A greener pulse for cardiology: sustainability and clinical care in the NHS

Akansha Sethi1, Jaspal Singh Gill1, Jaswinder Singh Gill1

  • 1St Thomas' Hospital, Cardiovascular Department, Westminster Bridge Road, London SE1 7EH, United Kingdom.

PubMed

Insights

This study outlines strategies for sustainable cardiovascular care in the UK, balancing environmental goals with patient safety. Implementing these practices can reduce the healthcare system

Area of Science:

  • Cardiovascular medicine
  • Healthcare sustainability
  • Environmental impact in healthcare

Background:

  • Cardiovascular disease is a leading cause of mortality and morbidity in the UK.
  • The ecological footprint of healthcare significantly impacts the UK's healthcare system.
  • The National Health Service (NHS) is committed to achieving net-zero emissions by 2040.

Purpose of the Study:

  • To propose strategies for integrating sustainability into cardiovascular practice.
  • To address the challenge of balancing clinical safety and efficacy with environmental goals.
  • To facilitate the adoption of immediate sustainable practices without compromising patient care.

Main Methods:

  • Review of current cardiovascular practices and their environmental impact.
  • Identification of system-wide and individual-level sustainable strategies.
  • Emphasis on the need for ongoing research and data to support evidence-based implementation.

Main Results:

  • The paper presents actionable strategies for sustainability at individual, departmental, and national levels.
  • Immediate adoption of certain sustainable practices is feasible without affecting patient care.
  • Robust data and research are crucial for safe integration of sustainable strategies.

Conclusions:

  • The proposed strategies aim to enable sustainability and practical implementation in cardiovascular care.
  • Focus remains on maintaining high clinical standards alongside environmental responsibility.
  • The paper supports a national push towards sustainable healthcare within the NHS and globally.
Abstract

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
203
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
278
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
316
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
2.0K
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
302