Critical Care Centre of Excellence Meeting Palm Springs

Critical Care in Brazil Distribution of ICUs Inhabitants : 169, 799, 170 people 2.

Critical Care in Brazil HOSPITAL CHARACTERISTICS 31. 6% public hospitals 68. 4% private hospitals

Critical Care in Brazil ICU DISTRIBUTION BY NUMBER OF BEDS % ICUs Number of

Critical Care in Brazil ICU CHARACTERISTICS 11. 6% Pediatric 4. 4% Burns 5. 1%

Critical Care in Brazil ICU DISTRIBUTION BY NUMBER OF ADMISSIONS Not informed 22. 5%

Critical Care in Brazil ICU DISTRIBUTION BY LENGTH OF STAY Not informed 28% %

Critical Care in Brazil PHYSICIAN CHARACTERISTICS Specialist 23. 1% Non-specialist 76. 9% Trained by

Critical Care in Brazil DISTRIBUTION OF ICU BY POLICIES IN COMPLIANCE % ICU Total

Critical Care in Brazil SUMMARY Educational resources for ICU providers 1. FCCS/ACLS/ATLS 2. Meetings

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Critical Care Centre of Excellence Meeting Palm Springs - January 2002 E Silva, MD, Ph. D Hospital Israelita Albert Einstein Sao Paulo - Brazil

Critical Care in Brazil Distribution of ICUs Inhabitants : 169, 799, 170 people 2. 8% (7. 6%) Life expectancy: 69 years Child mortality (<1 y): 35 / 1, 000 Brazilian Survey - 2000 6. 5% (6. 8%) 15. 8% (28. 1%) 57. 7% (42. 7%) ICU 17. 2% POPULATION (14. 8%) Source: Brazilian Critical Care Society - 2000 Brazilian Survey - 2000

Critical Care in Brazil HOSPITAL CHARACTERISTICS 31. 6% public hospitals 68. 4% private hospitals 17. 5% university hospitals 82. 5% non-university hospitals

Critical Care in Brazil ICU DISTRIBUTION BY NUMBER OF BEDS % ICUs Number of Beds

Critical Care in Brazil ICU CHARACTERISTICS 11. 6% Pediatric 4. 4% Burns 5. 1% Coronary 6. 6% Neonatal 72. 4% General / Adult

Critical Care in Brazil ICU DISTRIBUTION BY NUMBER OF ADMISSIONS Not informed 22. 5% % ICU Mean of admissions (monthly)

Critical Care in Brazil ICU DISTRIBUTION BY LENGTH OF STAY Not informed 28% % ICU Days

Critical Care in Brazil PHYSICIAN CHARACTERISTICS Specialist 23. 1% Non-specialist 76. 9% Trained by Accredited Institution 15. 3% Not trained by Accredited Institution 84. 7% AMIB members 31. 8% AMIB Non-members 68. 2%

Critical Care in Brazil DISTRIBUTION OF ICU BY POLICIES IN COMPLIANCE % ICU Total Number of Policies: 76 Number of Policies in Compliance

Critical Care in Brazil SUMMARY Educational resources for ICU providers 1. FCCS/ACLS/ATLS 2. Meetings / Symposiums: Regional National Private Major educational needs 1. Knowledge homogenization 2. Continuous educational program (specific subjects) 3. Essential Guidelines 3. Brazilian Journal 4. Adequate medical training 4. Postgraduate Courses: Residency/Fellowship 5. Evaluation Tools 6. Research programs Ph. D