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4 - The Boarding ICU Patient in the Emergency Department

from Section 1 - General Critical Care

Published online by Cambridge University Press:  02 November 2023

By
Robert L. Sherwin
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

Critical illness should be viewed as a continuum from prehospital development of disease, through emergency department (ED) presentation to intensive care unit (ICU) admission to post-ICU care and ultimately to hospital discharge. Over two million patients are admitted to ICUs from EDs each year in the US. Critical care visits increased by 80% between 2006 and 2014. More than 50% of ICU admissions remain in the ED in excess of 6 hours. ICU patients who remain in the ED have been shown to have worse outcomes.

Keywords

boarding patientintensive care unitemergency departmentED-ICUprophylaxisantibiotics
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 39 - 46
Publisher: Cambridge University Press
Print publication year: 2023

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References

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Rose, L, Scales, DC, Atzema, C, et al. Emergency department length of stay for critical care admissions: A population-based study. Ann Am Thorac Soc 2016;13:1324–1332.CrossRefGoogle ScholarPubMed

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