Tag: Coronavirus

Editorial - Coronavirus Disease 2019 Triage Teams: Death by Numbers
From Critical Care Medicine. An editorial associated with Sprung et al. article ("Adult Intensive care unit triage during the COVID-19 pandemic - Who will live and who will die? Recommendations to improve survival"), stating that the concept of the triage committee has disturbing flaws.

Coronavirus, COVID-19, Triage

Editorial: Cardiopulmonary Resuscitation in Coronavirus Disease 2019: Rebalancing Risk, Reward, and Autonomy
From Critical Care Medicine

In this editorial, the authors discuss the risks of healthcare professionals performing cardiopulmonary resuscitation on coronavirus disease 2019 patients.

Cardiovascular, Coronavirus, COVID-19, Resource Allocation

Editorial: Coronavirus Disease 2019 Acute Respiratory Failure: Almitrine Drug Resuscitation or Resuscitating Patients by Almitrine?
From Critical Care Medicine

In this editorial, the author discusses the seeming benefits of using almitrine for severe hypoxia in patients with coronavirus disease 19 induced acute respiratory distress syndrome.

ARDS, Cardiovascular, Coronavirus, COVID-19

Editorial: Coronavirus Disease 2019 Prediction Modeling: Everything Old Is NEWS Again
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.

Coronavirus, COVID-19

Editorial: Coronavirus Disease 2019: A Tsunami of Data and a Plethora of Unanswered Questions
From Pediatric Critical Care Medicine. In this editorial, the author discusses issues emerging from the study by Bhumbra et al. (Clinical features of critical coronavirus disease 2019 in children) that are worthy of discussion and further exploration, including the predilection for racial minorities, similarities and differences to sepsis, wide expression of clinical disease, and the conundrum of providing family centered care.

Coronavirus, COVID-19, pediatrics, Sepsis

Editorial: Dealing With the CARDS of COVID-19
From Critical Care Medicine. An editorial associated with the Mauri et al. article on personalized ventilation for COVID-19 ARDS patients.

ARDS, Coronavirus, COVID-19

Editorial: Delivering Care From an Unstable Evidence Base: The Evolving Care of Coronavirus Disease 2019 Through the Lens of High-Flow Nasal Oxygen
From Critical Care Medicine. In this Editorial, the authors discuss the challenges of caring for patients with COVID-19 without evidence to guide them through the lens of high-flow nasal oxygenation and how there have been slow changes for improvement.

Coronavirus, COVID-19, Therapies, Ventilatory Support

Editorial: Extracorporeal Membrane Oxygenation During the Coronavirus Disease 2019 Pandemic
From Critical Care Medicine. In this editorial, the authors discuss the important role of extracorporeal membrane oxygenation as a rescue therapy for patients with SARS-CoV-2 pneumonia associated with severe ARDS.

Coronavirus, COVID-19, ECMO

Editorial: Financial Toxicity After Hospitalization; Considerations in Coronavirus Disease 2019 Recovery
From Critical Care Medicine. In this Editorial, the authors comment on an article by Hauschildt et al. (Financial Toxicity After Acute Respiratory Distress Syndrome: A National Qualitative Cohort Study).

Coronavirus, COVID-19

Editorial: Finding the Right Ethical Framework for PICU Resource Allocation During a Pandemic
From Pediatric Critical Care Medicine. An editorial in response to an article by Killien et al. on resource "Prediction of Pediatric Critical Care Resource Utilization for Disaster Triage," noting that, although uniform use of the version of PELOD-2 proposed by Killien et al. won’t eliminate all variation from resource allocation strategies, finding any common ground in resource triage schemes is an important first step.

Coronavirus, COVID-19, Pediatrics, Triage

Editorial: Lessons Learned From the Front Line: Outcomes of Noninvasive Ventilation for Coronavirus Disease 2019 Pneumonia in China
From Critical Care Medicine. In this Editorial, the authors look at the study by Wang et al. (Clinical Features of Coronavirus Disease 2019 Patients With Mechanical Ventilation: A Nationwide Study in China)

Coronavirus, COVID-19, Supportive Care

Editorial: Pediatric Sepsis in the Time of Coronavirus Disease 2019
From Pediatric Critical Care Medicine. In this editorial, the author reviews ""Perspectives on Pediatric Sepsis in Patients with COVID-19"" from the Surviving Sepsis Campaign Pediatric Guidelines Taskforce authors.
 

Coronavirus, COVID-19, pediatrics, Sepsis

Editorial: Survival From Severe Coronavirus Disease 2019: Is It Changing?
From Critical Care Medicine

In this editorial, the authors discuss the factors behind why patients had a higher likelihood of surviving coronavirus disease 2019 in June 2020 compared to March 2020.

Coronavirus, COVID-19, Statistics

EEG Changes Associated with COVID-19
An expert panel representing the Society of Critical Care Medicine (SCCM) and the Neurocritical Care Society (NCS) teamed up to discuss cEEG monitoring and implementation of a cEEG program in COVID-19 patients, seizure detection, utility and treatment implications, along with practical considerations.

Coronavirus, COVID-19, EEG

Effects of Positive End-Expiratory Pressure in “High Compliance” Severe Acute Respiratory Syndrome Coronavirus 2 Acute Respiratory Distress Syndrome
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.
 

ARDS, Coronavirus, COVID-19, Therapies

Emerging Data on Co-Infections and Secondary Infections in Patients With COVID-19
This presentation is an overview of the emerging data on co-infections and secondary infections seen with COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coinfections, Coronavirus, COVID-19, Infection Control

Emerging Vaccines Overview
The original webcast served as a COVID-19 vaccination primer that can be used by all types of healthcare workers (HCWs) to help them prepare for Operation Warp Speed and the mass vaccination efforts in the United States. This section of the webcast focused on an emerging vaccines overview. Webcast Recorded on Friday, January 8, 2021

Coronavirus, COVID-19, Vaccines

Endothelial Injury and Glycocalyx Degradation in Critically Ill Coronavirus Disease 2019 Patients: Implications for Microvascular Platelet Aggregation
From Critical Care Explorations. The authors found that thrombosis profiling identified endothelial activation and glycocalyx degradation in coronavirus disease 2019 positive patients and believe that the data from this study suggest that medications to protect and/or restore the endothelial glycocalyx, as well as platelet inhibitors, should be considered for further study.

