Talk:Intensive care medicine

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 3 March 2020 and 28 March 2020. Further details are available on the course page. Student editor(s): Maryhan17. Peer reviewers: Brightlybright.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 23:02, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 18 November 2019 and 14 December 2019. Further details are available on the course page. Student editor(s): Lesmpremd. Peer reviewers: Segregg.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 00:36, 17 January 2022 (UTC)

Rewrite

Not a full rewrite, I just wanted to help get rid of some of the Portuguese words hanging around there. The article now looks mostly readable, but I don't know if it's correct. It'll need to be fact-checked; In the mean-time, it can stay up, although it should be tagged. It's 12:09am over here, so someone else will need to do that. I need some sleep :) -74.120.133.109 04:11, 10 April 2007 (UTC)

History Section

This really needs a rewrite. Jvbishop 18:41, 1 March 2007 (UTC)

The Dandy section has no bearing on this article at all. It's a history of Dandy's medical education and career, some intersting stuff on early neuroangiography but nothing on intesive care medicine. I don't see the point. bobglickman —Preceding unsigned comment added by Bobglickman (talk • contribs) 15:24, 14 April 2008 (UTC)

What does this say?

This paragraph makes little to no sense. It needs, at the least, a serious grammatical rework by someone who knows the subject. I can't even tell what the first sentence is supposed to say:

The Unit of Intensive Therapy is idealized as Unit of Monitoração of serious patient through nurse Florence Nightingale. In 1854 it is initiated war of the Criméia in which England, France and Turkey declares war on Russia. In precarious conditions, it passes to exist high mortality between the hospitalized soldiers, reaching 40% of deaths. Florence and more 38 volunteers leave for the Fields of Scurati, become incorporated it the attendance and mortality falls for 2%. Respected and adored, Florence becomes important figure of decision, being reference between the combatants. However, the destination reserved it a great blow when it contracts tifo and it remains with serious physical restrictions, returning in 1856 from the Criméia. Disabled to exert its physical works, formation of the school of nursing in 1859 in England is dedicated to it, where already she was recognized in its professional value and technician, receiving prize granted through the English government. It established the School of Nursing in the Saint Thomas Hospital, with course of one year, was given for doctors with theoretical and practical lessons. Florence died in 13 of August of 1910; leaving legacy of persistence, capacity, compassion and devotion to the next one, it established the lines of direction and way for modern nursing. 75.4.161.6 02:02, 20 March 2007 (UTC)

Need experienced input

This article needs input from someone with either knowledge in intensive care medicine (ideally an intensivist or ICU nurse), or someone with access to literature on the subject. The article has many presumptive lines and it often reads like someone who has had a bad experience in ICU is writing. —Preceding unsigned comment added by Nick30790 (talk • contribs) 00:33, 26 January 2009 (UTC)

Well done

To all who have help to fix up this article over the past few weeks well done. You have turned it from what seemed an extremely biased, negative piece into a much more informative article. However, despite the improvement, there is more to be done. May I once again recommend we find someone who has literature on ths subject. This person may like to include some information about the medicine of ICU, for example the objectives, in more detail. Perhaps talking about the goal of regaining homeostasis in the patient could be included. If this is not done in the next few weeks it is possible that I can obtain some literature on the subject through a university medical library when I return to uni in march. —Preceding unsigned comment added by Nick30790 (talk • contribs) 13:13, 30 January 2009 (UTC)

High dependency unit

High dependency unit redirects here but isn't mentioned until the following line:

Intensive care usually takes a system by system approach to treatment, rather than the SOAP (subjective, objective, analysis, plan) approach of high dependency care.

This needs fixing - if they're different (as the line above says), then there should be something in the introduction explaining the differences, or HDU should have a separate page. —Preceding unsigned comment added by 212.248.169.208 (talk) 21:36, 29 May 2009 (UTC)

comment

This section was no help at all.

In the UK (and I'm not sure if it's just in the UK), an Intensive Care Unit is a part of a hospital where people with very serious medical recovery issues are put. Patients generally receive attention every 5 minutes, as opposed to every 30 minutes in other sections.

Intensive-care medicine? Never heard of it. Not what I'm after. —Preceding unsigned comment added by 90.212.133.79 (talk) 23:17, 27 June 2009 (UTC)

ICM as a specialty in the UK

In 1996 the UK Government suggested that critical care medicine should become a medical specialty in its own right: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4006459 (perhaps a suitable source). JFW | T@lk 13:03, 14 September 2012 (UTC)

External links removed

I am putting a set of external links that were removed here. Some may be of value to editors or readers. Opening discussion of possible re inclusion.

• Critical Care Reviews
• International Symposium on Intensive Care and Emergency Medicine
• ICU Management - The Official Management and Practice Journal
• ICUsteps - Intensive care patient support charity
• CCN - A peer-to-peer forum for intensive care clinicians
• Critical Care Mailing List

I personally think the EL section was too long and removing these links was appropriate. I think the article could be improved using information from some of these sites, they would then be listed in references pointing readers to them. - - MrBill3 (talk) 18:55, 27 September 2013 (UTC)

RE: Need Experienced Input

Hi, I'm currently taking an abnormal psychology college course and while I'm not experienced with ICU/CUU, I thought this tidbit of information was pretty relevant:

ICU/CCU psyhcosis is a syndrome common in intensive care and cardiac units where patients who are in unfamiliar, monotonous surroundings develop symptoms of delirium (Maxmen & Ward, 1995). This may include interpreting machine noises as human voices, seeing walls quiver, or hallucinating that someone is tapping them on the shoulder.

