As hospitals struggle with the patient surge in Los Angeles County, their ICU nurses are overwhelmed by the physical demands and emotional toll of caring for the most seriously ill COVID-19 patients.
With COVID-19 becoming a critical focus in hospital intensive care units, nurses, doctors and other caregivers have had to shift gears to protect staff and save patients.
An NPR analysis of the nation's 100,000 ICU beds finds some communities can accommodate far more critically ill patients than others, signaling potential disparities in care in the COVID-19 pandemic.
Pregnant women in intensive care with severe cases of the flu have a higher risk of giving birth to babies prematurely. The risk of breathing problems for the baby is also substantially higher.
People who suffer from prolonged delirium in the hospital are likely to develop long-term mental problems like dementia. Doctors have come up with techniques they say can reduce delirium in the ICU.
Some hospitals are putting cameras in their neonatal intensive care units to reduce the number of people — and germs — from entering. But some NICU staff may not want to be watched around the clock.
IV bags filled with what's called normal saline are used to treat problems ranging from vomiting to lightheadedness. But evidence for the use of saline over other intravenous options is scant.
A bedside computer loaded with software that tracks vital signs in the ICU can pick up early warning patterns, specialists say. But it takes a human care provider to sort the signal from the noise.
A 51-year-old man nearly died from septic shock, when a crushing injury led to overwhelming infection. After getting an experimental treatment, he's recovering well, but some doctors want more proof.
Doctors, consumers and politicians say big federal cuts to Medicaid funding would jeopardize the treatment a lot of kids rely on. The state would either have to make up lost funding or cut benefits.
Many older patients have problems that an emergency room is ill-equipped to handle, but often there is nowhere else to go. So some hospitals are adding palliative care consultants to the front lines.
Research hasn't yet confirmed the early hints that a mix of IV vitamins and steroids might stop the fatal organ failure of sepsis. But an effective treatment for sepsis would be a really big deal.
Doctors were once unquestioned authorities on how aggressively to treat the sickest and most premature babies. Then parents started pushing back for more say. The responsibility can be excruciating.
As families consider how far to push an infant's medical care, a chasm can open between the parents' hopes and what doctors and nurses consider realistic. How do you measure a baby's quality of life?
