What’s an ICU (Intensive Care Unit) ?


Intensive Care Service. What’s an ICU?

Teaching a BOX of a ICU !!

How do you define the specialty?

Intensive Care Medicine:

ICU Entrance

Recognized since 1978 in Spain, is a multidisciplinary and multi-specialty, which aims to practice comprehensive care of the patient whose life life is the risk of fatal outcome by presenting a serious process of retrieving and potentially pathophysiological, and whose proper treatment requires attention in the areas of specialized care. Develop knowledge of the physiological bases of the ways of death and the way how to avoid combat.
Means comprehensive care and coordinated action continued at the same time unit that includes the detection process until the end of the critical situation and discharge.

The specialty was born and developed for the care of critically ill’s patient, in all its aspects. There may be many diseases, but the pathophysiological events leading to death usually quite homogeneous and require similar diagnostic and therapeutic.
Intensive Care Services are highly developed in terms of technology and its location in the Hospital is well defined and centrally.

Scientific and technological determinants that define the specialty.
The practice of Intensive Care Medicine required to have a certain field of knowledge, mastering a set of skills and attitudes have psycho-physical and human resources. As a starting point, the practice of medicine required to have an intensive grounding in internal medicine, is to master the critical phase of Internal Medicine, with a clear pathophysiologic projections, our ultimate goal is to understand the mechanisms by which all diseases can lead to a situation in which life is threatened, ie the final common pathways (Fynn 1974): failure of respiration, circulation systems or maintenance of the internal environment, which requires the management of functional diagnostics dependent on life support. Likewise, the intensivist needs to have some knowledge of bioengineering, and one to manage mechanical and electronic devices that will form a unit with the patient and this requires knowing the physical foundations of mechanical ventilators, the transducers and microprocessor technology, management gases and so on.

A Service of Intensive Care Medicine, may have one or more types of ICUs. The most common are polyvalent ICUs, others are Coronary ICUs (CCU calls or Coronary Care Unit). Others are post-operative ICUs, such as Heart Surgery! Depending on the level of hospital may be one or more ICUs. There are hospitals with specific areas such as intermediate care units, which are units where the level of care is lower and output serve as critically ill patients to hospital wards.

In America it is called ICU (Intensive Care Units) and specialty (Critical Care Medicine) is usually a subspecialty of others as Internal Medicine, Pulmonology, Anesthesiology, and so on. that access to it only requires training for a while in Critical Care Medicine.

In Spain since 1978 (and for some years in Switzerland, Australia, New Zealand and Aguna American Universities) is primary and specialty required 5 years of education and training. This training is multidisciplinary, meaning that faces the knowledge of different fields for 2 years (Internal Medicine, Nephrology, Pulmonology, Cardiology, Anesthesiology, etc …) and during the last 3 years in training at any time in the ICU. At the end of 5 years, the specialist is entitled and can develop their specialty.

Spain is calling on the world stage as one of the most decisive examples of excellence in Intensive Care Medicine, for their high efficiency. The quality is very high even by adopting rules in other parts of Europe and America seen as potentially acceptable. Several U.S. insurance companies, given the high efficiency of our ICUs are trying to begin staffing services and ranked solely on intensive care physicians.

As in the section on the specialty, Critical Care Medicine is a specialty unknown to the public, unlike what occurs with other specialties, it is confused with other specialties by being a multidisciplinary specialty, but …
Its social importance is indisputable for three reasons:
• Value added generated: About 80-85% survival.
• High opportunity cost
• High monetary cost: From 15-18% of the budget of a hospital and from .25 to .30% of Gross Domestic Product (GDP) in Spain (1.1% in the U.S.)

How would define the ICU?
“The concentration of knowledge and resources needed to meet all of a coordinated and continuing the patient in a stage of serious disease characterized by actual or potential life threatening” (SEMICYUC, 1986)

Although initially the Intensive Care was started from a hospital setting to a Central demarcated in an area known as Intensive Care Unit, the specialty has been able to be accommodating to the needs of the target population, which must meet the EC wherever are.

