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Anatomy of resuscitative care unit: expanding the borders of traditional intensive care units
  1. Evan Leibner1,2,3,
  2. Rory Spiegel4,5,
  3. Cindy H Hsu6,7,
  4. Brian Wright8,9,
  5. Benjamin S Bassin6,
  6. Kyle Gunnerson6,10,11,
  7. James O’Connor2,
  8. Deborah Stein2,
  9. Scott Weingart9,
  10. John C Greenwood12,13,
  11. Lewis Rubinson2,
  12. Jay Menaker2,
  13. Thomas M Scalea2
  1. 1 Institute of Critical Care Medicine, Mount Sinai Hospital, New York, New York, USA
  2. 2 Department of Surgery, Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA
  3. 3 Department of Emergency Medicine, Mount Sinai Hospital, New York, New York
  4. 4 Department of Emergency Medicine, The University of Maryland Medical Center, Baltimore, New York, USA
  5. 5 Department of Pulmonary Critical Care, The University of Maryland Medical Center, Baltimore, New York, USA
  6. 6 Department of Emergency Medicine, Division of Emergency Critical Care, University of Michigan, Ann Arbor, Michigan, USA
  7. 7 Department of Surgery, Division of Acute Care Surgery, University of Michigan, Ann Arbor, Michigan, USA
  8. 8 Departments of Neurosurgery, Stony Brook University School of Medicine, New York, USA
  9. 9 Department of Emergency Medicine, Stony Brook University School of Medicine, New York, USA
  10. 10 Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
  11. 11 Department of Anesthesiology/Critical Care, University of Michigan, Ann Arbor, Michigan, USA
  12. 12 Department of Emergency Medicine, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
  13. 13 Department of Anesthesiology & Critical Care, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Evan Leibner, Institute of Critical Care Medicine and Dept of Emergency Medicine, Mount Sinai Hospital, New York, NY 10029, USA; leibnere{at}gmail.com

Abstract

Resuscitation lacks a place in the hospital to call its own. Specialised intensive care units, though excellent at providing longitudinal critical care, often lack the flexibility to adapt to fluctuating critical care needs. We offer the resuscitative care unit as a potential solution to ensure that patients receive appropriate care during the most critical hours of their illnesses. These units offer an infrastructure for resuscitation and can meet the changing needs of their institutions.

  • care systems
  • emergency department operations
  • resuscitation

https://doi.org/10.1136/emermed-2019-208455

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    Footnotes

    • Contributors Manuscript was conceived edited by all authors. Writing was mainly done by ESL, RS, CH, JG, and BW.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Correction notice Since this journal was first published online, the author Cindy Hsu’s name has been updated.