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Can J Cardiol. 2016 Oct;32(10):1204-1213. doi: 10.1016/j.cjca.2015.11.021. Epub 2015 Dec 8.

From Coronary Care Units to Cardiac Intensive Care Units: Recommendations for Organizational, Staffing, and Educational Transformation.

Author information

1
Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: mlemay@ottawaheart.ca.
2
Mazankowski Heart Institute, University of Alberta, Alberta, Canada.
3
Montreal Heart Institute, University of Montreal, Montreal, Québec, Canada.
4
Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
5
Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
6
Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada.
7
Hôpital du Sacré-Coeur de Montréal, University of Montreal, Montreal, Québec, Canada.
8
St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
9
McGill University Health Centre, McGill University, Montreal, Québec, Canada.
10
St Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba, Canada.
11
University Health Network, University of Toronto, Toronto, Ontario, Canada.
12
Royal Alexandra Hospital, University of Alberta, Edmonton, Alberta, Canada.
13
Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
14
Vancouver General Hospital, University of British Columbia, British Columbia, Canada.

Abstract

Medical care in Canadian cardiac units has changed considerably over the past 3 decades in response to an increasingly complex and diverse patient population admitted with acute cardiac pathology. To maintain the highest level of care for these patients, there is a pressing need to evolve traditional coronary care units into contemporary cardiac intensive care units. In this article we aim to highlight the current variations in Canadian units, develop approaches to overcome logistical and infrastructural obstacles, and propose staffing and training recommendations that would allow for the establishment of contemporary cardiac intensive care units.

PMID:
26968391
DOI:
10.1016/j.cjca.2015.11.021
[Indexed for MEDLINE]

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