Coronavirus, COVID-19, Diagnosis and Testing, Therapies

Endotracheal Intubation Confirmation With Point-of-Care Ultrasound
This presentation covers endotracheal intubation confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Ultrasound

Epiglottitis Case: A Unique Presentation of COVID-19 Infection
This resource is an case presentation of epiglottitis and COVID-19. This is a community developed COVID-19 microlearning resource.

Case Presentations, Community Developed, Coronavirus, COVID-19

Establishing Pharmacy Services in an Alternate Care Site
This presentation discusses how to best organize a pharmacy at an alternate care site. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation

Evaluation of Coronavirus Disease 2019 Severity Using Urine Biomarkers
From Critical Care Explorations. The authors conducted a study to determine whether noninvasive urine biomarkers can predict the clinical severity of coronavirus disease 2019.

Coronavirus, COVID-19, Diagnosis and Testing

Evaluation of the Efficacy and Safety of Inhaled Epoprostenol and Inhaled Nitric Oxide for Refractory Hypoxemia in Patients With Coronavirus Disease 2019
From Critical Care Explorations

In this study, the authors evaluated the efficacy and safety of inhaled epoprostenol and inhaled nitric oxide in patients with refractory hypoxemia secondary to coronavirus disease 2019.

Coronavirus, COVID-19, Therapies

Evaluation of the Risk Prediction Tools for Patients With Coronavirus Disease 2019 in Wuhan, China: A Single-Centered, Retrospective, Observational Study
From Critical Care Medicine. In this study from China, the authors evaluated and compared the efficacy of National Early Warning Score, National Early Warning Score 2, Rapid Emergency Medicine Score, Confusion, Respiratory rate, Blood pressure, Age 65 score, and quick Sepsis-related Organ Failure Assessment on predicting in-hospital death in patients with coronavirus disease 2019.

Coronavirus, COVID-19

Evidence-based COVID-19 ICU Management Guide v2
This resource is a guide for evidence-based COVID-19 ICU management. This management guide was not intended to be a therapeutic guide, therefore information on any specific COVID-19 treatments have not been covered. British Columbia has a therapeutics committee in coordination with BCCDC which publish separate, regularly updated guidelines on this subject. This guide is currently available for reference by staff working in Vancouver Coastal Health in all areas managing COVID-19 patients. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Diagnosis and Testing

Experience With Cardiology-Oriented Outcomes in Critically Ill Patients With Coronavirus Disease 2019
From Critical Care Explorations

The authors share data and recommendations from a multidisciplinary team to highlight our institution’s clinical experiences and guidelines for managing cardiovascular complications of coronavirus disease 2019.

Coronavirus, COVID-19

Extended Use of Personal Protective Equipment​ for COVID-19​
This presentation covers how to use PPE long-term during a disaster. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Infection Control, PPE

Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019-Induced Acute Respiratory Distress Syndrome: A Multicenter Descriptive Study
From Critical Care Medicine. This study aims to summarize the clinical features, ECMO characteristics, and outcomes of patients with SARS-CoV-2 pneumonia receiving ECMO. The authors conclude ECMO might be an effective salvage treatment for patients with SARS27 CoV-2 pneumonia associated with severe ARDS. Severe CO2 retention and acidosis 28 prior to ECMO indicated a poor prognosis.

Coronavirus, COVID-19, ECMO

Extracorporeal Membrane Oxygenation for Pediatric Patients With Coronavirus Disease 2019–Related Illness
From Pediatric Critical Care Medicine. The authors describe current hospital guidelines and the opinions of extracorporeal membrane oxygenation leaders at U.S. children’s hospitals concerning the use of extracorporeal membrane oxygenation for coronavirus disease 2019–positive pediatric patients.

Coronavirus, COVID-19, ECMO

Extracorporeal Membrane Oxygenation in Severe Acute Respiratory Distress Syndrome: Possible Late Indication for Coronavirus Disease 2019?
From Critical Care Explorations. In this case report, the authors note that late extracorporeal membrane oxygenation may be considered in selected patients as a bridge to recovery. Further prospective studies are, however, needed.

Case Presentations, Coronavirus, COVID-19, ECMO

Extracorporeal Membrane Oxygenation Retrieval in Coronavirus Disease 2019: A Case-Series of 19 Patients Supported at a High-Volume Extracorporeal Membrane Oxygenation Center
From Critical Care Explorations. In this observational study, the authors concluded that extracorporeal membrane oxygenation retrieval can rescue young, previously healthy patients with severe coronavirus disease 2019 in whom all the conventional respiratory measures have failed and found that thrombotic and hemorrhagic complications are frequent in this cohort.

Coronavirus, COVID-19, ECMO, Therapies

Fact Versus Science Fiction: Fighting Coronavirus Disease 2019 Requires the Wisdom to Know the Difference
From Critical Care Explorations. This commentary uses a recent study of hydroxychloroquine to demonstrate the dire need for randomized clinical trials, but more importantly, to explore the potential consequences of misinformation, how fear fuels its impact, and offer guidance to maintain scientific integrity without relinquishing hope.

Coronavirus, COVID-19

Falls: Non-ICU Emergency Cards
This resource details how manage falls of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Clinical presentations, Coronavirus, COVID-19

Family-Centered Care in the Age of Visitor Restrictions
This webcast addressed the legal, social and logistical challenges in communicating with families during the pandemic. Topics covered included a conceptual and practical framework for remote family communication, the importance of having a coordinated interdisciplinary effort in these communications, and updates on CMS regulations for communications.

Communication, Coronavirus, COVID-19

Feasibility and Safety of Prone Position Transport for Severe Hypoxemic Respiratory Failure Due to Coronavirus Disease 2019
From Critical Care Explorations

The authors found that critical care transport of severe hypoxemic respiratory failure patients with coronavirus disease 2019 in the prone position is safe when performed by a dedicated team of critical care nurse and paramedics with an established protocol.

Coronavirus, COVID-19

Federal Healthcare Resilience Working Group (HRWG): Surge Roadmap Slides
The Federal Healthcare Resilience Working Group (HRWG) created Strategies for Managing a Surge in COVID-19 Cases, also referred to as the Surge Roadmap, to provide guidance to the state, tribal, local, and territorial (STLT) jurisdictions on how to enhance their healthcare capabilities in response to a surge in COVID-19 cases.

