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Updated: Jun 25, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Critical Care Delivery in the Emergency Department: Bringing the Intensive Care Unit to the Patient
Won-Jun Kuk1, Jun Soo Park1, Kyle J Gunnerson2
1Department of Anesthesiology/Critical Care, University of Michigan, 4172 Cardiovascular Center 1500 East Medical Center Drive, SPC 5861, Ann Arbor, MI 48109, USA.
Abstract:
Boarding of critically ill patients in the Emergency Department (ED) has increased over the past 20 years, leading hospital systems to explore ED-focused models of critical care delivery. ED-critical care delivery models vary between health systems due to differences in hospital resources and the needs of the critically ill patients boarding in the ED. Three published systems include an ED critical care intensivist consultation model, a hybrid model, and an ED-intensive care unit model. Paraphrasing the Greek philosopher, Plato, "necessity is the mother of invention." This proverb rings true as EDs are facing an increasing challenge of caring for boarding patients, especially those who are critically ill.
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