We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Critical Care Medicine

Barry A. Shapiro, MD
JAMA. 1982;247(21):2945. doi:10.1001/jama.1982.03320460045015.
Text Size: A A A
Published online


The first hospital "special care areas" evolved in the 1930s for managing poliomyelitis victims. After World War II special nursing and monitoring units developed for postanesthetic recovery and coronary care. Rapid scientific and technological advances in the past 30 years have led to the presence of surgical and medical intensive care units (ICUs) in most hospitals.

This relocation of patients with critical care needs to common areas has been reported to be associated with improved patient care and survival.1-4 The reasons for such benefits include (1) advancements in medical technology for physiological monitoring; (2) improvements in the medical and surgical therapy of life-threatening disease; (3) availability of specially trained nurses and allied health personnel who, with concentrated exposure to such patients, have become highly proficient in their care; and (4) availability of physicians with special interest and training in the management of such patients.5-9

Certification  On Sept 19,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.