Chris Wood

Chris Wood

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Chris Wood


Introduction to Critical Care

The first ICUs were established in the late 1950s and the specialty of critical care medicine began to develop. Since those early days, huge improvements have been made in terms of technological advances and understanding of the pathophysiology and pathogenesis of the disease processes that affect critically ill patients. Progress in therapeutics has been less dramatic, but process of care has improved steadily with important changes, including less iatrogenicity, better communication with patients and families, and improved teamwork, which have helped improve outcomes for ICU patients. Critical care medicine is one of the fastest-growing hospital specialties and, looking back, it is clear just how far we have come in such a relatively short period of time. With the ICU set to occupy an increasingly important place in hospitals worldwide, we must learn from the past and wisely embrace new developments in technology, therapeutics, and process, to ensure that the goals of critical care medicine are met in the future. Have you ever mentioned that a writer write my essay on critical care Research, if not look at it for critical care Research essay.


Looking back over the years since the first ICUs were developed, we can clearly see how critical care medicine has developed in terms of technology, with modern respirators replacing the bulky iron lungs of the past, modern ultrasound machines providing instant imaging at the bedside, and modern monitoring systems enabling non-invasive assessment of multiple variables. Particularly striking also have been the improvements in our understanding of diseases and their pathophysiology. Advances in therapeutics have been less dramatic and are less obvious, but are nevertheless present; there have perhaps not been many (or any) dramatic changes that have altered critical care practice overnight, but, rather, evolution has come in a succession of small forward-moving steps. The process of care has also evolved slowly but surely and the changes here have perhaps had the greatest impact on outcomes, with improved teamwork and specialist training, reduced iatrogenicity, earlier patient mobilization, more personal care of the patient and their families, and so forth. If you have to hier a writer to write essay for me on critical care Research , find writers onine.

The concept of critical care and realization of the need for a separate specialty in terms of medical and nursing skills and physical unit position evolved over time as it gradually became apparent that seriously ill or injured patients could benefit from closer attention than was provided to less severely ill patients; this growing realization came at a time when improvements in technology, monitoring, and therapeutics were enabling greater numbers of such patients to survive. Just to prompt you that you can transition words and phrases in your essay when writing on critical care.

There are several key figures and events commonly associated with the origin of critical care medicine and development of ICUs , although many other unrecognized individuals have certainly contributed to the development of this field. During the Crimean War in the 1850s, Florence Nightingale demanded that the most seriously ill patients were placed in beds near to the nursing station so that they could be watched more closely, creating an early focus on the importance of a separate geographical area for critically ill patients. In 1923, Dr Walter E Dandy opened a special three-bed unit for the more critically ill postoperative neurosurgical patients at the Johns Hopkins Hospital in Baltimore, MD, USA, using specially trained nurses to help monitor and manage them. In 1930, Dr Martin Kirschner designed and built a combined postoperative recovery/intensive care ward in the surgical unit at the University of Tubingen, Germany. Other surgical units followed these examples, such that by 1960 almost all hospitals had a recovery unit attached to their operating rooms. Look at "write my paper" on google and you will find bewildering writers to write regarding this matter.

During the Second World War, specialized shock units were used to provide efficient resuscitation for the large numbers of severely injured soldiers. In the 1950s, several large polio epidemics, notably in Copenhagen, led to the opening of respiratory units for the many patients requiring mechanical ventilation. In 1958, Dr Max Harry Weil and Dr Hebert Shubin opened a four-bed shock ward in LA County - USC Medical Center, Los Angeles, CA, USA to improve the recognition and treatment of serious complications in critically ill patients. That same year, Dr Peter Safar opened a multidisciplinary ICU at Baltimore City Hospital. Over the next decade or so, ICUs began to be created in hospitals across Europe, the USA, and Australasia. In other countries, ICUs are a more recent development - for example, the first ICU in China was established in 1982. You can also pay someone to write my paper if you are an understudy of critical care Research.