An intensivist, professor of intensive care in the Federal University of Sao Paulo, a major public university. I am proud of working with the Latin America Sepsis Institute (LASI), a non-government organization devoted to quality improvement process and knowledge translation in Brazilian hospitals. I am a member of the Executive Board of the Global Sepsis Alliance (GSA), an international organization aiming to raise awareness about sepsis and also a member of the Executive Committee for the Brazilian Research in Intensive Care Network (BRICNET), a network of young healthcare professionals involved in high quality research in Brazil.

All in a Day’s Work in Brazil

In a public ICU in Brazil, as like in any middle income country, there are so many hard things we have to deal with!
As many other emerging countries, Brazil has two completely different healthcare systems, a private system restricted to those who are insured and a public system free-of-charge available for everyone. As anywhere, there are lots of boring things in our daily routine. Some of them will piss you off regardless if you are working for a very nice private ICU or for an overcrowded public one. Deal with the assistant physicians, with our own colleagues and other healthcare professionals is not exactly easy and fun. Can you imagine something more repetitive than a checklist? However, some will be different. To decide who will get the last free bed? Put a patient in ECMO knowing how much it will cost? Having a fight after finally finding our ward colleagues to get a patient discharged? To discharge a patient knowing that he will come back because we don’t have step-down units? Yes, that is sometimes just too much! And this just all in a day’s work in a public ICU in Brazil.

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