TY - JOUR T1 - Respiratory Critical Care HERMES: European curriculum recommendations JF - Breathe JO - Breathe SP - 15 LP - 22 DO - 10.1183/20734735.000314 VL - 10 IS - 1 AU - Antonio Artigas AU - Julie-Lyn Noël AU - Laurent Brochard AU - Jamiu O. Busari AU - Dominic Dellweg AU - Miguel Ferrer AU - Jens Geiseler AU - Anders Larsson AU - Stefano Nava AU - Paolo Navalesi AU - Stylianos Orfanos AU - Paolo Palange AU - Paolo Pelosi AU - Gernot Rohde AU - Bernd Schoenhofer AU - Theodoros Vassilakopoulos AU - Anita K. Simonds Y1 - 2014/03/01 UR - http://breathe.ersjournals.com/content/10/1/15.abstract N2 - As intensive care medicine has progressed and advanced in terms of technology, diagnostics and therapeutics, the demand for intensive care medicine has increased continuously, resulting in pressures on resources and healthcare budgets. For these reasons, there is a need to create adequate legal and administrative structures, plus an increasing requirement for qualified specialised personnel and internationally standardised, mutually recognised training programmes [1]. This is especially relevant considering the multidisciplinary nature of intensive care medicine.Bearing this in mind, a way forward for intensive care medicine is to involve more respiratory physicians because they can be significant providers of care to critically ill respiratory patients [2]. Intermediate care units providing noninvasive monitoring and noninvasive ventilation allow a more efficient and cost-effective approach without decreasing the quality of care or adversely affecting outcome [3]. They make it possible for patients with respiratory diseases of intermediate severity to be cared for in specialised units headed by respiratory physicians [4]. The development of weaning centres and long-term care facilities, including home ventilation, provide important economic advantages that decrease the burden on regular intensive care units (ICUs) by reducing admissions and facilitating discharge to step-down areas [1]. The respiratory physician can provide advantages to patients in these critical care settings, adapting relatively easily to the needs of the patient [2].Historically in Europe, respiratory physicians have not usually been in the forefront of caring for the critically ill respiratory patient. This is in contrast with the situation in the USA, where pulmonologists are among the first specialists to participate in the treatment of ICU patients [5]. There is however a growing interest in Europe for the role of the respiratory physician, reflected by a trend towards collaboration between intensive care specialists … ER -