Factors related to the mortality of patients with severe sepsis and septic shock.docVIP

Available online /supplements/13/S3 Critical Care Volume 13 Suppl 3, 2009 Fifth International Symposium on Intensive Care and Emergency Medicine for Latin America S?o Paulo, Brazil, 24–27 June 2009 Published online: 23 June 2009 These abstracts are online at /supplements/13/S3 ? 2009 BioMed Central Ltd Basic science Figure 1 (abstract P1) P1 FAST HUG in an ICU at a private hospital in Brasília: checklist and the eighth evaluation item GB Magnan, RS Vargas, LF Lins, KR Mendon?a, M Barbosa, PR Rocha, MO Maia Santa Luzia Hospital, Brasília – DF, Brazil Critical Care 2009, 13(Suppl 3):P1 (doi: 10.1186/cc7803) Introduction Many authors have written about the need to treat patients closer to their beds, in order to observe them more as distinct people. The FAST HUG mnemonic, which consists of a checklist, was suggested as an idea to be employed everyday, by professionals dealing with patients who are critically ill. Minding these questions and motivated by an idea of follow patients’ treat- ment closer, we have put into practice the instrument developed by Figure 2 (abstract P1) Jean-Louis Vincent, evaluating the seven most important procedures in critically ill patients, and performed the FAST HUG. This checklist consists of seven items to be evaluated: Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, stress Ulcer prevention, and Glucose control. Knowing that the pressure ulcer is one of the challenges faced by ICU nurses, related to patients’ need to stay at rest, to be under rigorous control or more complex therapy, it was decided to create the eighth item on the checklist: S, for skin. It stands for skin treatment, with the techniques used in the unit (Braden Scale), monitoring and evaluating closer skin integrity, and allowing nurses to calculate the scoring average of the Braden Scale, and greater incidence of ulcer in interned patients. written do