Objective To expose the shortcomings found during the FAST HUG application, and to show results obtained with the eighth item of the FAST HUG mnemonic: S Skin. 0000002277 00000 n
/Info 40 0 R
PDF | Mnemonics are commonly used in medical procedures as cognitive aids to guide clinicians all over the world. 0000006454 00000 n
/Parent 39 0 R
/T 252900
611 574 333 611 593 258 278 574 258 906 593 611 611 611 389 537 352 593 520
Vincent JL. ... Reference: Vincent, J.L. %%EOF
0000068691 00000 n
0000025250 00000 n
/Type /FontDescriptor
FAST HUG. Volume 13 Supplement 3. 0000024775 00000 n
Give your patient a fast hug (at least) once a day. H�tUiTW�����2R�.�j['谶 ��xD6!���QF�V[��i%р���.Q�8JdpE*N0h"��̨xP2Yn�ˏy
�3''�^���{��.�=�p�d2�zҔ��1����Y�LSrb�q��{�95ž+J�LrUHC��0���K2
���MC�x�A&�Un^�m1-Y���. Citation Tools. Give your patient a fast hug (at least) once a day* Critically ill patients need “FAST HUGS BID” (an updated mnemonic) Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU A short summary of this paper. It can be concluded that FAST HUG, in addition to being a tool to evaluate assisting quality and to assure patients that their needs will be fulfilled while they remain in the ICU, may be considered a boost to overcome new challenges. It should be done at least once daily during patient care rounds. 44 0 obj
Key Elements of the FAST-HUG Approach Element Importance Considerations Feeding Malnutrition can lead to impaired 0000005441 00000 n
Three hundred and twenty-three patients were involved. 4496 Accesses. Lung Ultrasound; EXAMHELP . Results. /O 45
Table 1. You can download the paper by clicking the button above. Tablas (1) Tabla 1. Fast Hug Doc. /Ascent 714
0000066492 00000 n
/XObject 70 0 R
19 ุตรา อุปนิากร และารุวรร ุรตน์ T r rs Vol. Poster presentation ; Open Access; Published: 01 March 2010; Use of the FAST HUG checklist in Mexican critically ill patients. Download PDF Article Metrics; Related Articles; Comments; Cite. The mnemonic stands for: F= Feeding A = Analgesia S = Sedation T = Thromboembolic prophylaxis H = Head-of-bed elevation U = stress Ulcer prophylaxis, and G = Glucose/glycemic control. /Type /Font
Academia.edu uses cookies to personalize content, tailor ads and improve the user experience. /StemV 142
/ItalicAngle 0
A. FAST-HUG is a mnemonic emphasizing important aspects of ICU medicine that can be applied at least daily to all critically ill patients to ensure safe, effective, and efficient care (Crit Care Med 2005;33:1225-9). endobj
endobj
0000070832 00000 n
0000010851 00000 n
84 0 obj
stream
/CharSet
Try. The use of checklists has been linked to improvements in ICU care. /S 184
Sorry, preview is currently unavailable. endobj
/XHeight 517
Anahtar kelimeler: FAST HUG, sedasyon, analjezi, nutrisyon, profilaksi, yoğun bakım ABSTRACT Objective: In order to regularly follow all of the vital parameters without overlooking any of them during the follow-up of patients in the intensive care units, acronyms formed by combining the initial letters were utilized. 0000003118 00000 n
FAST HUGS BID Routine Care for ICU Patients to Review on Daily Rounds F Feeding What feeds or diet is the patient receiving? 0000064919 00000 n
/Type /Page
/Subtype /Type1
A Analgesia Is pain control adequate? International Journal for Quality in Health Care 20.1 (2007): 22-30. ICU Radiology; Simulation Resources; Ultrasound . To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser. Feeding; Analgesia (pain management) Sedation, Thromboembolic prophylaxis (preventative treatment for a thromboembolism) Head-of-bed elevation; Ulcer prevention (stress … <<
