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Level 1 = This fundamental material is intended for a broad audience of learners, of multiple cadres, who may provide care for patients with severe or critical illness, but may have little or no experience caring for severe or critically-ill patients and are usually not the primary decision maker for guiding care.
Level 2 = This intermediate material is intended for a more advanced audience of learners than level 1, with some experience caring for patients with severe or critical illness, and may not be essential for all practitioners who provide this level of care.
Level 3 = This advanced material is intended for an audience with significant experience caring for patients with severe and critical illness, including those who guide care decisions these patients.
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Routines utilizing abnormal vital signs to identify critical illness and trigger medical interventions have become common in high-income countries but have not been investigated in LICs. The aim of the study was to assess whether the introduction of a vital signs directed therapy protocol improved acute care and reduced mortality in an Intensive Care Unit (ICU) in Tanzania.
The objective of this study was to investigate whether deranged physiologic parameters at admission to an ICU in Tanzania are associated with in-hospital mortality and compare single deranged physiologic parameters to a more complex scoring system.
This study suggests that severely deranged vital signs are common and infrequently lead to acute treatment modifications on an ICU in a low-income country. There may be potential to improve outcome if nurses are guided to administer acute treatment modifications by using a vital sign directed approach.
This article discusses the significant challenges related to accurately estimating the burden of critical illness in developing countries. The article advocates for a more accurate assessment and a stronger global response to the critical illness burden in developing countries. The authors emphasize the need for a focused effort to address the neglected issue of critical illness in developing countries, arguing that global initiatives to improve critical care outcomes must consider these regions unique challenges and needs.
Calling-for-help when taking care of a critically ill patient is a necessary life-saving part of care, but health workers in Tanzanian and Kenyan hospitals experience a range of significant challenges. Hospitals lack functioning structures, processes for calling-for-help are improvised and help that is provided is not as requested. These challenges likely cause delays and decrease the quality of care, potentially resulting in unnecessary mortality and morbidity.
For settings where there is limited or no critical care delivery, implementation of EECC could be a highly cost-effective investment. It could reduce mortality and morbidity for critically ill COVID-19 patients, and its cost effectiveness falls within the range considered ‘highly cost effective’.
Check out our OCC Image Library for more free clinical education images. Available to download in high resolution .png or .ai file types.
Check out our OCC Image Library for more free clinical education images. Available to download in high resolution .png or .ai file types.
Check out our OCC Image Library for more free clinical education images. Available to download in high resolution .png or .ai file types.