References

A wikibook on Intensive Care Medicine

Dear all, I have started a wikibook on Intensive Care Medicine. Please feel free to author.--Balaji.md au (talk) 08:08, 3 January 2016 (UTC)

Med Student Work Plan

I believe that the bones of this page have started well. There is helpful information that looks to address many aspects of intensive care. I am participating in a wikiproject medicine course and will be editing aspects of this page. I first would like to include citations and review information already on the page with the goal of ensuring we are providing accurate information to anyone that may refer to the page. I plan to elaborate on the critical care team and professions involved, with their certification and education process. I would like to create a section and header that gives the types of intensive care unit types and classifications. A refinement of common equipment and further delineating equipment from common medications. The plan would add information to the intensive care overview section and create a section for other considerations not addressed in the already created sections. The plan includes re-organization of the organ system section with links to corresponding wikipedia pages. I will use sources from pubmed, clincal key, lexicomp, uptodate and access medicine for information. The edits will attempt to avoid medical jargon and use language that can be understood by the lay person. The page will be peer reviewed and with the help of the online community should produce a source of evolving information.--Lesmpremd (talk) 01:41, 19 November 2019 (UTC)

Sounds like a good plan! --Emilybrennan (talk) 13:56, 25 November 2019 (UTC)

Yes sounds good indeed, please feel free to update the article, you can also check my practical tutorial on medical articles edition Thank you for contributing! --Signimu (talk) 15:17, 25 November 2019 (UTC)

I would like to delete the sentence about veterinary medicine. It doesn't seem to fit well — Preceding unsigned comment added by Lesmpremd (talk • contribs) 01:52, 2 December 2019 (UTC) Lesmpremd (talk) 02:02, 2 December 2019 (UTC)

Peer Review

@Lesmpremd - I think this article is overall well written and gives helpful information about intensive care medicine. I particularly enjoyed reading about the history. I think that it is a very approachable article for non-medical readers, and it does not use too much jargon. I do think that a helpful thing might be expansion in the common equipment sections about what the listed items are used for, and why those items are typically used mostly in ICUs. It may also be helpful to have a section about commonly performed procedures in ICUs if possible. I also noticed that there are a number of facts about ICU mortality and ICU delirium in the "Intensive Care Medicine Economics" section, which should probably be moved to its own section. There is a sentence in that section about delirium that is not cited correctly too. I enjoyed the history section, but the most recent history could be expanded and the history section is a little light on citations (especially about Nightingale) so it may be helpful to add some if any sources about the history are available. In terms of neutrality, I think that this article is balanced and does not push any particular viewpoint. -Segregg (talk) 14:34, 9 December 2019 (UTC)

I agree there are no citations in the florence nightengale section. I was unable to find any to support the statements previously made before I began editing the page. I was hesitant to delete the section because it is a decent amount of information. If anyone knows where this information comes from I would really appreciate citation assistance. I understand what you mean about the economics section and have tried to better organize the information. I also added a section that was for "other considerations". Thank you for identifying the citation that was not working as well, this has been fixed. I believe that adding a few common procedures like central lines, echocardiograms, EKGs, bronchoscopy, and ultrasound would be helpful. I would be concerned about how much detail needs to be included to be considered adequate. Thank you for all of your suggestions. They were helpful and I look forward to using your recommendations to further improve this article. Lesmpremd (talk) 06:09, 13 December 2019 (UTC)

This [1] may be helpful in your quest for sources about Florence Nightingale. TylerDurden8823 (talk) 10:06, 13 December 2019 (UTC)

UCSF Wikipedia Elective Plan

Hello, I will be editing this article as part of a course at UCSF School of Medicine. My goals are to:

• streamline language of article
• incorporate up to date literature
• expand on the Investigations section
• expand on the Treatments sections
• create a section listing complications in the ICU

Timeline:

• March 6: Literature review, collect sources
• March 11: Identify critical themes, finalize new sections in article
• March 18: Write new sections, incorporate sources
• March 23: edit for grammar, structure, clarity of language
• March 27: Course wrap-up

Maryhan17 (talk) 21:52, 3 March 2020 (UTC)

Peer Review for Maryhan17

Lead

• Accurate and concise. Could include more information to reflect the great edits added to monitoring/treatment section.

Article

• Good organization and language. Good job focusing on specific sections and improving them. I think the breakdown of different organ systems is excellent. This section may benefit from an introduction into why these specific procedures are listed. Good use of lists and concise wording to describe different procedures.

• Clarification between open/closed units is clear.

References

• Would benefit from more citations, seems like your main critical care source is extensive enough to use throughout.

Overall great progress on building on the existing article. Look forward to your further additions of delirium/telemedicine. Brightlybright (talk) 04:41, 22 March 2020 (UTC)