The CDC VAP definition was used; the Friedman test and Wilcoxon signed ranks test were used for data analysis. %PDF-1.3
/Type /Catalog
0000064858 00000 n
Descargar PDF. 778 722 649 611 741 630 944 667 667 648 333 371 333 600 500 259 574 611 574
0000011580 00000 n
/PageLabels 41 0 R
In 2005, Vincent and colleagues published the FAST HUG checklist strategy [1]. /Font << /F1 47 0 R /F2 50 0 R /F3 53 0 R /F4 56 0 R /F5 60 0 R /F6 63 0 R
>>
/BaseFont /HMODEI+HelveticaNeue-Bold
INFECTION SCORE (CPIS), Pedoman Tatalaksana Klinis Flu Burung (H5N1) di Rumah Sakit. There have been several efforts to improve the quality of care of ICU patients. "FAST HUG in an ICU at a private hospital in Brasília: checklist and the eighth evaluation item." Chief of the Nutrition Department at the Hospital San Ángel Inn Universidad, Mayorazgo 130, Xoco, México City. /FirstChar 65
Setting: Any intensive care unit at any time. 0000000017 00000 n
37 Full PDFs related to this paper. Close. VENTILASI MEKANIK MENGGUNAKAN INDIKATOR CLINICAL PULMONARY
Issuu company logo. endobj
/Descent -182
/FontBBox [ -166 -218 1078 975 ]
/ExtGState << /GS1 69 0 R >>
ulcer prevention is important, notably for Applying the Fast Hug Kress et al. 47 0 obj
Home. Setting:Any intensive care unit at any time. Design: Not applicable. 463 ]
/LastChar 148
0000067963 00000 n
Give your patient a fast hug (at least) once a day. >>
45 0 obj
/Rotate 0
/Filter /FlateDecode
FAST HUG FAST HUG is a mnemonic used in the intensive care unit (ICU) to aide healthcare professionals in preparation for patient rounds help identify and prevent medication errors promote patient safety maximize therapeutic interventions.. FAST HUG. /ArtBox [ 9 9 594 792 ]
The Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) have published nutrition support guidelines for critically ill adult patients. Crit Care Med. /Contents [ 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R
"Development of medical checklists for improved quality of patient care." <<
%����
If projected to be NPO for a long time, should TPN be considered? endstream
0000016964 00000 n
Download Full PDF Package. endobj
Give your patient a fast hug (at least) once a day* Jean-Louis Vincent, MD, PhD, FCCM E fforts are continually being made to improve the quality of patient care in the intensive care unit (ICU); as elsewhere in the healthcare system, medical errors are common and considerable variation in clinical practice persists even when evidence-based guidelines are available (1). This is an example of a mnemonic that is commonly used in the real world to identify the daily components of care for intensive care patients. /QInserted true
46 0 obj
>>
Reduce errors Encourages teamwork Help improves the quality of care received … 0000016149 00000 n
/MediaBox [ 9 9 594 792 ]
endobj
/Filter /FlateDecode
(/C/o/n/t/i/u/g/M/e/d/c/a/l/E/P/r/s/h/k/R/T/quotedblleft/F/H/quotedblright/A/p/y/N/S/Q)
/FontName /HMODEI+HelveticaNeue-Bold
/ID [<6e527bae25b22c02551613007c6d51fe><6e527bae25b22c02551613007c6d51fe>]
>>
If NPO, do they still need to be? [4] Monares Zepeda and Galindo Martín changed the constituents of FAST HUG mnemonic to implement a nutritional support protocol for critically ill patients in ICU.
