Carole Boulanger
A5089106453- Cardiac, Anesthesia and Surgical Outcomes
- Family and Patient Care in Intensive Care Units
- Patient Safety and Medication Errors
- Palliative Care and End-of-Life Issues
- Respiratory Support and Mechanisms
- Pressure Ulcer Prevention and Management
- Intensive Care Unit Cognitive Disorders
- Frailty in Older Adults
- Cardiac Arrest and Resuscitation
- Nursing education and management
- Sepsis Diagnosis and Treatment
- Global Health Care Issues
- Nursing Roles and Practices
- Simulation-Based Education in Healthcare
- Ethics in medical practice
- Healthcare professionals’ stress and burnout
- Diabetic Foot Ulcer Assessment and Management
- Nursing Diagnosis and Documentation
- Corrosion Behavior and Inhibition
- Pneumonia and Respiratory Infections
- Pneumothorax, Barotrauma, Emphysema
- Innovations in Medical Education
- Marine Biology and Environmental Chemistry
- Healthcare Policy and Management
- Marine and Offshore Engineering Studies
Centre Hospitalier Universitaire de Martinique
2024
Royal Devon & Exeter NHS Foundation Trust
2010-2024
Royal Devon and Exeter Hospital
2008-2022
European Society of Intensive Care Medicine
2019
Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed provide an international picture of the extent injuries and factors associated with ICU-acquired in adult ICU patients. International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors injury mortality were assessed by generalised linear mixed-effects regression analysis. Data from...
The aim of this study was to identify and define core competencies for advanced nursing roles in adult intensive care units across Europe.Three round electronic Delphi conducted between September 2018 November 2019, with an expert panel 184 nurses from 20 countries, supplemented by consensus meetings 16 participants 10 countries before each round.In Round 1, generated 275 statements 4 domains (knowledge skills clinical performance; leadership, teaching supervision; personal effectiveness;...
Abstract Background Sepsis is one of the most frequent reasons for acute intensive care unit (ICU) admission very old patients and mortality rates are high. However, impact pre-existing physical cognitive function on long-term outcome ICU ≥ 80 years (very (VIPs)) with sepsis unclear. Objective To investigate both short- VIPs admitted assess relation function. Design Prospective cohort study. Setting 241 ICUs from 22 European countries in a six-month period between May 2018 2019. Subjects...
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Abstract Background Premorbid conditions influence the outcome of acutely ill adult patients aged 80 years and over who are admitted to ICU. The aim this study was determine such premorbid on 6 month survival. Methods Prospective cohort in 242 ICUs from 22 countries including or above, a months period an ICU between May 2018 2019. Only emergency (acute) admissions ≥ age were eligible. Patients after planned/elective surgery excluded. We measured Clinical Frailty Scale (CFS), Informant...
To examine documentation of medication administration in medical and surgical patients.(1) Determine the point prevalence non-therapeutic omissions; (2) identify documented reasons for (3) relationship between length stay (4) explore impact outlier status (e.g. patients managed on wards) administration.Acutely ill are particularly sensitive to health care errors. We previously identified a 26% rate omissions admitted unexpectedly intensive unit (ICU) from wards.A survey 162 across four sites...
Abstract The Martinique island, located in the Caribbean Sea, is subject to stranding of Sargassum algae, which decompose and release toxic gases, such as hydrogen sulfide or ammonia. This study aims investigate atmospheric corrosion zinc these conditions. For this purpose, three sites more less impacted by algae were selected. Mass loss results after 1‐year exposure range from 1.9 µm for site least 45.3 most affected algae. high value proves that presence caused significant degradation....
Abstract Background Intensive care unit (ICU) patients age 90 years or older represent a growing subgroup and place huge financial burden on health resources despite the benefit being unclear. This leads to ethical problems. The present investigation assessed differences in outcome between nonagenarian octogenarian ICU patients. Methods We included 7900 acutely admitted critically ill from two large, multinational studies. primary was 30-day-mortality, secondary ICU-mortality. Baseline...
Female and male very elderly intensive patients (VIPs) might differ in characteristics outcomes. We aimed to compare female versus VIPs a large, multinational collective of with regards outcome predictors mortality. In total, 7555 were included this analysis, 3973 (53%) 3582 (47%) patients. The primary endpoint was 30-day-mortality. Baseline characteristics, data on management geriatric scores including frailty assessed by Clinical Frailty Scale (CFS) documented. Two propensity (for being...
Objectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, many potentially preventable. Design This study prospectively evaluated the prevalence associated factors PIs in adult critical care patients admitted to intensive units (ICU) UK. Setting service evaluation was part larger, international, single-day point ICU patients. Training provided healthcare givers using an electronic platform ensure standardised recognition staging across all sites....
Without question, for me in the role of ACCP, principal challenge is cross-boundary working. The temptation always to get very hung up on advanced technical skills that go with role, and which threaten perceived boundaries medical staff. In reality, key issues are complex clinical decision making accountability surrounding those skills. ‘Pushing boundaries’ may create disquiet among trainee staff faced an individual from a different discipline potentially greater experience knowledge...
Bion, Julian MD; Brown, Celia PhD; Gomersall, Charles FCICM; Boulanger, Carole RN; Isherwood, Peter FFICM; Schulman, David MD Author Information