Indian Journal of Critical Care Medicine 

About: Indian Journal of Critical Care Medicine is an academic journal published by Medknow. The journal publishes majorly in the area(s): Medicine & Intensive care unit. It has an ISSN identifier of 0972-5229. It is also open access. Over the lifetime, 2761 publications have been published receiving 22226 citations. The journal is also known as: IJCCM.

Adult basic life support

Abstract: Prompt and skilful resuscitation during cardiac arrest can make a significant difference between life and death. There have been important advances in the science of resuscitation and various international resuscitation committees have formulated evidence-based recommendations for the performance of basic life support. The revised guidelines published in the year 2005 have been designed to simplify cardiopulmonary resuscitation. In this article, we have summarized basic life support guidelines for adult victims.

Guidelines for prevention of hospital acquired infections.

Abstract: These guidelines, written for clinicians, contains evidence-based recommendations for the prevention of hospital acquired infections Hospital acquired infections are a major cause of mortality and morbidity and provide challenge to clinicians. Measures of infection control include identifying patients at risk of nosocomial infections, observing hand hygiene, following standard precautions to reduce transmission and strategies to reduce VAP, CR-BSI, CAUTI. Environmental factors and architectural lay out also need to be emphasized upon. Infection prevention in special subsets of patients - burns patients, include identifying sources of organism, identification of organisms, isolation if required, antibiotic prophylaxis to be used selectively, early removal of necrotic tissue, prevention of tetanus, early nutrition and surveillance. Immunodeficient and Transplant recipients are at a higher risk of opportunistic infections. The post tranplant timetable is divided into three time periods for determining risk of infections. Room ventilation, cleaning and decontamination, protective clothing with care regarding food requires special consideration. Monitoring and Surveillance are prioritized depending upon the needs. Designated infection control teams should supervise the process and help in collection and compilation of data. Antibiotic Stewardship Recommendations include constituting a team, close coordination between teams, audit, formulary restriction, de-escalation, optimizing dosing, active use of information technology among other measure. The recommendations in these guidelines are intended to support, and not replace, good clinical judgment. The recommendations are rated by a letter that indicates the strength of the recommendation and a Roman numeral that indicates the quality of evidence supporting the recommendation, so that readers can ascertain how best to apply the recommendations in their practice environments.

Clinical features of organophosphate poisoning: a review of different classification systems and approaches

Abstract: PURPOSE: The typical toxidrome in organophosphate (OP) poisoning comprises of the Salivation, Lacrimation, Urination, Defecation, Gastric cramps, Emesis (SLUDGE) symptoms. However, several other manifestations are described. We review the spectrum of symptoms and signs in OP poisoning as well as the different approaches to clinical features in these patients. MATERIALS AND METHODS: Articles were obtained by electronic search of PubMed(®) between 1966 and April 2014 using the search terms organophosphorus compounds or phosphoric acid esters AND poison or poisoning AND manifestations. RESULTS: Of the 5026 articles on OP poisoning, 2584 articles pertained to human poisoning; 452 articles focusing on clinical manifestations in human OP poisoning were retrieved for detailed evaluation. In addition to the traditional approach of symptoms and signs of OP poisoning as peripheral (muscarinic, nicotinic) and central nervous system receptor stimulation, symptoms were alternatively approached using a time-based classification. In this, symptom onset was categorized as acute (within 24-h), delayed (24-h to 2-week) or late (beyond 2-week). Although most symptoms occur with minutes or hours following acute exposure, delayed onset symptoms occurring after a period of minimal or mild symptoms, may impact treatment and timing of the discharge following acute exposure. Symptoms and signs were also viewed as an organ specific as cardiovascular, respiratory or neurological manifestations. An organ specific approach enables focused management of individual organ dysfunction that may vary with different OP compounds. CONCLUSIONS: Different approaches to the symptoms and signs in OP poisoning may better our understanding of the underlying mechanism that in turn may assist with the management of acutely poisoned patients. Language: en

Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey

Abstract: BACKGROUND: Burnout, a state of physical and emotional exhaustion, in healthcare workers (HCWs) is a major concern The prevalence of burnout, due to COVID-19 pandemic in India, is unknown We therefore conducted this survey MATERIALS AND METHODS: A questionnaire-based survey using Copenhagen Burnout Inventory was carried out among HCWs looking after COVID-19 patients Questionnaire was sent to the HCWs, using WhatsApp Messenger, and voluntary participation was sought We received responses from 2026 HCWs Burnout was assessed in personal, work, and client-related (COVID-19 pandemic-related) domains Burnout was defined at a cut-off score of 50 for each domain RESULTS: The prevalence of personal burnout was 44 6% (903), work-related burn-out was only 26 9% (544), while greater than half of the respondents (1,069, 52 8%) had pandemic-related burnout Younger respondents (21-30 years) had higher personal and work-related burnout The prevalence of personal and work-related burnout was significantly (p < 0 01) higher among females The doctors were 1 64 times, and the support staff were 5 times more likely to experience pandemic-related burnout CONCLUSION: There is a significant prevalence of burnout during the COVID-19 pandemic among HCWs, in particular, doctors and support staff Female respondents had higher prevalence We suggest that the management should be proactive and supportive in improving working conditions and providing assurance to the HCWs The long-term effects of the current pandemic need to be assessed later HOW TO CITE THIS ARTICLE: Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey Indian J Crit Care Med 2020;24(8):664-671