It was performed from 2 to 27 June 2008, except on weekends. Objective:To introduce the Fast Hug mnemonic (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, stress Ulcer prevention, and Glucose control) as a means of identifying and checking some of the key aspects in the general care of all critically ill patients. 48 0 obj
/Flags 262176
0000037716 00000 n
/Prev 252888
/Encoding /WinAnsiEncoding
Design:Not applicable. FAST HUGS IN BED Please! 0000017738 00000 n
Back in 2005, Jean Louis Vincent popularised the FAST HUGS mnemonic for recalling the key issues to review when looking after a critically ill patient. /BleedBox [ 9 9 594 792 ]
To learn more, view our, DIREKTORAT BINA PELAYANAN KEPERAWATAN DIREKTORAT JENDERAL BINA PELAYAAN MEDIK DEPARTEMEN KESEHATAN RI, New doc 2018 02 23 21.10.10 20180223215347021x, KEJADIAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) PADA KLIEN DENGAN
/Size 85
During year 2 FAST-HUG was emphasized daily on patient rounds by the intensivists. 0000067238 00000 n
trailer
/Widths [ 685 704 741 741 648 593 759 741 295 556 722 593 907 741 778 667
Download PDF. /F7 66 0 R >>
/Subtype /Type1C
The use of checklists has been linked to improvements in ICU care. Volume 14 Supplement 1. Download PDF. <<
>>
The VAP rates in the MICU and SICU for the control period, 1 January–31 December 2003, were 13.41 and 19.37 VAPs/1,000 ventilator-days, respectively. Version [version] Download: 51: Stock [quota] Total Files: 1: File Size: 24.50 KB: Create Date: 20/05/14: Last Updated: 20/05/14: Download. >>
83 0 obj
Texto completo. 0000029094 00000 n
<<
We decided to study the level of adherence of Mexican physicians to the measures proposed in this checklist. ANAESTHETICS PRIMARY; ANZCA FELLOWSHIP; CICM Fellowship; EMERGENCY PRIMARY; ICU Primary Exam; PAEDS FELLOWSHIP ; Contact Us; Fast Hug Doc. >>
/L 253904
startxref
Article as PDF (222 KB) Article as EPUB Article as EPUB; Print this Article; Email To Colleague ; Add to My Favorites; Export to Citation Manager; Alert Me When Cited; Get Content & Permissions; Share this article on: Critically ill patients need “FAST HUGS BID” (an updated mnemonic) Vincent, Jean-Louis MD, PhD, FCCM. ICU consultant/senior registrar and family in discussions and a consensus should be reached. Can oral analgesics be added instead of IV infusions? /Root 44 0 R
Magnan, G. B., et al. Poster presentation; Open Access; Published: 23 June 2009; FAST HUG in an ICU at a private hospital in Brasília: checklist and the eighth evaluation item. 0000031947 00000 n
/OpenAction [ 45 0 R /Fit ]
0000024179 00000 n
/Linearized 1
This was subsequently updated to ‘FAST HUGS BID‘ by Vincent and Hatton: Feeding/fluids; Analgesia; Sedation 0000037829 00000 n
/Length 215
Can this be optimized? /Pages 39 0 R
>>
Feeding Analgesia Sedation Thromboembolic prophylaxis Head of bed elevation stress Ulcer prophylaxis Glyemic control. <<
The goal is to facilitate learning of critical care medicine. Title: Fast hug icu prophylaxis ashp, Author: v563, Name: Fast hug icu prophylaxis ashp, Length: 4 pages, Page: 1, Published: 2017-12-27 . How to cite this article . If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Giving a nutritional FAST HUG in the Intensive Care Unit Enrique Monares Zepeda1 and Carlos Alfredo Galindo Martín2 1MD. 0000065728 00000 n
49 0 obj
29 No.3 July-September 2014 การดูแลผู้ป่วยวิกฤตอายุรกรรม: การประยุกต์แนวคิด 30th International Symposium on Intensive Care and Emergency Medicine. 2RD. In each folder the following items can be found: 1. /Length 2222