Coronavirus, COVID-19, Resource Allocation

FHCC Guide for Cardiac Arrest Codes in PUI and COVID-19 Patients
This resource covers cardiac arrest codes for PUI and COVID-19 patients. This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19

For a stable patient on the ward who needs 2 to 4 liters of oxygen, is hemodynamically stable, and does not seem to be deteriorating, would you start a medication such as remdesivir or steroids or would you wait until the patient’s condition starts to det
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Antivirals, Coronavirus, COVID-19, Hemodynamic Support

For patients who fail to adequately oxygenate with less invasive methods, what are your triggers for starting mechanical ventilation? What would you want the non-ICU clinician to know before going down that path? When do you decide to intubate someone?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

Coronavirus, COVID-19, Intubation, pulmonary

Foreword: Does Severe Acute Respiratory Syndrome Coronavirus 2 Cause Sepsis?
From Critical Care Medicine. In this foreword, the authors contend that there should be no debate that SARS-CoV-2 is an important cause of sepsis and that labeling it as such is beneficial and appropriate.

ARDS, Coronavirus, COVID-19, Sepsis

Frequency and Analysis of Unplanned Extubation in Coronavirus Disease 2019 Patients
From Critical Care Explorations

The authors found that coronavirus disease 2019 patients have a higher incidence of unplanned extubation that requires reintubation than noncoronavirus disease 2019 patients.

Coronavirus, COVID-19

Frequency of Continuous Renal Replacement Therapy Use Early in Coronavirus Disease 2019 Pandemic
From Critical Care Explorations. The authors reviewed the available literature to understand the frequency of continuous renal replacement therapy use among patients with coronavirus disease 2019 who required intensive care.

AKI/Renal, Coronavirus, COVID-19

From Retirement to the Frontlines
This presentation describes what it has been like for a retired clinician to come back to work on the frontines during the pandemic. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19

Gender Difference Is Associated With Severity of Coronavirus Disease 2019 Infection: An Insight From a Meta-Analysis
From Critical Care Explorations. This review article investigates how gender difference can affect the disease severity of COVID-19 infection.

Coronavirus, COVID-19, Statistics

GROOM-Q4: An Innovative, Consolidated Workflow to Improve ICU Efficiency and Reduce Viral Exposure
This resource covers strategies to consolidate workflow to improve ICU efficiency and reduce COVID-19 infection risks. This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Disaster Preparedness

Guiding Principles for the Conduct of Observational Critical Care Research for Coronavirus Disease 2019 Pandemics and Beyond: The Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study Registry
From Critical Care Medicine. In this article, the authors describe how the Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study coronavirus disease 2019 registry sought to develop and implement prespecified best practices combined with grassroots efforts from clinical sites worldwide in order to develop clinically useful knowledge in response to a pandemic.
 

Coronavirus, COVID-19, Statistics

Harmonizing Heterogeneous Endpoints in Coronavirus Disease 2019 Trials Without Loss of Information
From Critical Care Medicine

The authors aim to provide hands-on statistical guidelines for harmonizing heterogeneous endpoints in coronavirus disease 2019 clinical trials.

Coronavirus, COVID-19, Statistics

Have steroids been used after discharge?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Coronavirus, Corticosteriods, COVID-19

Have you become more aggressive in placing arterial lines in these patients when you might have only monitored pulse oximetry in the past?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 9, 2020.

Cardiovascular, Coronavirus, COVID-19

Have you considered lymphopenia as a criterion to suspect COVID-19?
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also answered. Recorded on: Friday, May 22, 2020

Coronavirus, COVID-19, Diagnosis and Testing

Have you seen a multisystem inflammatory syndrome in adult ICU patients?
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also answered. Recorded on: Friday, May 22, 2020

Comorbidities, Coronavirus, COVID-19

Higher Intensity Thromboprophylaxis Regimens and Pulmonary Embolism in Critically Ill Coronavirus Disease 2019 Patients
From Critical Care Medicine. In this study from Belgium, the authors assessed the role of thromboprophylaxis regimens on the occurrence of pulmonary embolism in coronavirus disease 2019 patients.

Anticoagulation, Coronavirus, COVID-19

High-Flow Nasal Cannula (HFNC) Use in COVID-19 Respiratory Failure
This presentation is an overview of HFNC use for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

High-Flow Nasal Oxygen in Coronavirus Disease 2019 Patients With Acute Hypoxemic Respiratory Failure: A Multicenter, Retrospective Cohort Study
From Critical Care Medicine. In this study, the authors analyzed the effectiveness of high-flow nasal oxygen treatment and aimed to identify the variables predicting high-flow nasal oxygen treatment failure in coronavirus disease 2019 patients with acute hypoxemic respiratory failure.
 

ARDS, Coronavirus, COVID-19

How can clinicians foster communication between patients and their families?
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Communication, Coronavirus, COVID-19

How can clinicians help patients transition through the ICU and other parts of the hospital to home?
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues.

Communication, Coronavirus, COVID-19, Therapies

How can patients be weaned off high doses of multiple sedatives to which they have become tolerant?
In this question and answer webcast, attendees had the opportunity to post questions about managing critically ill patients with COVID-19 and other issues.

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also addressed.

Webcast held on June 19, 2020

Coronavirus, COVID-19, Supportive Care

How did your institution handle incorporating fellows, residents, and other non-ICU clinicians into a tiered staffing system? Did they care for patients? What do you recommend?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on August 12, 2020.

Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation, Triage

How do approaches for children differ from those for adults?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 9, 2020.

Coronavirus, COVID-19, Pregnancy

How do emergency department staff identify patients who need critical care? How are these patients triaged, and what criteria are used to determine whether patients are transferred to a ward, to the ICU, or to home?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on October 14, 2020.

Coronavirus, COVID-19, Triage

How do we prevent VTEs and how do we survey for them? Should patients receive standard prophylaxis? Should all ventilated patients receive full-dose anticoagulation? What are your practices and how have you approached this at your center?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

Anticoagulation, Coronavirus, COVID-19

How do you achieve a balance between staff safety and PPE use and assessing patients?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on October 14, 2020.

Coronavirus, COVID-19, Infection Control, PPE

How do you decide which patients will need more rapid forms of respiratory support, such as high-flow nasal cannula?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

How do you handle fluid management?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

AKI/Renal, Coronavirus, COVID-19

How does an emergency department nurse apply her skills to the ICU when asked to work as an ICU nurse? Does your hospital use any type of tiered staffing? Do you incorporate non-ICU nurses or non-ICU physicians into your ICU staffing?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation

How effective are medications that target interleukin-6?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.

