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Impact of telemonitoring of critically ill emergency department patients awaiting ICU transfer

Kadar, RB et al. Critical Care Medicine Journal. Vol. 47. No 9. Sept 2019; 1201-07.
      Emergency department “boarders” are defined as patients who have been accepted for admission into the hospital, yet remain in the emergency department while awaiting a physical bed assignment. Intensive care unit (ICU) boarders in particular suffer increased morbidity and mortality when compared to their counterparts who are immediately admitted to an ICU bed. In some hospitals, telemedicine has been implemented in ICUs to assist with shaffing shortages. This eICU model incorporates an intensivist team consisting of specialized physicians and nurses who have access to the patient’s electronic medical records and utilize a 2-way camera to care for patients. Researchers in this study wanted to investigate how extending eICU telemedicine to the emergency department would impact ICU patients being boarded in the ED.
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