Critical Care – ABC CARDIOL

IJCS

Editorial

Forty Years of Silent Revolutions in ICUs: From Clinical Records to Intelligent and Predictive Surveillance

Rubens Carmo Costa-Filho et al. Hugo Caire Castro Faria-Neto

Introduction

In the mid-1980s, as modern intensive care medicine was still consolidating as a specialty, a conceptual challenge emerged that would redefine critical care: how to objectively and comparably quantify the severity of illness across different patients and units. In 1985, William A. Knaus et al. published the Acute Physiology and Chronic Health Evaluation II (APACHE II). This landmark model translated clinical observations into a mathematical framework capable of estimating hospital mortality based on 12 physiological and chronic health variables collected during the first 24 hours of ICU admission.

At that time, computing power was limited, and data were collected manually, the technological ceiling of that era.

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IJCS

Review Article

Challenges and Opportunities in Teaching and Training Pediatric Cardiac Critical Care in Developing Countries: A Narrative Review

Carolina Vieira de Campos et al. Carlos Roberto Ribeiro Carvalho

Abstract

Congenital heart disease (CHD) is a public health issue in developing countries. Effective teaching and training are vital for healthcare professionals to provide adequate care for critically ill cardiac children, but there are many obstacles to adequately training a cohort of healthcare professionals in low- and middle-income countries (LMIC), where education practice is not always aligned with current education evidence. Work overload, time constraints, language, and the healthcare structure itself hinder standardization of an optimal training process for this highly complex scenario. This narrative review aims to explore how current teaching methodologies may help overcome challenges in pediatric cardiac critical care (PCCC) education, thus helping clinical practice, with a special focus on developing countries and the Brazilian scenario.

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Forty Years of Silent Revolutions in ICUs: From Clinical Records to Intelligent and Predictive Surveillance

Introduction

Challenges and Opportunities in Teaching and Training Pediatric Cardiac Critical Care in Developing Countries: A Narrative Review

Abstract

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