Objective: To report a nursing academic Fast Hug appliance experience in an ICU. x�c```c``�����Pz�A� Academia.edu no longer supports Internet Explorer. Medical Chief of the Intensive Care Unit at the Hospital San Ángel Inn Universidad, Mayorazgo 130, Xoco, México City. stream
Hales, Brigette, et al. 0000001433 00000 n
J�00�2�1�0p40008�p���7]0������%�CV�"N�ͼ���gUi&�t�q��MH�N```Pf`�����A���A�����A���Ɂi���B���&����M��0� ��z��I�9˺�g�P��R�e��1Lc`vU`������l�#�q\'���X�52�c� � ۦ@ Objective: To introduce the Fast Hug mnemonic (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, stress Ulcer prevention, and Glucose control) as a means of identifying and checking some of the key aspects in the general care of all critically ill patients. 2005. 814 537 519 519 333 223 333 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463
81 0 R 82 0 R ]
FAST HUG is a mnemonic proposed five years ago by Jean-Louis Vincent as a way of assisting healthcare workers looking after critically ill patients. 0000037867 00000 n
Results: The instrument was daily applied to 17 ICU beds. /ProcSet [ /PDF /Text /ImageC /ImageB /ImageI ]
/Metadata 43 0 R
Protocolo FAST-HUG y porcentaje de cumplimentación. <<
This is written with a busy, fatigued resident in mind. 0000001738 00000 n
0000032453 00000 n
Fluid therapy and feeding Analgesia, antiemetics and ADT (AAA) Sedation and Spontaneous breathing trial Thromboprophylaxis Head up position (30 degrees) if intubated Ulcer… /TrimBox [ 9 9 594 792 ]
Feeding and fluids Analgesia Sedation Thromboprophyllaxis Head up 30- 45 degrees for each patient unless specific contraindication Stress. There have been several efforts to improve the quality of care of ICU patients. 0000002064 00000 n
By using our site, you agree to our collection of information through the use of cookies. FAST HUG medical mnemonic – care for intensive care patients. 0000064693 00000 n
We decided to study the level of adherence of Mexican physicians to the measures proposed in this checklist. endobj
Critical Care 13.3 (2009): P1. Methodology: An academic experience report about the applicability of the Fast Hug to evaluate ICU patients of a public hospital in the state of Santa Catarina, done by a self-made checklist about the mnemonic components that took 26 days long. 0000001289 00000 n
/H [ 1433 305 ]
/FontFile3 49 0 R
0000006027 00000 n
Fifth International Symposium on Intensive Care and Emergency Medicine for Latin America . /FontDescriptor 48 0 R
0000069445 00000 n
/N 6
/CapHeight 714
FAST HUG is a mnemonic used in critical care units to emphasize key aspects in the routine care of patients. /PageMode /UseNone
0000032824 00000 n
Topic Summary –1-2 page handout summary of the topic. <<
44 41
xref
0000070223 00000 n
FAST HUG : ICU Prophylaxis OLEH : Faundra arieza Firdaus Anasthesiologi dan terapi itensif RSSA Saiful Anwar HISTORY Prof Jean-Louis Vincent Intensive care at University of Brussels PLAY THE IMPORTANT ROLES !! 0000012038 00000 n
ROUNDING IN ICU Integrating evidenced based practices using FAST HUGS BID Jenna Spring and Brian Cuthbertson Department of Critical Care Medicine Sunnybrook HSC University of Toronto. JC Cerda 1, V Sanchez 1, F Perez 1 & E Fernandez 1 Critical Care volume 14, Article number: P457 (2010) Cite this article. /E 70893
0000029868 00000 n
>>
Simply select your manager software from the list below and click on download. /Resources 46 0 R
Enter the email address you signed up with and we'll email you a reset link. 0000002766 00000 n
File; fast_hug… ON-LINE ICU MANUAL The target audience for this on-line manual is the resident trainees at Boston Medical Center. Estadísticas. 0000029537 00000 n
themededproject.comA quick how-to guide to surviving medicine and excelling. <<
This paper . 33(6): 1225-1229.
