Purpose

The European Society of Intensive Care Medicine (ESICM) Green Paper aims to address the challenge of environmental sustainability in intensive care and proposes actionable strategies for integrating sustainability into intensive care unit (ICU) stakeholder actions.

Methods

The ESICM Executive Committee appointed a task force of topic experts and ESICM committee representatives to develop the ESICM Green Paper. The task force convened biweekly from January to June 2024, identifying key domains for environmental sustainability and prioritizing actions. Drafts were iteratively refined and approved by the ESICM Executive Committee.

Results

Climate change will impact activities in intensive care in many ways, but also the impact of ICU activities on the environment is considerable; drivers for this include extensive resource use and waste generation in ICUs from energy consumption, use of disposable items, and advanced therapies for critically ill patients. The ESICM Green Paper outlines a structured approach for ICUs to reduce their environmental impact, emphasizing energy efficiency, waste reduction, and sustainable procurement. Furthermore, it endorses the need for awareness and education among healthcare professionals, integration of sustainability into research, and sustainable policies within scientific societies.

Conclusions

The ESICM Green Paper reviewed the relevance of climate change to intensive care and provided suggestions for clinical practice, research, education, and ESICM organizational domains. It underscores that reducing intensive care's ecological footprint can coexist with high-quality patient care. Promoting a resilient, responsible healthcare system is a joint responsibility of all ICU stakeholders.

中文翻译：

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重症监护的环境可持续性：前进的道路。ESICM 绿皮书

 目的

欧洲重症监护医学会 （ESICM） 绿皮书旨在应对重症监护环境可持续性的挑战，并提出了将可持续性纳入重症监护病房 （ICU） 利益相关者行动的可行策略。

 方法

ESICM 执行委员会任命了一个由主题专家和 ESICM 委员会代表组成的工作组来制定 ESICM 绿皮书。该工作组从 2024 年 1 月到 6 月每两周召开一次会议，确定环境可持续性的关键领域并确定行动的优先顺序。草案经过反复改进并由 ESICM 执行委员会批准。

 结果

气候变化将以多种方式影响重症监护室的活动，但 ICU 活动对环境的影响也相当大;其驱动因素包括 ICU 中因能源消耗而产生的广泛资源使用和废物、一次性物品的使用以及危重患者的先进疗法。ESICM 绿皮书概述了 ICU 减少对环境影响的结构化方法，强调能源效率、减少废物和可持续采购。此外，它支持医疗保健专业人员需要提高意识和教育，将可持续性纳入研究，以及科学协会内的可持续政策。

 结论

ESICM 绿皮书回顾了气候变化与重症监护的相关性，并为临床实践、研究、教育和 ESICM 组织领域提供了建议。它强调，减少重症监护的生态足迹可以与高质量的患者护理共存。促进有弹性、负责任的医疗保健系统是所有 ICU 利益相关者的共同责任。