Adult Surviving Sepis Campaign Guidelines (Hour-1 Bundle) Children's Surviving Sepsis Campaign Guidelines
Adult ICU Liberation Guidelines and Bundle (A-F)
Management of Adults with COVID-19
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SCCM is updating its SCCM Connect Community. Access to SCCM Connect may be limited until April 23.
SCCM has announced the cancelation of the 2022 Critical Care Congress in-person event and the postponement of the virtual event to April 18-21, 2022. Please visit sccm.org/congress2022 for important details.
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The Drug Shortage Task Force provides information on the safe and consistent management of drug shortages as well as on additional resources and strategies.
Intravenous (IV) sodium bicarbonate syringes and vials have previously and sporadically been affected by shortages due to manufacturer discontinuation and/or increased demand. More details can be found here: http://www.ashp.org/shortages. In addition to this brief summary, the SCCM Drug Shortages Task Force has developed a detailed review of common uses of IV sodium bicarbonate in the ICU and suggested management strategies. The recommendations provided are based on a combination of the current evidence as well as the need for conservation during this shortage.
To formulate and implement alternative plans in the face of drug shortages in the intensive care unit, timely and accurate information on drug supply is critical. Because the status of a drug shortage can change rapidly and information exists in multiple areas, the Society of Critical Care Medicine’s Drug Shortages Task Force has compiled a list of websites as a resource for members.
The Society of Critical Care Medicine’s (SCCM) Drug Shortage Task Force has identified a shortage leading to variable availability of intravenous loop diuretics, including bumetanide, furosemide, and torsemide. The task force has recommended management strategies, outlined alternative drugs and dosing and suggested pharmacotherapeutic considerations.
SCCM released a statement to media imploring the public to rise to the challenge and follow recommended public health measures, such as mask wearing, social distancing, hand hygiene, avoiding large groups and staying home as much as possible.
COVID-19 - SCCM Joint Statement. Production and distribution of personal protective equipment (PPE) and life-saving equipment.
SCCM COVID-19 Report. Nearly 5,000 U.S. intensive care unit (ICU) clinicians say that their ICUs are not prepared for the potential onslaught of COVID-19 patients. According to the Society of Critical Care Medicine's (SCCM) ICU Readiness Assessment Report, their specific concerns range from shortages of supplies and staff, patient surge and overcrowding, and personal protective equipment.
This study queried United States (U.S.) ICU clinician perspectives on ICU preparedness and concerns regarding delivering COVID-19 patient care.
From Critical Care Explorations The authors profiled plasma inflammatory analytes to help understand the host response to COVID19.
From Critical Care Explorations. This review article investigates how gender difference can affect the disease severity of COVID-19 infection.
From Pediatric Critical Care Medicine. The authors discuss the immediate need to become quickly prepared for overwhelming patient care and health system needs, and the usefulness of simulation.
From Critical Care Explorations. This commentary discussed how fear (both rational and irrational) influences application of evidence-based data in the ICU during pandemics.
From Critical Care Medicine. The editors of Critical Care Medicine discuss the challenge during current pandemic of discerning data from anecdote, information from observation, and ultimately signal amidst noise.
From Critical Care Medicine. The authors look at Sprung et al. article ("Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival" and the question: Is it ever ethical to remove a ventilator from a patient in order to reallocate it to another we believe would derive more benefit from it?
From Pediatric Critical Care Medicine. In this report, the authors describe the use and impact of a targeted strategy for international collaboration and rapid information dissemination on Twitter among members of the pediatric critical care community during a global pandemic.
From Critical Care Explorations. The authors report their experience in Switzerland with regard to ICU organization and anticipation, as well as patient characteristics, treatment, and outcomes.
From Critical Care Explorations. In this article, the authors review current approaches to the molecular diagnosis of coronavirus disease 2019.
From Critical Care Medicine. In this study, the authors state their data suggest that a ""higher” positive end-expiratory pressure approach in patients with severe acute respiratory syndrome coronavirus 2 acute respiratory distress syndrome and high compliance improves oxygenation and lung aeration but may result in alveolar hyperinflation and hemodynamic alterations.
From Critical Care Medicine. In this Editorial, the authors comment on the article by Liu et al. “Evaluation of the Risk Prediction Tools for Patients With Coronavirus Disease 2019 in Wuhan, China: A Single-Centered, Retrospective, Observational Study” and note that tools developed for general critical illness can be leveraged for COVID-19 patient care.
From Critical Care Explorations. In this Letter to the Editor from London, the authors share experiences with an integrated model of surgical tracheostomy weaning of respiratory critical care patients by a specialist mobile weaning team, using tracheostomy-licensed ventilators, and noted that it appears safe, effective and may be transferrable to other healthcare systems where ICU resource limitation is a reality during the COVID-19 pandemic.