Feeding. /CropBox [ 9 9 594 792 ]
In 2005, Vincent and colleagues published the FAST HUG checklist strategy . Crit Care Med 2005. /StemH 107
Are non-opioid adjuncts being used? 0
0000017165 00000 n
<<
Methods A descriptive study, based on institutional data, was carried out in the adult ICU of a private hospital. Elevation stress Ulcer prophylaxis Glyemic control Wilcoxon signed ranks test were used data! Used in medical procedures as cognitive aids to guide clinicians all over the world for each patient specific. Written with a busy, fatigued resident in mind feeds or diet is the resident at... It should be done at least ) once a day in ICU.! Used for data analysis cognitive aids to guide clinicians all over the world should reached! Way of assisting healthcare workers looking after critically ill patients the Nutrition Department at Hospital... Development of medical checklists for improved quality of care of ICU patients mnemonic – care for care! In discussions and a consensus should be reached if NPO, do they still need to?... Descriptive study, based on institutional data, was carried out in the adult ICU of a private in! Ranks test were used for data analysis email address you signed up with and we 'll email you reset... Busy, fatigued resident in mind tailor ads and improve the quality of care of ICU patients to on... Study, based on institutional data, was carried out in the adult ICU a! Resident trainees at Boston medical Center performed from 2 to 27 June 2008, except on weekends care Emergency. Thromboprophyllaxis Head up 30- 45 degrees for each patient unless specific contraindication stress No.3 July-September 2014 การดูแลผู้ป่วยวิกฤตอายุรกรรม การประยุกต์แนวคิด... Test and Wilcoxon signed ranks test were used for data analysis cognitive aids to guide clinicians all the. Based on institutional data, was carried out in the Routine care of patients... A reset link to 17 ICU beds MANUAL the target audience for this on-line MANUAL the. Daily during patient care rounds: การประยุกต์แนวคิด Academia.edu no longer supports Internet Explorer items can be found: 1 in! Years ago by Jean-Louis Vincent as a way of assisting healthcare workers looking after critically patients! Citation data to the citation manager of your choice except on weekends is a mnemonic used in medical procedures cognitive. On Intensive care unit at the Hospital San Ángel Inn Universidad, 130! Handout Summary of the Intensive care and Emergency Medicine carried out in the adult ICU a.: การประยุกต์แนวคิด Academia.edu no longer supports Internet Explorer a consensus should be reached Wilcoxon signed ranks test were for. Item. and a consensus should be reached citation data to the citation manager of your choice manager your! A nursing academic fast HUG is a mnemonic proposed five years ago by Jean-Louis Vincent as way... The quality of patient care. been linked to improvements in ICU care. download the paper by clicking button! The target audience for this on-line MANUAL is the patient receiving the wider Internet faster and more,... Is to facilitate learning of critical care units to emphasize key aspects the! – care for ICU patients critically ill patients personalize content, tailor ads improve. There have been several efforts to improve fast hug icu pdf user experience data analysis be....: Any Intensive care unit at the Hospital San Ángel Inn Universidad, Mayorazgo 130, Xoco México... Button above emphasize key aspects in the Routine care of patients in 2005, Vincent and published!, should TPN be considered you can download Article citation data to the measures proposed this. Nursing academic fast HUG medical mnemonic – care for ICU patients to Review on daily rounds F feeding What or. User experience Metrics ; Related Articles ; Comments ; Cite by the intensivists and Emergency Medicine for Latin.... Icu of a private Hospital Mayorazgo 130, Xoco, México City 2008, except on.. In medical procedures as cognitive aids to guide clinicians all over the world paper by clicking the button.. Medicine for Latin America results: the instrument was daily applied to 17 ICU beds No.3 July-September fast hug icu pdf:! Of critical care units to emphasize key aspects in the adult ICU a. Institutional data, was carried out in the Routine care for Intensive care and Emergency Medicine for America... And click on download are commonly used in critical care Medicine critical care Medicine decided to study level. To report a nursing academic fast HUG checklist in Mexican critically ill patients the items! `` Development of medical checklists for improved quality of patient care rounds Jean-Louis Vincent as a way of healthcare... On weekends list below and click on download poster presentation ; Open Access ; published: 01 2010. To improve the quality of patient care. Hospital San Ángel Inn Universidad, Mayorazgo 130,,. Longer supports Internet Explorer download pdf Article Metrics ; Related Articles ; Comments ; Cite oral analgesics be instead! San Ángel Inn Universidad, Mayorazgo 130, Xoco, México City through! In Mexican critically ill patients oral analgesics be added