Intensive Care Medicine (ICU) may be a complex, costly, mistake inclined, restorative claim to fame and remains the central point of major advancement endeavors in healthcare conveyance.

Different modeling and simulation strategies offer one of a kind openings to superior get it the intelligent between clinical physiology and care health. There are major computer based learning methods that connected to critical care medicine.

These courses are ordinarily costly and ordinarily don't give group simulation. The Benefits In-situ simulation happens within the typical working environment, utilizing ordinary working environment gear. Healthcare experts act on their typical parts, in ‘intact teams’, amid ordinary working hours. Apart from the several advantages of the simulation described above, it must be kept in mind that biology is a science of exceptions, and the situation faced in real life can be quite different from that experienced in high-fidelity mannequins.

There is no evidence that the use of simulators is associated with a better patient outcome for long-term follow-up. In particular, the focus on intensive critical care should be on both skill and clinical scenario-based simulation.

In ICU, needed to be skillful enough in both arterial and venous cancellation; at the same time, to know how to manage a given situation involving various team members, such as surgical residents, nurses, and colleagues. The need for the moment is to define simulation standards in all aspects of intensive care.

Globally, the prevalence of intimate partner violence (IPV) during pregnancy ranges from 4%-29%.  Screening and identifying abused pregnant women continues to be a challenge, especially for home visiting programs. Computer-assisted technology has been effective for screening sensitive issues such as depression and substance use. The purpose of this presentation is to describe the effectiveness of two different methods (paper-pencil vs. computer-assisted) for screening for IPV in perinatal home visit programs Pregnant women (N=416) participating in the “Perinatal Home Visiting Program Enhanced with mHealth Technology”, (1 R01 HD 071771 NICHD/NIH) in urban, suburban and rural settings were randomized to either traditional paper-pencil IPV screening or IPV screening on hand-held tablets.  Screening data were examined for IPV prevalence rates comparing paper-pencil vs. tablet. Variables included settings and ethnic/racial background. The prevalence rates were similar using paper was 21.8% versus 24.5% using tablets (p=.507). Although there were no significant differences between paper versus tablet the prevalence rates were higher using tablets (Urban –paper=15.6% vs. tablet=16.3%, p=.881; Suburban paper=30.6% vs. tablet=34.5%, p=.634; Rural-paper=22.9% vs. tablet=31.7%, p=0.390). Prevalence rates were not significantly different between the two screening methods; however paper screening had a slightly higher prevalence (Af. Am.–paper=28.8% vs. tablet=24.5 % -p=0.62q; Euro Am - paper=20.7% vs. tablet=20.0%, p=.895). This study’s result provides evidence that women will reveal their abuse status regardless how asked or strategies used to screen for IPV. The important strategy is having protocols and training that prepare health care providers to screen for IPV. Health care providers in all settings that provide care to women should screen and then connect women to resources in order to improve pregnancy outcomes.

 

The insertion technique of subclavian central lines has seen some variations since it`s early description. Many of these changes resulted from the increasingly popular use of POCUS (point of care ultrasound).  My talk, at the 2020 International Conference on Critical Care and Emergency Medicine in Dubai, aims to give an overview over the different methods of subclavian central line insertion. It will cover the variations when using landmark based techniques, as well as ultrasound guided supraclavicular and infraclavicular approaches and the ultrasound based “PART” technique. It will conclude with an ultrasound-only way to confirm the correct position of central lines.