Critical Care = Tender Care

August 14th, 2011 by admin No comments »

Since the time of Florence Nightingale, the need for critical care specialists has been recognized and has evolved. Critical care is most often recognized in the Emergency Room or Trauma Center, but is conspicuously present in other areas of the hospital like the post-surgical unit, recovery room, intensive care unit or neo-natal intensive care unit.

The first care center to address the needs of premature infants was established in 1927, in Chicago, at the Sarah Morris Hospital and set standards for post-natal care of these most precious little ones across the medical industry. Today this care has risen to levels completely unforeseen in 1927 to save even the most fragile of lives.

During World War II, the need for resuscitative care for battle-injured soldiers and those undergoing surgery, resulted in the first ‘shock’ wards, or what we know today as the ‘crash cart’ and the code blue call, while a couple of years later the polio epidemic that swept through Europe and the U.S. resulted in the manual ventilation of patients through a tube placed in the trachea. In the 1950s the first ICUs, intensive care units, came into being as mechanical ventilation went from fantasy to reality, and by the 1960s most hospitals in the United States had at least one ICU.

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CME for Maintenance of Certification for Critical Care Medicine

August 13th, 2011 by admin No comments »

All critical care medicine specialists need to renew their board certification, and they do so through the American Board of Internal Medicine’s MOC or Maintenance of Certification program. Like all other MOC programs, this program is designed to make sure that all medical professionals who are engaged in critical care medicine continually strive for professional excellence. Also, the MOC program helps to ensure patient safety and up to date treatment and patient management. As we all know, CME or continuing medical education plays an important role in any MOC program as it aids medical professionals in attaining the level of skills, knowledge and competency required for the maintenance of their certification.

There are three areas of the MOC program that critical care medicine professional must complete in order for him or her to maintain his or her certification. First is to take and pass the secure exam offered by the American Board of Internal Medicine. Second, earn a total of one hundred CME points in the self-evaluation of both practice performance and medical knowledge. The points must be earned within the 10-year MOC cycle. Lastly, you must be licensed to fully practice your profession and you must have a good professional standing; that means your license to practice critical care medicine must not be held in question within the 10-year cycle.

The Secure Exam

The critical care medicine Maintenance of Certification exam prepared and rendered by the American Board of Internal Medicine is designed to test your clinical judgment and knowledge on certain areas of medicine in which you are expected to be most competent. The set of questions in the test were created by a team of specialists in critical care medicine; both in the clinical area and in academics. Only those who are already in the sixth year of the 10-year cycle are allowed to apply for the test. This online examination is given twice a year; an exam can be scheduled during spring or fall. The only available exam date for 2011 is on the 9th of November; the deadline of reservation for the said exam is on the 15th of August 2011. Those who have learning disabilities but are nevertheless eligible to take the test are given testing accommodations; they are allowed to take the test for four days instead of one.

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What is Critical Care Medicine?

August 13th, 2011 by admin No comments »

Critical care (CC) medicine is a vital part of patient treatment in hospitals and emergency care units. The “critical” part of the term is sometimes misunderstood, or may be interpreted in different ways. Some might consider it to be a level of un-wellness, as in sick, sicker, sickest. As far as any real definition applies, “critical” means “in life-threatening condition”. It offers life support, intensive monitoring, and an over-all elevated level of watchful care. The term is to a degree synonymous with intensive care, though critical care may be considered to refer more to the life support functions needed in life-threatening medical conditions.

The idea of intensive care and critical units as a specialization began to be widely implemented in the mid-twentieth century, and is now considered to be a required part of hospital care. It is needed for conditions like stroke and heart attack, kidney failure, or traumatic injury from auto or industrial accidents, gunshot or stabbing injuries, or poisoning.

In addition to critical care provided in intensive care units, it can be provided anywhere there is a life-threatening condition, at an accident site or in the operating room, for instance. A critical care response team may include specialized doctors and nurses, as well as pharmacists and respiratory care specialists.

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