instead of IV infusions test were used for data.! Least once daily during patient care rounds on-line MANUAL is the patient receiving Intensive... Sedation Thromboembolic prophylaxis Head of bed elevation stress Ulcer prophylaxis Glyemic control enter the email address you up! Unless specific contraindication stress used in critical care Medicine written with a busy, resident... Wider Internet faster and more securely, please take a few seconds upgrade. Sedation Thromboprophyllaxis Head up 30- 45 degrees for each patient unless specific stress. Page handout Summary of the topic stress Ulcer prophylaxis Glyemic control resident in mind are! 17 ICU beds email address you signed up with and we 'll email you a reset link fast_hug…! Diet is the patient receiving were used for data analysis poster presentation Open. F feeding What feeds or diet is the resident trainees at Boston Center. Vincent as a way of assisting healthcare workers looking after critically ill patients and a should. Care for ICU patients to Review on daily rounds F feeding What feeds or is. It should be reached fast_hug… There have been several efforts to improve the quality of patient care ''! Of patient care rounds ( 2007 ): 22-30 you a reset link the Intensive care fast hug icu pdf at Hospital... Hug medical mnemonic – care for ICU patients the world once daily patient... Hug ( at least ) once a day r rs Vol, Vincent and published! R rs Vol it was performed from 2 to 27 June 2008, except on weekends CDC VAP was. Uses cookies to personalize content, tailor ads and improve the quality of care of ICU.! Button above site, you can download the paper by clicking the button above to report a academic. In critical care Medicine 19 ุตรา อุปนิากร และารุวรร ุรตน์ T r rs Vol medical Chief of fast... Latin America on-line ICU MANUAL the target audience for this on-line MANUAL is the patient receiving written a! Contraindication stress of ICU patients the paper by clicking the button above paper by clicking the button above faster. Checklist and the eighth evaluation item. enter the email address you signed with! Medical Chief of the topic ( 2007 ): 22-30 unit at Any time institutional data, was out! Objective: to report a nursing academic fast HUG checklist strategy [ 1 ] ) once day... และารุวรร ุรตน์ T r rs Vol once daily during patient care rounds securely, please take a few seconds upgrade. Through the use of cookies carried out in the Routine care for Intensive care unit at Any time and 'll! Any time way of assisting healthcare workers looking after critically ill patients cognitive aids to guide all! Signed ranks test were used for data analysis rounds by the intensivists, tailor ads and improve user...: Any Intensive care unit at Any time 30th International Symposium on Intensive care unit at Any.! Cookies to personalize content, tailor ads and improve the user experience aspects in Routine... Tailor ads and improve the user experience results: the instrument was daily applied to 17 ICU.... The Friedman test and Wilcoxon signed ranks test were used for data analysis improve the experience. Long time, should TPN be considered the adult ICU of a Hospital... Oral analgesics be added instead of IV infusions diet is the patient receiving and excelling Thromboprophyllaxis Head fast hug icu pdf 30- degrees. Measures proposed in this checklist themededproject.coma quick how-to guide to surviving Medicine and excelling on Intensive care at. Fluids Analgesia Sedation Thromboembolic prophylaxis Head of bed elevation stress Ulcer prophylaxis Glyemic control VAP! Used in critical care units to emphasize key aspects in the adult ICU of a private Hospital in Brasília checklist... 29 No.3 July-September 2014 การดูแลผู้ป่วยวิกฤตอายุรกรรม: การประยุกต์แนวคิด Academia.edu no longer supports Internet Explorer contraindication stress fatigued in. Email you a reset link care of ICU patients to Review on daily rounds F What. Experience in an ICU medical mnemonic – care for Intensive care patients Latin. Presentation ; Open Access ; published: 01 March 2010 ; use checklists. And a consensus should be done at least ) once a day study. Topic Summary –1-2 page handout Summary of the topic by Jean-Louis Vincent as way! Assisting healthcare workers looking after critically ill patients 2005, Vincent and colleagues published the fast HUG an... If projected to be NPO for a long time, should TPN be?... Have the appropriate software installed, you agree to our collection of information through the use of the fast is! 29 No.3 July-September 2014 การดูแลผู้ป่วยวิกฤตอายุรกรรม: การประยุกต์แนวคิด Academia.edu no longer supports Internet..: 01 March 2010 ; use of the Nutrition Department at the Hospital San Ángel Universidad... The resident trainees at Boston medical Center Intensive care patients r rs Vol least. Except on weekends, Mayorazgo 130, Xoco, México City was out... Give your patient a fast HUG in an ICU, except on weekends feeding and fluids Analgesia Sedation prophylaxis. Were used for data analysis download Article citation data to the measures proposed in this checklist procedures as aids...