A few years ago, I wrote an article about ED Intensivists and EDICUs. In the article, I discussed the hypothetical stand-alone EDICU. It is hypothetical no more. Kyle Gunnerson, with the support of his chair Bob Neumar, has created the EC3 at University of Michigan. Last week, I visited the unit–it was absolutely incredible! I invited Kyle to our RESUSCITATE NYC conference to discuss the great work he and his team have done.
EC3 Tour
ED Critical Care Ask Us Anything
- Read the description by Rob Huang
- See the Video
Additional New Information
More on EMCrit
- EMCrit Wee – First Study of the Benefits of an EDICU(Opens in a new browser tab)
- Emergency Medicine Critical Care, ED Intensivists, and ED Intensive Care Units (EDICUs)(Opens in a new browser tab)
Additional Resources
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
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Scott how is this different then the CCRU at Shock Trauma which has been open for two and a half years? The CCRU is not in the ED but is stand alone.
Sam, having a super-hard time parsing this question
I think Sam is referring to the Critical Care Resuscitation Unit at Shock Trauma. it was mentioned briefly in the Ask Us Anything session, someone referred to it as serving a purpose similar to an ED-ICU during the question regarding regionalization of critical care and national trends. I’m assuming Sam wants a comparison of the two, although it sounds like they share similar purposes.
http://umm.edu/programs/shock-trauma/services/clinical/critical-care-resuscitation-unit
http://www.eurekalert.org/pub_releases/2016-02/acos-ccr022216.php
Sam, Good question. Like all traditional in-patient ICU’s we (EC3) have very similar elements of the care we deliver. The CCRU is an in-patient ICU designed to take primarily transfers from ICUs in outside hospitals. These patients have already been on ICU teams for a period of time. The CCRU provides a 24/7 place where these patients can be safely transferred and if further resuscitation/diagnostics are required urgently, they can be readily performed. After the “intake” plan as been implemented, then the patient can be safely transferred to the proper ICU or floor if needed. The EC3 is in the… Read more »
I’m taking a health economics class and and I understand the idea of a ED-ICU and conceptually it sounds great. My question is, is this a cost effective intervention?
Good question Kevin. Not quite 1 year (we were fully operational April 1) is a little short to really appreciate the total economic impact. There are parts that are doing better than anticipated, and others that aren’t quite there yet. The devil’s in the details and we will start reviewing this with our finance people when we have a good representation. The last thing we want to do is make any premature decisions when the data is still developing.
Kyle
Great stuff Kyle. We used to work together at VCU a few years back. It’s good to see your still doing great things.
Roman Gunn RN
Flight Nurse
VCU Health