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The article discusses post-intensive care syndrome and its relation to diabetes. As the pandemic continues to spread across the world, there has been a phenomenal increase in hospitalizations, admission to hospital intensive care units (ICUs) and fatalities. During these times people with diabetes are at the risk of developing severe symptoms and complications of COVID-19 According to the Center for Disease Control and Prevention (CDC) both type 1 and type 2 diabetics are at a higher risk. It’s even riskier if your blood glucose levels are frequently high or if you’ve developed diabetes-related problems like heart or kidney disease. Being at higher risk for severe COVID-19, protection from exposure to the virus is important. In case you get sick, you should have enough critical supplies since leaving the house is not an option. It is also important that you know the situation at hand in case you require hospitalization.

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During intensive care unit (ICU) admission, patients experience extreme physical and psychological stressors, including the abnormal ICU environment. These experiences impact on a patient’s recovery from critical illness and may result in both physical and psychological disorders. One strategy that has been developed and implemented by clinical staff to treat the psychological distress prevalent in ICU survivors is the use of patient diaries. These provide a background to the cause of the patient’s ICU admission and an ongoing narrative outlining day-to-day activities.

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Modern critical care medicine has the ability to bring people from the brink of death and to keep people alive for much longer than in the past. It has now been known that these survivors can develop myriad mental and/or physical disabilities after treatment in the intensive care unit. In fact, up to 50% of patients who stay in the ICU for at least on week are susceptible to PICS. Research is now shedding light as to the severity and the need for education and post-care for patients and families as they deal with the aftermath of this.

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Dynamics is the annual national convention and product exhibition of the Canadian Association of Critical Care Nurses (CACCN). Diverse programming allows participants to choose from a broad selection of evidence-based topics that are geared to enhancing clinical practice, leadership, education, and research. With pediatrics and adult critical care opportunities provided, participants design educational agendas to meet their own unique needs. Dynamics brings colleagues together from coast to coast, to share ideas and experiences.

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Since June 2019, more than 1000 new cases of e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported in the USA. Patients presented with dyspnea, cough, and were found to be hypoxemic with bilateral airspace opacities on chest imaging. Most patients required management in the intensive care unit and steroid therapy. All patients recovered with cessation of vaping, supportive care, and steroid therapy and remained symptom free at follow up. E-cigarette use continues to rapidly escalate in the USA, particularly among youth.

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The case for adopting the E-vita open plus for treating complex aneurysms and dissections of the thoracic aorta, in a carefully selected group of people, is supported by the evidence. Using the E-vita open plus could remove the need for a second procedure and the associated risk of serious complications, and it should therefore be considered for people: who would otherwise need a 2-stage repair procedure because their aortic disease extends into or beyond the distal part of their aortic arch (into the proximal descending aorta),but who would not need additional intervention (such as stent grafting) in the descending aorta.

The E-vita open plus is estimated to generate cost savings compared with current 2-stage repair from about 2 years after the procedure. The estimated cost saving per patient at 5 years after the procedure is around £13,334 when compared with 2-stage repair involving open insertion of a vascular graft,£10,225 when compared with 2-stage repair involving endovascular stent grafting and £12,536 when compared with open surgical debranching followed by endoluminal stent grafting. At 10 years after the procedure, the estimated cost savings range from around £22,704 to £29,210 across the 3 comparators.

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This well-conducted review concluded that early extubation appeared safe and was associated with reduction in length of intensive care unit and hospital stay, without adverse effects on mortality or morbidity, after paediatric heart surgery. However, available studies were poor, varied and not suitable to demonstrate a causal effect. These conclusions are likely to be reliable.

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Objectives:
1. Understand the deficits ICU survivors face and describe the benefits of early mobility in ICU.
2. Identify strategies for successful implementation of early mobilization programs in your ICU.
3. Discuss potential barriers to early mobilization programs.

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New or worsened disabilities in functional, cognitive, or mental health following an intensive care unit (ICU) stay are referred to as post intensive care syndrome (PICS). PICS has not been described in older adults receiving home care. Our aim was to examine the relationship between length of ICU stay and PICS among older adults receiving home care. We expected that patients in the ICU for 3 days or longer would demonstrate significantly more disability in all three domains on follow-up than those not in the ICU. A secondary aim was to identify patient characteristics increasing the odds of disability.

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Checklist for ABCDE Protocol

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Bedside Treatments for ABCDE Protocol

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Bedside Treatments for ABCDE Protocol