Introduction:The ICU intensive care unit is a place where there is exposure to risks of various natures, such as biological, physical, chemical and organizational. The physiotherapist in the ICU is a fundamental component of the interdisciplinary team for patient care. It is up to practitioners who practice physiotherapy to work on patient functionality. Method: This is a literary review of exploratory research, of a descriptive nature, based on original articles and review published in databases. The inclusion criteria used were books, online journals, in Portuguese, English, and Spanish, published between 1998 and 2016. Objective: To describe the practical actions of physiotherapists in the face of the health risks faced in an ICU. Results: A total of 220 publications were found, with 18 publications that met the established criteria. We found information about the complexities of the ICU and the practice of the intensivist Physiotherapist, the risks and vulnerability of the physiotherapist in the ICU, standard precautions and the use of PPE. Final Thoughts: In the multidisciplinary team of the ICU the physiotherapist is an essential component to the aid to the seriously ill patient. Mobilization of the patient, removal of secretions and pulmonary reexpansion are the main methods used by these professionals in the ICU, as well as the performance in the adaptations and organization of mechanical ventilation, ventilatory weaning, and extubation in the unit. Thus, these professionals are constantly exposed to several risks in their care activities to patients ill in the ICU, both biological risks and physical risks and chemical risks.

Indicators refer to measures used to portray an existing situation, analyze changes or trends over a period of time and evaluate, in terms of quality and quantity, the health behaviors performed. Objective: To verify whether the recession in the Brazilian economy experienced from 2012 to 2018 generated changes in the in-hospital quality indicators of the state of Tocantins. Materials and Methods: This is a retrospective documentary study with data with patients admitted to the main public hospitals of Tocantins, located in the municipalities of Palmas, Araguaína and Gurupi from 2012 to 2018, available from the SUS Department of Informatics (DATASUS ), correlating health indicators with financial indicators taken from the Brazilian Institute of Geography and Statistics (IBGE) and the National Confederation of Industry (CNI) in relation to the variation in Gross Domestic Product (GDP) and the unemployment rate at national level. Results: About the correlation, it was evidenced in the GDP with the unemployment rate, mortality rate and average cost per hospitalization. The unemployment rate correlated significantly with the mortality rate and length of stay. Conclusion: The scenarios presented during the years analyzed, regarding health-economic development, show the impact generated by the negative performance of Brazil's gross domestic product in the state of Tocantins.

Background: The number of patients who remain on prolonged mechanical ventilatory assistance has recently increased. The average length of hospital stay intervenes directly with the number of beds essential for assistance to a given population and is weighted as an indicator of service efficiency. Objective: To investigate the average time in which patients on mechanical ventilation admitted to the emergency department of a hospital remain waiting for a place in the ICU. Materials and Methods: Quantitative field research, where data collection was performed using data from medical records, admission books, death books / outcome of hospitalized patients and in line with pre-established criteria under mechanical ventilation. Mechanical ventilation patients admitted to the ER and the ICU, over 18 years old, were recruited. Results: The research comprises a sample of 67 patients. The average hospital stay was 334 hours and 36 minutes. The general ratio was for every 03 patients who entered for treatment, 01 was discharged and 02 died. The total mortality rate of the sample was 68.65%. Conclusion: The length of stay in ER and ICU in patients on mechanical ventilation is related to the high mortality rate.

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