The environment extends to the Specialty Care Specialized Areas, corresponding to the field hospital in what is calling the Progressive Acute Hospital, supporting the EC in any part of it (Intensive Care Units, Coronary Care Units, Care Units Intermediate semi-critical, emergency departments, outpatient, recovery rooms, plant rooms, Indoor Activity) and the extra field hospital (Emergency Services and Transport Extra interhospital hospital).

The ICU is the space related to the nurse and where are critically ill patients.
Behind these doors usually closed to all non-medical staff, there is another world within the hospital. A different way of working than the rest of the hospital, visiting hours and other continuity of care for 24 hours, with patients being discharged depending on the situation that the ICU is at any time of day and night. Patients are usually transferred to other general hospital wards when they are high. This can happen at any time 24 hours a day, 365 days a year.

The nursing assistants and orderlies working in rounds (3, morning, noon and night) of work and doctors (morning and those who are on call 24 hours). On a day in our General Hospital (Cabueñes) there are about 56 people working for up to 14 patients. It means that there are 4 people working for every patient and day continuously. In peak times it may even be several nurses and doctors with a patient only when conditions require it.

Intensive Care Services, as staff who care for patients, clinical material sophistication of life support and are working this system is recognized as extremely effective, not only by staff caring for the patient, but because has required a high capacity training for patient management and life support connected to them.

In the following days we will be discussing what makes up an ICU, departments, nursing, dirty and clean units.
What is a box of hospitalization and making up!
What are the boxes of isolation, how, etc …

Teaching a BOX of a ICU !!

Citation:

Santiago Herrero. What’s an ICU?. Journal of Pearls in Intensive Care Medicine. 2011. Vol 1. Nº 7

Enlace – Link http://wp.me/p19kQl-3J

J Pearls Int Care Med © 2011 ·Todos los derechos reservados

41 responses

  1. First of all I want to say terrific blog! I had a quick question which I’d like to ask if you do not mind. I was curious to find out how you center yourself and clear your thoughts before writing. I have had a tough time clearing my mind in getting my thoughts out there. I do take pleasure in writing however it just seems like the first 10 to 15 minutes are lost simply just trying to figure out how to begin. Any suggestions or tips? Thank you!

  2. Hey there! I know this is kind of off topic but I was wondering if you knew
    where I could locate a captcha plugin for my comment form?
    I’m using the same blog platform as yours and I’m having trouble finding one?
    Thanks a lot!

  3. Wonderful goods from you, man. I have understand your stuff previous to and you’re just extremely magnificent. I really like what you’ve acquired
    here, certainly like what you’re saying and the way in which you say it. You make it entertaining and you still care for to keep it wise. I cant wait to read much more from you. This is really a terrific site.

  4. So, what could be a better i – Phone car kit to use than
    something that charges your i – Phone’s battery at the same time. They also do a bang up (no pun intended) job on auto body work. The priority that would top many people’s wish list would surely be a home and yes of course
    it should be ranked first in the priority list.

  5. Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.

  6. Way cool! Some extremely valid points! I appreciate you writing this
    post and the rest of the website is very good.

  7. Hi there very cool blog!! Guy .. Excellent .. Superb .
    . I will bookmark your web site and take the feeds additionally?

    I am happy to find a lot of useful information right here in the post,
    we need develop more techniques in this regard,
    thanks for sharing. . . . . .

  8. I was very pleased to seek out this web-site.I wanted to thanks for some time for this great read!! I certainly enjoying every small bit of it and I have you bookmarked to take a look at new stuff you blog post.

    Am I Allowed To just say what a relief to locate a person who in fact knows what theyre discussing online.