Coronavirus, COVID-19, Therapies

How is ECMO being used in patients with COVID-19?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, ECMO, Hemodynamic Support, Supportive Care

How is PPE allocated in your hospital? How are decisions made as to when to reuse it and when to discard it
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also answered. Recorded on: Friday, May 22, 2020

Coronavirus, COVID-19, Infection Control, PPE, Resource Allocation

How long should patients be kept on noninvasive ventilation?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Supportive Care

How often do you see COVID-19-induced neuropathy in your patient population? How are you treating it?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on July 8th, 2020.

Coronavirus, COVID-19

How should a COVID-19 patient who is recovering from acute respiratory distress syndrome be weaned off the ventilator?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How should airways be secured when proning intubated patients?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

How should anticoagulation be approached in the critically ill patient with COVID-19?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 9, 2020.

Anticoagulation, Coronavirus, COVID-19, Therapies

How should awake patients be placed in a prone position
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13th, 2020.

Coronavirus, COVID-19, Supportive Care

How should patients who require mechanical ventilation be identified and how should initial ventilator settings be determined?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on September 9, 2020.

Coronavirus, COVID-19, Ventilatory Support

How should respiratory failure be treated in patients with COVID-19 in terms of ventilator management?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on April 15, 2020.

Coronavirus, COVID-19, Supportive Care, Therapies, Ventilatory Support

How should the decision be made as to whether a negative pressure isolation room is needed versus less strict forms of environmental controls?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 27th, 2020.

Coronavirus, COVID-19, Infection Control

How to approach treating pain in patients with COVID-19
This presentation provides an overview of the types of strategies for approaching the A Element (Pain) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, ICU Liberation

How to enhance sleep in patients with COVID-19
This presentation provides an overview of the types of strategies for enhancing sleep in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, ICU Liberation

How was nurse staffing handled at your institution? Did you design a tiered staffing system for ICU nurses or did you use nurses from other departments? What was your experience with the nursing staff?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on August 12, 2020.

Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation

How were non-ICU nurses brought up to speed to care for patients that overflowed from the ICU?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.

Coronavirus, COVID-19, Resource Allocation

How would a nonintensivist manage a patient who needs high-flow oxygen or noninvasive ventilation but does not require immediate intubation who is admitted to the ward because no ICU beds are available?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

How would you describe the overall big picture of oxygen therapies?
In this question and answer webcast, attendees had the opportunity to post questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also addressed. Webcast held on June 19, 2020

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

Hypotension: Non-ICU Emergency Cards
This resource details how manage hypotension. This is SCCM curated COVID-19 microlearning content.

Cardiovascular, Coronavirus, COVID-19, Diagnosis and Testing

ICU and Ventilator Mortality Among Critically Ill Adults With Coronavirus Disease 2019
From Critical Care Medicine. To help address the growing concern that critical illness, and specifically mechanical ventilation, are associated with a high risk of death, the authors conducted a retrospective cohort study of critically ill patients with COVID-19 across their academic health system.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

ICU Guide for Airway Management in COVID-19 Patients
This is a quick airway management resource guide for treating COVID-19 patients . This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

ICU Preparedness Checklist
COVID-19 Checklist. This checklist can be used to help prepare your institution during the COVID-19 surge.

Coronavirus, COVID-19, Disaster Preparedness

ICU Readiness Assessment: We Are Not Prepared for COVID-19
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.

Coronavirus, COVID-19, Disaster Preparedness

ICU vs. PICU Liberation: Same Goals, Different Tools
This presentation discusses the difference in ICU and PICU liberation to implement the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, ICU Liberation

IDSA Resources: Infection
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Infection

Coronavirus, COVID-19, Virology

IDSA Resources: Obstetrics
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Obstetrics

Coronavirus, COVID-19, Pregnancy

IDSA Resources: Pharmacology
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Pharmacology

Coronavirus, COVID-19, Therapies, Vaccines, Virology

IDSA Resources: Well-Being
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Well-Being

Coronavirus, COVID-19

If a patient has had COVID-19 for 3 weeks and is still short of breath and fatigued and has a lot of ground-glass opacities on radiograph, should this patient receive steroids?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on October 14, 2020.

Coronavirus, Corticosteriods, COVID-19

If a patient reports shortness of breath but has an oxygen saturation of 95%, is this patient a candidate for dexamethasone?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Coronavirus, Corticosteriods, COVID-19, Supportive Care

If heated high-flow nasal cannula is not available, can continuous positive airway pressure with nasal pillows be used instead?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care

Imaging in COVID-19:​ When to Perform CT and Radiography
This presentation covers imaging concerns for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Scanning

Implications of Obesity for the Management of Severe Coronavirus Disease 2019 Pneumonia
From Critical Care Medicine. The authors report on their experience from their first 44 cases of 95 COVID-19 critically ill patients and analyze the link between obesity and this new form of 96 ARDS caused by the SARS-CoV-2 with its potential implications for patients' management.

Coinfections, Coronavirus, COVID-19, Ventilatory Support

Improving Survival of Critical Care Patients With Coronavirus Disease 2019 in England: A National Cohort Study, March to June 2020
From Critical Care Medicine. The authors measured temporal trends in survival over time in people with severe coronavirus disease 2019 requiring critical care (high dependency unit or ICU) management, and assessed whether temporal variation in mortality was explained by changes in patient demographics and comorbidity burden over time.

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

In Silico Modeling of Coronavirus Disease 2019 Acute Respiratory Distress Syndrome: Pathophysiologic Insights and Potential Management Implications
From Critical Care Explorations. In this study, the authors adapted a high-fidelity computational simulator to develop quantitative insights into the key pathophysiologic differences between the coronavirus disease 2019 acute respiratory distress syndrome and the conventional acute respiratory distress syndrome and to assess the impact of different positive end-expiratory pressure, Fio₂, and tidal volume settings.

ARDS, Coronavirus, COVID-19, Ventilatory Support

In the first phase of the COVID-19 pandemic, when pediatric ICUs were turned into medical ICUs, how did the pediatric intensive care community manage adult patients?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.

