considered and timely approach to consent for donation that is based primarily on identifying the wishes of the individual whenever known and however recorded. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Implementing the ICU Diary in the Medical Intensive Care Unit Author(s): Lyndsay Laxton, MOT, OTR/L Publisher or Source: Occupational Therapy Association of Colorado Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Research has shown an increased prevalence of psychological distress and acute cognitive impairment in patients who have experienced hospitalization within the intensive care setting (Myers, Smith, Allen, & Kaplan, 2016; Pandharipande et al., 2013). Periods of mechanical ventilation, sensory deprivation, presence of noxious stimuli, and using sedation medication increase a patient’s risk of developing delirium and may result in hallucinations, traumatic memories of medical events, or the absence or fragmentation of memories throughout their intensive care experience (Myers et al., 2016). In 2010, stakeholders from the Society of Critical Care Medicine identified this phenomenon as Post Intensive Care Syndrome (PICS) characterized by new or worsening physical, cognitive, or mental health problems after critical illness (Needham et al., 2012). PICS manifests in numerous ways, including anxiety, depression, and post-traumatic stress disorder (PTSD), as well as impaired global cognition and executive function (Myers et al., 2016). Current literature regarding intensive care survivors indicates that 30% of patients will experience depression and 70% will experience anxiety after discharge from the intensive care unit (ICU), with one third of patients developing PTSD symptoms in the first 2 years after critical illness (Bienvenu et al., 2013; Myers et al., 2016). Additionally, the duration of delirium can be an independent risk factor for below-baseline global cognition, as well as for impairment in executive functioning after discharge from the ICU (Pandharipande et al., 2013). In an effort to reduce the occurrence of PICS, health care professionals have used numerous non-pharmacological interventions, including early mobilization, environmental modifications, and the ICU diary (Álvarez et al., 2017; Garrouste-Orgeas et al., 2012; Schweickert et al., 2009). To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Disparities in Post-Intensive Care Syndrome During the COVID-19 Pandemic: Challenges and Solutions Author(s): Moses J.E. Flash, BA, Shawn F. Johnson, BS, Max Jordan Nguemeni Tiako, MS, Aswita Tan-McGrory, MBA, MSPH, Joseph R. Betancourt, MD, Daniela J. Lamas, MD, George A. Alba, MD Publisher or Source: Massachusetts Medical Society Type of Media: Medical Journal Media Originally for: Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Systemic disparities place minority populations at the greatest risk of contracting and dying from Covid-19, and there is robust literature documenting how structural racism has adversely impacted the well-being of Black, Latinx, and Indigenous people. To date, the predominant focus has been on how disparities impact patients before and during hospitalization with Covid-19. However, disparities in the post-hospitalization period remain unaddressed. Specifically, patients recovering from Covid-19 are at risk for a host of physical, cognitive, and psychiatric sequelae of critical illness, collectively termed “post-intensive care syndrome (PICS).” In the present article, we review the literature on disparities in PICS, highlight the personal toll of Covid-19 on our patients, and suggest solutions to anticipated challenges. We outline a three-pronged approach involving (1) the prevention of critical illness, (2) the deployment of short-term post-hospitalization initiatives, and (3) the implementation of long-term post-hospitalization and community-based solutions. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.