Critical Care (Emergency Medicine)

Top 10 Needs

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1. An accurate, safe and continuous (compared to CT & MRI) method to continuously monitor changes and trends in intra cranial pressure and cerebral compliance in patients with intracranial tension in the ICU in order to allow for prognostication without the risk of infection (associated with invasive measurement) in a tertiary care setting.
2. An accurate, accessible method to conduct a toxicology screen (as compared to inaccessible, prolonged individual substance screening tests) for specific classes of toxic substances with inherent toxicity to complement history and examination and allow for prognostication and immediate management, to avoid mortality in a tertiary emergency healthcare setting.
3. An effective way (compared to the current nursing protocol) to prevent aspiration of gastric content in intubated (short and long term) patients (including patients on general anesthesia/sedatives) in a tertiary care setting.
4. A safer way (compared to central line mechanical complication) to replenish fluid in patients with hypovolemic shock where peripheral IV line is not sufficient in order to avoid complications (procedure related: pneumothorax, arterial rupture and pulmonary embolism) in a tertiary care setting.
5. A more effective way to manage patients with gastrointestinal perforation to prevent the onset of septic shock in a tertiary healthcare setting.
6. A more effective way (than paraffin gauze with clindamycin ointment) to emergently manage burn wounds in patients with burns to avoid infection and fluid loss to allow for repeated inspection and to avoid sepsis, shock & mortality in a tertiary healthcare setting.
7. An effective way to fix the ET tube in a patient to avoid dislodgement and avoid further complications of desaturation & respiratory distress in a tertiary healthcare setting.
8. An accurate way for a non-neurologists to detect seizures in sedated and paralyzed ICU patients to prevent permanent neurological damage in an ICU setting.
9. An accurate way to detect minute abnormalities (bleeding, ischemic changes) in the brain that are missed on CT and MRI for accurate diagnosis and management at a tertiary care setting.
10. A safer way (ensuring accurate position and optimum depth) to tap pleural effusion in order to avoid the development of a pneumothorax in patients in a tertiary healthcare setting.