Coronavirus, COVID-19, Pediatrics

In Time of Plague: Healthcare Literacy During a Pandemic
This presentation is an overview of why health literacy considerations are important when communicating with COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Communication, Coronavirus, COVID-19

Incidence of Venous Thromboembolism in Critically Ill Coronavirus Disease 2019 Patients Receiving Prophylactic Anticoagulation
From Critical Care Medicine. Deep venous thrombosis is very common in critically ill patients with coronavirus disease 2019, so the authors describe the prevalence of venous thromboembolism in critically ill patients receiving different regimens of prophylactic anticoagulation.

Anticoagulation, Coronavirus, COVID-19

Increased Dead Space Ventilation and Refractory Hypercapnia in Patients With Coronavirus Disease 2019: A Potential Marker of Thrombosis in the Pulmonary Vasculature
From Critical Care Explorations. This case series highlights clinical findings and management of coronavirus disease 2019 patients with refractory hypercapnia despite maximal/optimal ventilatory support.

Coronavirus, COVID-19, Ventilatory Support

Inflammation Profiling of Critically Ill Coronavirus Disease 2019 Patients
From Critical Care Explorations The authors profiled plasma inflammatory analytes to help understand the host response to COVID19.

Coronavirus, COVID-19, Diagnosis and Testing

Inflammatory Response and Phenotyping in Severe Acute Respiratory Infection From the Middle East Respiratory Syndrome Coronavirus and Other Etiologies
From Critical Care Medicine

The authors evaluated the inflammatory response in patients with severe acute respiratory infection due to the Middle East respiratory syndrome and non-Middle East respiratory syndrome and assessed the presence of distinct inflammatory subphenotypes using latent class analysis.

Coronavirus, COVID-19

Infographic: Multi-organ Point-of-care Ultrasound for COVID-19 (PoCUS4COVID): International Expert Consensus
This is an infographic that details multi-organ point of care ultrasound during the COVID-19 pandemic. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, ultrasound

Initial Management of Hypoxic COVID-19 Patients
COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Inpatient Mortality According to Level of Respiratory Support Received for Severe Acute Respiratory Syndrome Coronavirus 2 (Coronavirus Disease 2019) Infection: A Prospective Multicenter Study
From Critical Care Explorations. In this study, the authors describe patients according to the maximum degree of respiratory support received and report their inpatient mortality due to coronavirus disease 2019.

ARDS, Coronavirus, COVID-19, Ventilatory Support

Integral Use of Thromboelastography With Platelet Mapping to Guide Appropriate Treatment, Avoid Complications, and Improve Survival of Patients With Coronavirus Disease 2019–Related Coagulopathy
From Critical Care Explorations

In this study, the authors round that thromboelastography with platelet mapping better characterizes the spectrum of coronavirus disease 2019 coagulation-related abnormalities and may guide more tailored, patient-specific therapies in thostudyse infected with coronavirus disease 2019.

Anticoagulation, Coronavirus, COVID-19, Diagnosis and Testing

International Survey to Establish Prioritized Outcomes for Trials in People With Coronavirus Disease 2019
From Critical Care Medicine. The author set out to generate a consensus-based, prioritized list of outcomes for coronavirus disease 2019 trials.

Clinical Trials, Coronavirus, COVID-19

Intracranial Pressure Dynamics and Cerebral Vasomotor Reactivity in Coronavirus Disease 2019 Patient With Acute Encephalitis
From Critical Care Explorations. In this article, the authors describe the intracranial pressure dynamics and cerebral vasomotor reactivity in a coronavirus disease 2019 patient with acute encephalitis treated with cerebrospinal fluid drainage and therapeutic plasma exchange.

Coronavirus, COVID-19, Therapies

Intravenous Immunoglobulin Plus Methylprednisolone Mitigate Respiratory Morbidity in Coronavirus Disease 2019
From Critical Care Explorations

The authors piloted a randomized trial of IV immunoglobulin in coronavirus disease 2019 patients and found significantly improved hypoxia and reduced hospital length of stay.

Clinical Trials, Coronavirus, COVID-19

Intubated and Nonintubated Patients: Which COVID-19-Positive Patients Should be Treated With Corticosteroids?
Steve Pastores, MD, co-author of the Critical Care Explorations article "Rationale for Prolonged Corticosteroid Treatment in the Acute Respiratory Distress Syndrome Caused by Coronavirus Disease 2019," answers question regarding the use of corticosteriod treatment for ARDS caused by COVID-19. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Intubation, Supportive Care, Therapies

Intubation Medications/Sedation Requirements for Intubating COVID-19 Patient - Infographic
This resource is an infographic that details intubation medications and sedation requirement for intubating COVID-19 patients. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Sedation, Supportive Care

Is Cardiopulmonary Resuscitation Futile in Coronavirus Disease 2019 Patients Experiencing In-Hospital Cardiac Arrest?
From Critical Care Medicine

The authors describe the characteristics and outcomes of in-hospital cardiac arrest in coronavirus disease 2019 patients in rural Southwest Georgia.

Cardiovascular, Coronavirus, COVID-19

Is Noninvasive Ventilation Aerosol Producing? Is There a Risk?
This presentation covers infection control concerns when using NIV for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Aerosol-Generating Procedures, Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

Is the COVID-19 disease process more similar to high-altitude pulmonary edema than to classic acute respiratory distress syndrome?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on April 15, 2020.

ARDS, Coronavirus, COVID-19

Is the standard 6 milligrams of dexamethasone for up to 10 days the only option? Do all patients need this or is there any evidence for trying something different? Has there been any experience with using a higher dexamethasone dose?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

Coronavirus, Corticosteriods, COVID-19

Is there a relationship between the development of sepsis, the development of COVID-19, and subsequent mortality?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.

Coronavirus, COVID-19

Is there any research on the prevalence of vitamin D deficiencies in COVID-19 patients?
In this question and answer webcast series, attendees had an opportunity to pose questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also answered. Recorded on: Friday, May 22, 2020

Coronavirus, COVID-19, Diagnosis and Testing

Is there concern about an increase in post-intensive care syndrome because of the limitations enacted to keep people safe from COVID-19?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.

Coronavirus, COVID-19, ICU Liberation

Is tracheostomy a possibility in some COVID-19 patients? What is the longest time a patient has been on mechanical ventilation?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Joint Statement of the Critical Care Society Collaborative to the US Congress and the Trump Administration
COVID-19 - SCCM Joint Statement. Production and distribution of personal protective equipment (PPE) and life-saving equipment.

