© 2003 BMJ Publishing Group & British Thoracic Society
EDITORIAL
Intensive care medicine
Pulmonary physicians, intensive care medicine and Thorax: an evolving relationship
1 Senior Lecturer in Intensive Care Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, UK
2 Professor of Intensive Care Medicine, Royal Brompton Hospital, London, UK
Correspondence to:
Correspondence to:
Professor T W Evans
Royal Brompton Hospital, London SW3 6NP, UK; t.evans@rbh.nthames.nhs.uk
Intensive care medicine as a separate specialty will impact on the availability of services, training of pulmonary physicians, and the content of respiratory medicine journals such as Thorax.
Keywords: intensive care medicine; training; Thorax
| The first 150 words of the full text of this article appear below. |
In the 1990s a series of well publicised cases, in which critically ill patients were moved large distances in order to gain access to intensive care facilities, led to the recognition that the provision of intensive care services in the UK was characterised by unacceptable variations in organisation and delivery, quantity, funding, and effectiveness. It was appreciated that the ad hoc development of the discipline of intensive care medicinefollowing its origins in the polio epidemics of the 1950swas responsible in part for this unhappy state of affairs. However, it was also apparent that there had been years of relative underfunding of intensive care units (ICUs) in the UK compared with other developed societies. The provision of ICU beds in the UK has historically been one of the smallest in the industrialised world. Only 2.6% of hospital beds were designated for intensive care before 2001 compared with averages
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