    Jordans Outlet
    Cheap Air Jordans

  9. Im impressed, I ought to say. Quite rarely do I come across a weblog thats both informative and entertaining, and let me tell you, youve hit the nail on the head. Your weblog is critical; the problem is some thing that not enough men and women are talking intelligently about. Im actually happy that I stumbled across this in my search for something relating to this problem.

  10. Hello there! This is my first visit to your blog! We are a team of
    volunteers and starting a new project in a community in the
    same niche. Your blog provided us beneficial information to work on.

    You have done a extraordinary job!

  11. Attractive portion of content. I simply stumbled upon your
    weblog and in accession capital to claim that I acquire in
    fact enjoyed account your blog posts. Any way I’ll be subscribing for your feeds and even I fulfillment you access persistently quickly.

  12. Hi everybody, here every one is sharing such experience, so it’s nice to read this weblog, and I used to pay a visit this weblog everyday.

  13. It’s a shame you don’t have a donate button! I’d certainly donate to this superb blog! I guess for now i’ll settle
    for book-marking and adding your RSS feed to my Google account.
    I look forward to new updates and will talk about this blog
    with my Facebook group. Chat soon!

  14. Hello there, just became alert to your blog through Google, and found
    that it’s really informative. I am going to watch out for brussels. I will appreciate if you continue this in future. Lots of people will be benefited from your writing. Cheers!

  15. This design is incredible! You obviously know how to keep a reader amused.

    Between your wit and your videos, I was almost moved to start my own blog (well, almost.
    ..HaHa!) Fantastic job. I really loved what you had to say,
    and more than that, how you presented it. Too cool!

  16. I loved as much as you will receive carried out right here.
    The sketch is attractive, your authored subject matter stylish.
    nonetheless, you command get got an edginess over that you wish
    be delivering the following. unwell unquestionably come further formerly again since exactly the
    same nearly very often inside case you shield this increase.

  17. I think this is among the most significant information for me.
    And i’m glad reading your article. But want to remark on some general things, The website style is perfect, the articles is really nice : D. Good job, cheers

  18. Hmm it looks like your site ate my first comment (it was extremely long) so I guess I’ll just sum it up what I wrote and say, I’m thoroughly enjoying your blog.
    I as well am an aspiring blog writer but I’m still new to everything. Do you have any tips for novice blog writers? I’d really appreciate it.

  19. Hola! I’ve been following your web site for a long time now and finally got the bravery to go ahead and give you a shout out from Atascocita Tx! Just wanted to tell you keep up the great job!

  20. Hello I am so delighted I found your blog, I really found you
    by accident, while I was searching on Yahoo for something
    else, Regardless I am here now and would just like to say thanks for
    a tremendous post and a all round interesting blog (I also love the theme/design), I don’t have time to go through it all at the minute but I have saved it and also added your RSS feeds, so when I have time I will be back to read a great deal more, Please do keep up the superb job.

  21. I’m not sure where you’re getting your info, but great topic.
    I needs to spend some time learning more or
    understanding more. Thanks for excellent info I was looking for
    this info for my mission.

  22. Hi to every body, it’s my first visit of this web site; this weblog contains remarkable and genuinely excellent information designed for readers.

  23. Howdy! Would you mind if I share your blog with my facebook
    group? There’s a lot of people that I think would really appreciate your content. Please let me know. Many thanks

  24. You actually make it seem so easy with your presentation but I find this matter
    to be actually something which I think I would never understand.

    It seems too complicated and very broad for me.

    I’m looking forward for your next post, I’ll try to get the hang of it!

  25. We are a group of volunteers and opening a new scheme in
    our community. Your website offered us with valuable information to work on.
    You’ve done a formidable job and our entire community will be thankful to you.

Journal of Pearls in Intensive Care Medicine - Perlas en Medicina Intensiva

Herrero-Varon's MD Editors. Asturias (Gijón) and Houston (TX, USA). Languaje EN/ES 2011-2016

%d bloggers like this: