Intensive care and emergency medicine: Progress over the past 25 years

Jean Louis Vincent, Mitchell P. Fink, John J. Marini, Michael R. Pinsky, William J. Sibbald, Mervyn Singer, Peter M. Suter, Deborah Cook, Paul E. Pepe, Timothy Evans

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Over the last quarter of a century, intensive care medicine has developed into an established hospital specially with its own unique identity and characteristics. Significant advances have occurred, mostly in a succession of small steps rather than any dramatic leap, with many being linked to advances in health care across other disciplines. In addition, many changes have resulted from the scientific identification of the detrimental effects of certain traditional practices once thought to be therapeutic. Here, in an attempt to learn from the past and offer guidance for future progress, we detail some of the key changes in various aspects of intensive care medicine including respiratory, cardiovascular, metabolic, and nutritional care, as well as sepsis, polytrauma, organization, and management.

Original languageEnglish (US)
Pages (from-to)1061-1067
Number of pages7
Issue number4
StatePublished - Apr 2006


  • ARDS
  • Cardiopulmonary resuscitation
  • Cardiovascular care
  • Critical care
  • Intensive care
  • Mechanical ventilation
  • Multiorgan failure
  • Polytrauma
  • Sepsis
  • invasive monitoring

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine


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