Coronavirus, COVID-19, Disaster Preparedness, PPE, Ventilatory Support

Just-in-Time Simulation to Guide Workflow Design for Coronavirus Disease 2019 Difficult Airway Management
From Pediatric Critical Care Medicine. Integration of table-top planning, in situ simulations, and debriefing of real COVID19 cases can enhance planning, training, job aids, and feasible policies/procedures that address human factors, team communication, equipment choice, and patient/provider safety in the COVID19 pandemic era.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Less Can Be More When Targeting Interleukin-6-Mediated Cytokine Release Syndrome in Coronavirus Disease 2019
Cytokine release syndrome (CRS) mediated by IL-6 is a critical driver of COVID-19 mortality. The authors review and discuss key immunologic effects of direct IL-6 blockade, downstream non-selective JAK inhibition, and selective JAK2 suppression to treat COVID-19-related CRS.

Comorbidities, Coronavirus, COVID-19, Diagnosis and Testing

Letter to Editor: In Response to "Coagulopathy of Coronavirus Disease 2019"
From Critical Care Medicine. This Letter to the Editor is in response to the article "Coagulopathy of Coronavirus 2019" by Iba et a.

Anticoagulation, Coronavirus, COVID-19

Letter to the Editor Treatment of Critically Ill Coronavirus Disease 2019 Patients With Adjunct Therapeutic Plasma Exchange: A Single-Center Retrospective Case Series
From Critical Care Explorations. In this Letter to the Editor, the authors describe their experience with a series of eight patients receiving adjunct therapeutic plasma exchange for severe coronavirus disease pneumonia complicated by sepsis with multiple organ dysfunction in which C-reactive protein and ferritin levels significantly decreased with therapeutic plasma exchange, whereas D-dimer decreased to a lesser degree.

Coronavirus, COVID-19, Therapies

Letter to the Editor: Barrier Techniques to Reduce Aerosolization During Cardiopulmonary Resuscitation
From Critical Care Explorations. The authors developed additional modifications to the suggested guidelines to further protect providers from unnecessary aerosolization; it illustrates a sample protocol for provider safety during advanced cardiovascular life support in the coronavirus pandemic.

Coronavirus, COVID-19, Infection Control

Letter to the Editor: Barrier Techniques to Reduce Aerosolization During Extubation
From Critical Care Explorations. The authors describe a barrier technique during extubation which contained aerosolized particulates into a non-rebreather mask at time of extubation. The authors believe their protocol allows providers to perform extubations while minimizing exposure to aerosolized particles.

Coronavirus, COVID-19, Infection Control, Supportive Care

Letter to the Editor: Breaking Silos: The Team-Based Approach to Coronavirus Disease 2019 Pandemic Staffing
From Critical Care Explorations

The authors describe experiences and lessons learned at NewYork-Presbyterian (NYP), one of the largest healthcare delivery systems in the United States, in creating an intercampus leadership teams to combat COVID-19.

Coronavirus, COVID-19, Resource Allocation

Letter to the Editor: Caution Is Needed When Reporting or Pooling the Prevalence of Venous Thromboembolism in Critically Ill Coronavirus Disease 2019 Patients
From Critical Care Medicine

In this Letter to the Editor, the author discusses the difficulties to ascertain in ICU settings the exact VTE incidence, incidence rate, or prevalence due to various reasons, including the absence of uniform screening at ICU admission to exclude patients with prior VTE, absence of systematic assessment with varying screening guided by clinicians’ suspicion, and varying follow-up time. In addition, the burden of venous thromboembolism in critically ill patients is discussed.

Cardiovascular, Coronavirus, COVID-19

Letter to the Editor: Clinical Risk Prediction Scores in Coronavirus Disease 2019: Beware of Low Validity and Clinical Utility
From Critical Care Explorations

In this Letter to the Editor, the authors discuss their study and how their results show that the early tools developed in a relatively small, homogenous patient population are unlikely to be clinically useful in different settings.

Coronavirus, COVID-19, Risk Stratification

Letter to the Editor: Concerns About the Timing and Settings of Initiating Extracorporeal Membrane Oxygenation in Patients With Severe Coronavirus Disease 2019 Pneumonia
From Critical Care Medicine. In this Letter to the Editor, the author respond to an article by Yang et al about COVID and ECMO.

Coronavirus, COVID-19, ECMO

Letter to the Editor: Coronavirus Disease 2019: Understanding Immunopathogenesis Is the “Holy Grail” to Explain Why Children Have Less Severe Acute Disease
From Pediatric Critical Care Medicine. In this letter to the editor, the authors state that the understanding of the immunopathogenesis of SARS-CoV-2 infection is important not only to understand the epidemiologic and age-related differences in COVID-19, but it is critical for the identification of appropriate treatment, as well as for the development of a highly immunogenic vaccine with low risk of antibody dependent enhancement.

Coronavirus, COVID-19, pediatrics, Statistics

Letter to the Editor: Corticosteroid Administration Is Associated With Improved Outcome in Patients With Severe Acute Respiratory Syndrome Coronavirus 2-Related Acute Respiratory Distress Syndrome
From Criticial Care Explorations. The authors report on the use of corticosteroids in mechanically ventilated patients with SARSCoV-2 related acute respiratory distress syndrome.

ARDS, Coronavirus, COVID-19, Diagnosis and Testing, Therapies

Letter to the Editor: Declines in Mortality Over Time for Critically Ill Adults With Coronavirus Disease 2019
From Critical Care Medicine. In this Letter to the Editor, the authors report an update to a previous study, finding a decline in mortality rates in critically ill patients with COVID-19.

Coronavirus, COVID-19, Therapies, Ventilatory Support

Letter to the Editor: Early Clinical Experience in Using Helmet Continuous Positive Airway Pressure and High-Flow Nasal Cannula in Overweight and Obese Patients With Acute Hypoxemic Respiratory Failure From Coronavirus Disease 2019
From Critical Care Explorations. In this Letter to the Editor, the authors present their retrospective review of COVID-19 patients admitted to the ICUs within two academic urban hospitals (1,012 total hospital beds), comparing helmet continuous positive airway pressure and high-flow nasal cannula in patients with a body mass index greater than or equal to 25 kg/m2 who had persistent hypoxemia.

Comorbidities, Coronavirus, COVID-19

Letter to the Editor: Evidence of Steroids in Patients With Acute Respiratory Distress Syndrome in Coronavirus Disease 2019
From Critical Care Explorations. A letter to the editor in response to Villar et al. article on corticosteroids and COVID-19.

