P0203 / #581: TRANSPORT CHALLENGES IN A CRITICALLY ILL CARDIAC PATIENT

Free Perforation of Sigmoid Colon Secondary to Invasive Mucormycosis in a Critically Ill Patient

Mucormycosis is a clinical entity attributed to opportunistic fungal infection of order Mucorales. This includes several pathogenic subtypes. It commonly affects the rhinocerebral sites and the immunocompromized patients with devastating results. Visceral mucormycosis is a relatively rare complication. We report the first free sigmoid colon perforation secondary to invasive mucormycosis and dis...

Caring for the critically ill patient: challenges and opportunities.

FOR A QUARTER CENTURY, JAMA HAS SERVED AS A VENUE for articles relating to care of critically ill patients, beginning with the Concepts in Emergency and Critical Care section, in which these fields were initially described as “spanking new medical disciplines.” At the time, knowledge of the biology of critical illness was rudimentary, the focus was on initial patient care, such as airway manage...

Interhospital transport of critically ill patient with dedicated ICU ventilator

Introduction Emilia Romagna is a region caracterized by the presence of Three Integrated Trauma Systems Care (ITSC). Severe, resource-consuming patients are centralized in first level Hubs to guarantee high quality and efficient care. Every ITSC has a Trauma Center (Hub) connected with a net of peripheral hospitals (Spokes). A Helicopter Emergency Medical Service (HEMS) has been active since Ju...

Unexpected hypoglycemia in a critically ill patient.

Administration of the wrong medication is a serious and understudied problem. Because physicians are not directly involved in the drug administration process, they tend to overlook the possibility of adverse drug events and medication errors in their differential diagnoses of patient illnesses or acute deterioration. This article analyzes the case of a patient with iatrogenic hypoglycemia due t...

Transport of the critically ill.