SCCM Resource Library-Bringing the ICU to the ED: Improving Care of Boarded Patients

Video Transcription

Video Summary

In this video, the speaker discusses the issue of critically ill patients boarding in the emergency department (ED) and the need for collaboration between the ED and the intensive care unit (ICU) to address this problem. Boarding refers to the prolonged stay of critically ill patients in the ED while waiting for an ICU bed. The speaker highlights that there is no universal definition of boarding and the estimates of its prevalence vary widely. However, studies have shown that increased boarding time in the ED is associated with higher mortality rates. The speaker also presents several proposed strategies to mitigate boarding, including ED-based interventions such as care bundles and improved staffing, as well as hospital-based solutions like ICU alert teams and interdepartmental collaboration. The speaker then discusses three specific models implemented in different institutions: the Critical Care Resuscitation Unit at the University of Maryland, the ED-based ICU delivery model at Henry Ford Hospital, and the geographic ED-based ICU at the University of Michigan. These models have shown positive outcomes in terms of reduced mortality, improved patient outcomes, and cost-effectiveness. The speaker emphasizes the importance of collaboration and the need for further research and the development of more critical care delivery models.

Asset Subtitle

Professional Development and Education, 2023

Asset Caption

Type: one-hour concurrent | ICUs Without Board-ers: Critically Ill Patients in the Emergency Department (SessionID 1166807)

Meta Tag

Content Type Presentation

Knowledge Area Professional Development and Education

Membership Level Professional

Membership Level Select

Tag Medical Education

Year 2023

Keywords

critically ill patients

boarding in the emergency department

collaboration between ED and ICU

mitigating boarding

critical care delivery models

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