Crit Care Resusc
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Multicenter Study
Communication with Families Regarding Organ and Tissue Donation after Death in Intensive Care (COMFORT): a multicentre before-and-after study.
To implement a best-practice intervention offering deceased organ donation, testing whether it increased family consent rates. ⋯ Implementation of a multicomponent intervention did not increase consent rates for organ donation, although some components of the intervention exerted significant effect.
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Multicenter Study Observational Study
The carbon footprint of treating patients with septic shock in the intensive care unit.
To use life cycle assessment to determine the environmental footprint of the care of patients with septic shock in the intensive care unit (ICU). ⋯ The carbon footprints of the ICUs were dominated by the energy use for heating, ventilation and air conditioning; consumables were relatively less important, with limited effect of intensity of patient care. There is large opportunity for reducing the ICUs' carbon footprint by improving the energy efficiency of buildings and increasing the use of renewable energy sources.
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Multicenter Study Observational Study
Intensive care implications of epidemic thunderstorm asthma.
To investigate the environmental precipitants, treatment and outcome of critically ill patients affected by the largest and most lethal reported epidemic of thunderstorm asthma. ⋯ Arrival of a triggering storm is associated with an increase in respirable airborne particles. Affected critically ill patients are young, have a high mortality, a short duration of bronchospasm, and a prior diagnosis of asthma is common.