Faculty Presentation with David N. Hager, MD, PhD
School of Nursing
525 N. Wolfe Street
Baltimore, MD 21205 View Map Link
"The Intermediate Care Unit: Stepping up for Stepdown Care"
A central task in triage is the assignment of patients to appropriate levels of care based on both active and anticipated therapeutic and monitoring needs. Though there are conditions that clearly require admission to an ICU, such as respiratory failure, septic shock, and hemodynamically significant bleeding, there is little guidance for the triage of “borderline” patients, whose needs surpass what is feasible on a general ward, but do not clearly require ICU care. It has been suggested that such patients be admitted to an Intermediate Care Unit (IMCU). Though highly prevalent, the benefit of intermediate care in terms of improved patient outcomes and reduced cost is unknown. Interpretation of the few published studies of intermediate care is limited by very sparse descriptions of how IMCUs are organized and staffed, and what services and monitoring are permitted. The optimization of this level of care is Dr. Hager’s primary independent research interest.
Lunch will be provided for this workshop
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