{"id":309130,"date":"2021-09-21T16:51:42","date_gmt":"2021-09-21T14:51:42","guid":{"rendered":"https:\/\/innovationorigins.com\/?post_type=selected&p=309130"},"modified":"2021-09-21T16:51:42","modified_gmt":"2021-09-21T14:51:42","slug":"these-40-steps-can-prevent-death-from-critical-illness-even-covid-19","status":"publish","type":"selected","link":"https:\/\/ioplus.nl\/archive\/en\/selected\/these-40-steps-can-prevent-death-from-critical-illness-even-covid-19\/","title":{"rendered":"These 40 steps can prevent death from critical illness (even COVID-19)"},"content":{"rendered":"\n

Critical illness results in millions of deaths globally every year, many of which could be avoided with basic, life-saving care. Now, a new study led by researchers at Karolinska Institutet in Sweden outlines a baseline bundle of care interventions that global experts agree should be available for all critically ill patients. The study, published in the journal BMJ Global Health<\/a>, provides a blueprint for hospitals on how to reduce preventable deaths, including from COVID-19.<\/p>\n\n\n\n

Critical illness occurs when a patient\u2019s vital organs become dysfunctional and there is a risk of imminent death. In critical illness, the patient\u2019s airways, breathing or circulation may become compromised and early identification of the problem and timely care can be lifesaving. Unfortunately, according to a press release<\/a> of Karolinska Institutet, this care is sometimes neglected in hospital settings around the world and improvements in the way healthcare manages critical illness could save many lives.<\/p>\n\n\n\n

To this end, a group of clinicians and scientists, led by researchers at Karolinska Institutet, Ifakara Health Institute in Tanzania and the London School of Hygiene & Tropical Medicine (LSHTM), has developed the Essential Emergency and Critical Care (EECC) concept, which describes a set of treatments and actions that should be feasible to implement in all hospital settings around the world. These are life-saving practices with low complexity and low cost that a group of more than 250 clinical experts from nearly 60 countries agreed would benefit critically ill patients.<\/p>\n\n\n\n

WHO Guidelines<\/h2>\n\n\n\n

In the study, the expert panel\u2014consisting of a range of medical specialists from high- middle- and low-income countries\u2014was asked to rate a range of proposed treatments and actions, adapted from the World Health Organization\u2019s guidelines on Basic Emergency Care. Over three rounds, a consensus of over 90 percent of experts was reached, leading to a package of 40 clinical processes and 67 hospital readiness requirements, plus an additional seven and nine, respectively, for COVID-19.<\/p>\n\n\n\n

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Carl Otto Schell<\/figcaption><\/figure>\n\n\n\n

\u201cWith the EECC package, we present health workers and policy makers with an essential toolbox consisting of effective and low-cost care that all hospitals should be able to provide,\u201d says corresponding author Carl Otto Schell, PhD student at the Department of Global Public Health, Karolinska Institutet, and consultant physician at Nyk\u00f6pings Hospital. \u201cBy adopting these, in some cases small changes in practices, hospitals around the world would be able to reduce the high mortality rates of critically ill patients.\u201d<\/p>\n\n\n\n

Examples of what EECC includes are:<\/strong><\/p>\n\n\n\n