ARDS, Coronavirus, COVID-19, Therapies

Letter to the Editor: Factors Associated With Pulmonary Embolism Among Coronavirus Disease 2019 Acute Respiratory Distress Syndrome
From Critical Care Explorations. To do better understand the risk factors associated with pulmonary embolism in patients with COVID-19, the authors performed a post hoc analysis from the COVADIS project, a multicenter observational study gathering 21 ICUs from France and Belgium.

ARDS, Coronavirus, COVID-19

Letter to the Editor: Impact of Asynchronies in Acute Respiratory Distress Syndrome Due to Coronavirus Disease 2019
From Critical Care Explorations. In this Letter to the Editor, the authors state that close monitoring of patients with COVID-19 and mechanical ventilation is required; staying at the patient’s bedside is necessary to identify life-threatening asynchronies and must be resolved promptly, as well as finding strategies for prevention of asynchronies. 
 

ARDS, Coronavirus, COVID-19, Ventilatory Support

Letter to the Editor: Optimizing the Risk-Benefit Balance of Thromboprophylaxis in Critically Ill Patients With Coronavirus Disease 2019
From Critical Care Medicine. This Letter to the Editor is in response to an article by Iba et al. (Coagulopathy of Coronavirus Disease 2019) and discusses dosing recommendations of low molecular weight heparin.

Coronavirus, COVID-19, Therapies

Letter to the Editor: Predictors of Mortality and Effect of Drug Therapies in Mechanically Ventilated Patients With Coronavirus Disease 2019: A Multicenter Cohort St
From Critical Care Explorations

The authors conducted a multicenter cohort study to determine the effect of drug therapies on survival in mechanically ventilated patients with coronavirus disease 2019.

Coronavirus, COVID-19, Therapies, Ventilatory Support

Letter to the Editor: Prevalence and Clinical Correlates of Echo-Estimated Right and Left Heart Filling Pressures in Hospitalized Patients With Coronavirus Disease 2019
From Critical Care Explorations In this Letter to the Editor, the authors discuss their study in which they hypothesized that a significant proportion of coronavirus disease 2019 patients has evidence of pulmonary hypertension associated with elevated left heart filling pressure on transthoracic echocardiography.

Cardiovascular, Coronavirus, COVID-19, Diagnosis and Testing

Letter to the Editor: The Importance of Universal Preprocedural Testing for the Novel Coronavirus 2019
From Critical Care Explorations. In this letter to the editor, the authors recommend universal preprocedural testing and other interventions to safeguard healthcare personnel and patients.

Coronavirus, COVID-19, Diagnosis and Testing, Infection Control

Letter to the Editor: The Role of Lung Ultrasound in Diagnosis and Follow-Up of Children With Coronavirus Disease 2019
From Pediatric Critical Care Medicine. In this letter to the editor, the authors respond to an article by Ong et al. and recommend lung ultrasound in children with COVID-19 as a means of improving outcomes.

Coronavirus, COVID-19, Pediatrics, Ultrasound

Letter to the Editor: The Role of the Pediatric Intensivist in the Coronavirus Disease 2019 Pandemic
From Pediatric Intensive Care Medicine. In this letter to the editor, the authors explore the role of pediatric intensivists, as highly-skilled professionals, in the care of critically ill adults. With adequate guidance by professional societies and adult intensivists, pediatric critical care physicians can provide valuable assistance in the current pandemic and in potential COVID-19 epidemic waves to come.

Coronavirus, COVID-19, Pediatrics

Letter to the Editor: The Triage Stalemate During the Coronavirus Disease 2019 Pandemic: Losing Fairness to Ethical Paralysis
From Critical Care Medicine. The authors write in response to an article in Critical Care Medicine by Sprung et al., which outlined the major considerations for ethical ICU triaging under pandemic conditions and discuss the lack of systematic triaging in U.S. health care institutions.
 

Coronavirus, COVID-19, Triage

Letter to the Editor: Thromboprophylaxis in Critically Ill Coronavirus Disease 2019 Patients
From Critical Care Explorations. In this Letter to the Editor, the authors report their adapted thromboprophylaxis practice of low-molecular-weight heparin administration in coronavirus disease 2019 ICU patients.

Coronavirus, COVID-19, Therapies

Letter to the Editor: Tracheostomy for Coronavirus Disease 2019 Patients: Maintaining the Standard of Care
From Critical Care Explorations. In this Letter to the Editor, the authors respond to the new recommendations for delaying tracheostomy for coronavirus disease 2019 patients to day 21 post-intubation to ensure viral clearance.
 

Coronavirus, COVID-19, Ventilatory Support

Letter to the Editor: Transforming a PICU Into an Adult ICU During the Coronavirus Disease 2019 Pandemic: Meeting Multiple Needs
From Critical Care Explorations. In this Letter to the Editor, the authors describe the process converting half of their 40-bed PICU into a negative-pressure biocontainment ICU dedicated to adult coronavirus disease 2019 patients within a 1,003-bed academic quaternary hospital.

Coronavirus, COVID-19, Disaster Preparedness, pediatrics, Resource Allocation

Letter to the Editor: Ultrasound Teleguidance to Reduce Healthcare Worker Exposure to Coronavirus Disease 2019
From Critical Care Explorations. The authors illustrate a proof of concept application of teleguidance to ultrasound-guided bedside procedures as an example of an innovative solution that has been used at their institution to maximize patient and provider safety in the COVID-19 era.

Coronavirus, COVID-19, Infection Control

Letter to the Editor: Urinary Neutrophil Gelatinase-Associated Lipocalin in Critically Ill Patients With Coronavirus Disease 2019
From Critical Care Explorations. In this Letter to the Editor, the authors report a retrospective analysis of urinary neutrophil gelatinase-associated lipocalin (NGAL) in ICU patients with COVID-19-associated respiratory failure. 
 

AKI/Renal, Coronavirus, COVID-19

Letter to the Editor: Weaning by Surgical Tracheostomy and Portable Ventilators Released ICU Ventilators During Coronavirus Disease 2019 Surge in London
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.

Coronavirus, COVID-19, Ventilatory Support

Leveraging Tele-Critical Care Capabilities for Clinical Trial Consent
From Critical Care Explorations. In this article, the authors share their experience with a patient with severe COVID-19 who was admitted to a clinical trial of an investigational COVID-19 therapeutic using video-telecommunication to obtain informed consent.

