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

2. Critical Care in Brazil Distribution of ICUs Inhabitants : 169,799,170 people Life expectancy: 69 years Child mortality (<1y): 35 / 1,000 Brazilian Survey - 2000 2.8%(7.6%) 15.8%(28.1%) 57.7%(42.7%) 6.5%(6.8%) 17.2%(14.8%) Source: Brazilian Critical Care Society - 2000 Brazilian Survey - 2000 ICU POPULATION

3. Critical Care in Brazil HOSPITAL CHARACTERISTICS 68.4%privatehospitals 31.6%publichospitals 17.5%universityhospitals 82.5%non-universityhospitals

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

5. Critical Care in Brazil ICU CHARACTERISTICS 72.4% General / Adult 5.1%Coronary 4.4%Burns 11.6%Pediatric 6.6%Neonatal

6. Critical Care in Brazil ICU DISTRIBUTION BY NUMBER OF ADMISSIONS Not informed 22.5% %ICU Mean of admissions (monthly)

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

8. Critical Care in Brazil PHYSICIAN CHARACTERISTICS Specialist23.1% Non-specialist76.9% AMIB members 31.8% AMIB Non-members 68.2% Trained by Accredited Institution15.3% Not trained by Accredited Institution84.7%

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

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