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Global critical care: a call to action
Ana Maria Crawford1, Ananya Abate Shiferaw2, Papytcho Ntambwe3
1Anesthesiology and Critical Care, Stanford University, 300 Pasteur Drive, Stanford, CA, USA. anacrawford@stanford.edu.
Critical Care (London, England)
|January 20, 2023
Summary
Critical care is underprioritized globally, leading to millions of preventable deaths. Implementing Essential Emergency and Critical Care fundamentals can significantly reduce mortality and improve global health outcomes.
Area of Science:
- Global Health
- Critical Care Medicine
- Public Health Policy
Background:
- Critical care remains underprioritized globally, despite a growing burden of critical illness.
- Resource limitations, inadequate infrastructure, and insufficient training hinder effective critical care delivery, particularly in resource-constrained settings.
- Millions of deaths occur annually due to a lack of access to essential critical care services.
Purpose of the Study:
- To advocate for a global call to action to improve equitable access to and the quality of critical care.
- To highlight the importance of implementing Essential Emergency and Critical Care (EECC) as a foundational solution.
- To emphasize the need for increased healthcare investment, workforce training, and context-specific research.
Main Methods:
- The abstract presents a qualitative review and synthesis of the challenges and proposed solutions in critical care.
- It emphasizes the implementation of fundamental patient care practices as a primary strategy.
- It calls for multi-level advocacy, government investment, and specialized healthcare workforce development.
Main Results:
- Implementing EECC fundamentals can decrease critical illness mortality, enhance pandemic preparedness, reduce postoperative mortality, and lessen the need for advanced care.
- There is a critical need for training the entire healthcare workforce in EECC fundamentals.
- Specialized critical care professionals are essential for leadership, research, and education.
Conclusions:
- A global, multi-faceted approach is required to address the underprioritization of critical care.
- Increased government spending, investment in infrastructure, and workforce development are crucial.
- Universal health coverage for critically ill patients necessitates sustained advocacy and the widespread adoption of EECC principles.
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