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The intensive cardiac care unit team 

The intensive cardiac care unit team
Chapter:
The intensive cardiac care unit team
Author(s):

Tom Quinn

and Eva Swahn

DOI:
10.1093/med/9780199687039.003.0011_update_001

February 22, 2018: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

Update:

Minor updates to the text and references

Updated on 28 April 2016. The previous version of this content can be found here.
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date: 19 October 2019

Effective, safe health care is a multidisciplinary undertaking. From its inception, half a century ago, the concept of intensive coronary (now cardiac) care has drawn on the expertise of a range of professionals, particularly physicians working closely with nurses. As the evidence base for some aspects of the intensive cardiac care unit care has developed, the intensive cardiac care unit, in some instances, has striking similarities to the general intensive care unit, while paradoxically traditional intensive cardiac care unit functions have been devolved to other parts of the health care system such as the emergency department or pre-hospital care, and the concept of critical care ‘outreach’ has been further developed to take the expertise to patients on the general ward or even in the pre-hospital phase. With more intensive treatment policies for older people becoming the norm, the range of multi-comorbidities to be addressed by the clinical team requires input from a range of other specialties. Moreover, the increasing complexity of diagnostic and interventional techniques requires close collaboration with laboratory and imaging personnel. Thus, the intensive cardiac care unit team arguably extends beyond staff working solely within the physical structure of the intensive cardiac care unit to encompass a range of other professional and support staff, both within and outside the hospital setting.

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