ICU: Internal Care

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ICU Internal Care Grids
Dr Theodoros Kyprianou MD PhD EDIC Pulmonary
Intensive Care Medicine Nicosia General Hospital
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Manitoba Bureau of Statistics (MBS)
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Health Industry Trends Data 1970 - 1999
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TRENDS IN TOTAL NUMBER OFHOSPITAL VS ICU BEDS
ICU BEDS
HOSPITAL BEDS
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Operational problems in Intensive Care
Decisions must be taken immediately
Multiple complex problems
Integration based on local experience
Patients history unknown
Data stored in different locations
Several inputs from different devices
Remote retrieval impossible
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Patient centered intensive carein the modern
era
Continuous medical education
Competency based training of HCP s
Interrelation of basic and clinical research
Electronic health record internationally available
Research using multi-center patients databases
Bedside access to databases
Ability to collect and co-assess multiple inputs
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• Competency-Based Training
• in Intensive Care Medicine in Europe

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• A project coordinated by the European Society of
  Intensive Care Medicine (ESICM)

• In partnership with
• The University of Birmingham
• Picker Institute Europe
• Intensium Oy
• Charles University Hospital Pilsen

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• A 3-year project
• 1st of October 2003
• -
• 1st of October 2006

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WHO IS INVOLVED?

• National Coordinators and their deputies 29
  European countries 6 world regions
• An Advisory Board, made of the UEMS, other
  European Societies, national health authorities,
  etc

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SUPPORT

• Project is supported by
• The European Union, Programme Leonardo da Vinci
  (grant of 540.000 )
• The UEMS
• National Societies throughout Europe

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• Objectives
• Create an internationally acceptable
  competency-based training programme in intensive
  care medicine
• Propose methods for the assessment of
  competencies
• Link competencies to adequate educational
  resources

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• Methodology
• Phase 1 survey on national methods of training,
  assessment and accreditation
• Phase 2 identification of competencies and
  classification
• Phase 3 development of guidelines for the
  assessment of these competencies
• Phase 4
• Identification of training material and link
  between the competencies and material

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Interrelation of Knowledge databases throughout
Europe
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Patient centered intensive carein the modern
era
Continuous medical education
Competency based training of HCP s
Interrelation of basic and clinical research
Electronic health record internationally available
Research using multi-center patients databases
Bedside access to databases
Ability to collect and co-assess multiple inputs
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References from MEDLINE regarding shock

• septic shock
• septic shock AND gene
• septic shock AND protei
• septic shock AND cytokine
• septic shock AND drug

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The Dead Supercomputer Society and the killer
micros
Once upon a time..
Microcomputer
Cluster
Mini Computer
(by Christophe Jacquet)
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The GRID distributed computing idea
and today
(by Christophe Jacquet)
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What is a Grid?

• Collaborative set of computing, data storage and
  network resources belonging to different
  administrative domains that has knowledge about
  the status of its components through active,
  distributed information services.
• Uses standard, open, general-purpose protocols
  and APIs.
• Allows certified users belonging to multi-domain
  Virtual Organizations to access a large amount
  of resources via single log in (sign on).
• Offers a simple, consistent, dependable, and
  pervasive access across wide-area networks and
  presents users with an integrated global
  resource.
• Manages concurrent access by large numbers of
  dispersed users.

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What is a Grid ?

• An infrastructure that couples
• Networked Computers PCs, workstations,
  clusters, supercomputers, laptops, notebooks,
• mobile devices, PDA, etc
• Software e.g., ASPs renting expensive special
  purpose applications on demand
• Catalogued data and databases e.g. transparent
  access to human genome database
• Special devices e.g., radio telescope
  SETI_at_Home searching for life in galaxy,
  Austrophysics_at_Swinburne for pulsars)
• People/collaborators