PPT-ICU Lecture #6

Brain Death and End of Life Christian Sonnier MD LSUFP Alexandria 62515 Learning objectives Define brain death coma and persistent vegetative state Discuss management of each of the above Breaking bad news. Disorganized Thinking 1 ill a stone float on water 2 Are there fish in the sea 3 Does one pound weigh more than two 4 Can you use a hammer to pound a nail Command Hold up this many fingers Hold up 2 fingers Now do the same thing with the other hand Dr Christina Jones, Nurse Consultant Critical Care Rehabilitation and Honorary Reader, Intensive Care Unit, Whiston Hospital & Institute of Aging and Chronic Disease, Dept of Musculoskeletal Biology, University of Liverpool. Dr Christina Jones, Nurse Consultant Critical Care Rehabilitation and Honorary Reader, Intensive Care Unit, Whiston Hospital & Institute of Aging and Chronic Disease, Dept of Musculoskeletal Biology, University of Liverpool. Background. Søren Marker Jensen. Dept. of Intensive Care 4131. Copenhagen University Hospital Rigshospitalet, Denmark. soeren.marker.jensen.01@regionh.dk. www.sup-icu.com. SUP-ICU. Background. Critically . An international inception cohort study. AID-ICU. Primary investigator: Marie . Oxenboell. -Collet. Email: . marie.oxenboell-collet@regionh.dk. Hotline: 4540741009. Data entry. AID-ICU. Go . to http://www.cric.nu/aid-icu-national-principal-investigators/. Assistant Professor for Anesthesiology/Critical Care. UAMS. Disclosure/Declaration of Commercial Support. Today’s presenter did NOT receive financial support from nor have any commercial relationship with any drug or equipment product manufacturers or vendors that may be mentioned or displayed in the course of this presentation.. Contents:. What is Delirium?. Why is it important?. How do we recognise it?. What causes it?. How do we prevent it?. How do we treat it?. Definition:. An acute state of confusion (NICE, 2010). Acute onset, fluctuating confusion. Physical Therapy for ICU patients within 48 hours of ICU admission. Presented by Heidi Engel, PT, DPT. Heidi.Engel@ucsfmedctr.org. Steps Taken at UCSF- 9 ICU. Research. Promotion. Role models. UCSF 10 ICU/ICC. ABCDE Protocol ICU Delirium and Cognitive Impairment Study Group www.icudelirium.org delirium@vanderbilt.edu Why the ABCDE Protocol? Need for Sedation and Analgesia Prevent pain and anxiety Decrease oxygen consumption ICU Liberation: How Physical Therapy Is Part of Reducing the Harms of Critical Illness Presented by Heidi Engel, PT, DPT UCSF Department of Rehabilitative Services University of California San Francisco Medical Center Airway. Stridor. Is the airway protected?. Breathing. Oxygen saturation. Circulation. Hemodynamic stability. Access to obtain/maintain hemodynamic stability. Consciousness. Alert, obtunded. Items to be Assessed Daily on Each Patient (as appropriate). Dr Avinash Agrawal. Prof & HOD. Dept. Of critical Care . M. edicine,. King . G. eorge’s . M. edical . U. niversity, UP, . L. ucknow. Brief Overview. There are . 7 different strains . of corona virus-. Optimal . or Sub-optimal?. Daren K. Heyland. Professor of Medicine. Queen’s University, Kingston General Hospital. Kingston, ON Canada. Learning Objectives. Introduce the concept that muscle matters. Survey Results . Speech and Language Therapists Redeployed to ICU . London Transformation and Learning Collaboration (LTLC). Purpose of the London Transformation & Learning Collaborative (LTLC). Work .