Critical care clinics
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Critical care clinics · Apr 1997
Review Historical ArticleCritical care in the United States. Who are we and how did we get here?
Critical care medicine has progressed significantly over the past two to three decades. We will review the history and evolution of critical care medicine and ICUs in the United States. The evolving health care delivery system and the changing and important role of the intensivist will be addressed. Finally, a discussion about what critical care physicians must do to prepare for the future is presented.
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Critical care clinics · Apr 1997
Review Historical ArticleEvolution of neonatal and pediatric critical care in India.
During the last decade, the disciplines of neonatal and pediatric critical care have rapidly progressed in India. The growth of Neonatal Intensive Care has paced the growth of Pediatric Critical Care. ⋯ This article provides the background information regarding perinatal, neonatal, and infant mortalities in India. It also describes the maternal child health care delivery system in the Indian subcontinent.
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Critical care clinics · Apr 1997
ReviewCritical care in East Asia. Little dragons and sleeping giants.
Southeast Asia is the world's region of most rapid economic growth. The countries in the region vary widely in annual per capita income and health expenditure. ⋯ Most countries now have a Society of Intensive or Critical Care Medicine. Specialist training and examination systems for Intensive Care are established in Hong Kong, Taiwan, and the Philippines.
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Critical care clinics · Apr 1997
ReviewCritical care in Africa. North to south and the future with special reference to southern Africa.
The medical fraternity in Africa needs to ration resource allocation and aptly apply distributive justice. At present, pockets of Intensive Care Units are held together largely by individuals. Unless the correct assistance and support is provided to develop its vast potential, African Intensive Care will degenerate into primary health care.
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Intensive care medicine developed in Europe following the polio epidemic in Denmark in 1952 and is now a specialty in its own right. Across Europe differences exist between countries regarding unit size, policy, staffing, and patient demographics. ⋯ The United Kingdom appears to be similar to the countries of Southern Europe. Guidelines for training and structure are being developed in an attempt to create more uniformity and improve communication between units.