Coronavirus, COVID-19, Telemedicine

Lista de Verificacion de Preparacion de la UCI
COVID-19 Checklist (Spanish Version). This checklist can be used to help prepare your institution during the COVID-19 surge.

Coronavirus, COVID-19, Disaster Preparedness

Management of Patients with COVID-19 and ARDS
COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.

Coronavirus, COVID-19, Disaster Preparedness, Intubation, Supportive Care, Ventilatory Support

Managing Shortages: Principles of Allocation in Crisis Situations
This presentation covers how to ethically manage shortages and resource allocations. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation

Managing Staff Burnout During a Pandemic
This presentation is an overview of proper staff preparation during a pandemic to help avoid burnout. This is SCCM curated COVID-19 microlearning content.

Communication, Coronavirus, COVID-19, Disaster Preparedness, Mental Health

Managing Stress and Coping with COVID-19
This resource covers managing stress and coping strategies during the COVID-19 pandemic. This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Mental Health

Managing Your Mental Health During the COVID-19 Pandemic
Extenuating circumstances call for extraordinary coping. During this webcast, James C. Jackson, PsyD, and Megan Hosey, PhD, described common mental health symptoms that clinicians may experience during this crisis.

Coronavirus, COVID-19, Mental Health

Mechanical Ventilation
Point of Care (PoC) Refresher Training

Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support

Mechanical Ventilation During the Coronavirus Disease 2019 Pandemic: Combating the Tsunami of Misinformation From Mainstream and Social Media
From Critical Care Medicine. The editorial authors discuss the role of mainstream and social media in creating the narrative that intubation and mechanical ventilation were "the cause of suboptimal outcomes" for critically ill COVID-19 patients, without accounting for hospital staffing and equipment shortages.

Coronavirus, COVID-19, Supportive Care, Ventilatory Support

Medical Nutrition Therapy for COVID-19-Quick Guide
This resource is a quick guide on medical nutrition therapy for COVID-19 patients. This is a community developed COVID-19 microlearning resource.

Community Developed, Coronavirus, COVID-19, Nutrition

Metabolomics Profiling of Critically Ill Coronavirus Disease 2019 Patients: Identification of Diagnostic and Prognostic Biomarkers
From Critical Care Explorations

The authors performed metabolomics profiling of critically ill coronavirus disease 2019 patients to understand better the underlying pathologic processes and pathways, and to identify potential diagnostic/prognostic biomarkers.

Coronavirus, COVID-19, Diagnosis and Testing

Misinformation During the Coronavirus Disease 2019 Outbreak: How Knowledge Emerges From Noise
From Critical Care Explorations. This review summaries the many potential sources of information that clinicians turn to during pandemic illness, the challenges associated with performing methodologically sound research in this setting and potential approaching to conducting well done research during a health crisis.

Coronavirus, COVID-19

Molecular Diagnosis of Coronavirus Disease 2019
From Critical Care Explorations. In this article, the authors review current approaches to the molecular diagnosis of coronavirus disease 2019.

Coronavirus, COVID-19, Diagnosis and Testing

Mortality Rates in a Diverse Cohort of Mechanically Ventilated Patients With Novel Coronavirus in the Urban Midwest
From Critical Care Explorations. In this study, the authors found mortality rates in mechanically ventilated patients with coronavirus disease 2019 to be lower than some previously reported with longer lengths of stay.
 

Coronavirus, COVID-19, Ventilatory Support

Multi-organ Point-of-care Ultrasound for COVID-19 (PoCUS4COVID): International Expert Consensus
This is an article that details multi-organ point of care ultrasound during the COVID-19 pandemic. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, ultrasound

Multisystem Inflammatory Syndrome in Children Associated With Coronavirus Disease 2019 in a Children's Hospital in New York City
From Pediatric Critical Care Medicine. In this article, the authors report their experience developing a clinical inpatient protocol for the evaluation, management, and follow-up of patients with multisystem inflammatory syndrome.

Coronavirus, COVID-19, Multisystem Inflammatory Syndrome, Pediatrics

Myoclonus in Patients With Coronavirus Disease 2019: A Multicenter Case Series
From Critical Care Medicine. The authors describe the risk factors for and outcomes after myoclonus in a cohort of patients with coronavirus disease 2019.

Case Presentations, Coronavirus, COVID-19

Nationwide Incidence and Outcomes of Patients With Coronavirus Disease 2019 Requiring Intensive Care in Iceland
From Critical Care Medicine. In this study from Iceland, which had early adoption of widespread testing, the authors report a lower overall ratio of ICU admissions for coronavirus disease 2019 among severe acute respiratory syndrome coronavirus 2 positive patients and a lower hospital mortality for patients treated in the ICU for coronavirus disease 2019 compared with initial reports from Italy and China.

Coronavirus, COVID-19, Statistics

Neurologic Manifestations of Severe Respiratory Viral Contagions
From Critical Care Explorations. The authors discuss the neurologic manifestations of severe viral respiratory infections including coronavirus, influenza, respiratory syncytial virus, metapneumovirus, and enterovirus.

Coronavirus, COVID-19

Non-FDA Approved Respirators
This presentation is an overview of the use of non-FDA approved respirators when treating COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Disaster Preparedness, PPE

Noninvasive Positive Pressure Ventilation: Guidance for COVID-19 Associated Respiratory Failure
This presentation is an overview of non-invasive positive pressure ventilation use for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support

Novel Outcome Biomarkers Identified With Targeted Proteomic Analyses of Plasma From Critically Ill Coronavirus Disease 2019 Patients
From Critical Care Explorations. In this study, the authors found that targeted proteomics with feature classification easily distinguished both healthy control subjects and coronavirus disease 2019 tested negative ICU patients from coronavirus disease 2019 tested positive ICU patients. Multiple proteins were identified that accurately predicted coronavirus disease 2019 tested positive patient mortality.

Coronavirus, COVID-19, Diagnosis and Testing

Nursing Staffing Models: DSU (Stepdown) Contingency Staffing Model
This is a nursing staffing model DSU (Stepdown) contingencies. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Resource Allocation

Nursing Staffing Models: Emergency Contingency Staffing
This is a nursing staffing model for emergency contingencies. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Resource Allocation

Nursing Staffing Models: ICU Staffing Plan: Contingency & Crisis Model
This is a nursing staffing model for the ICU. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Resource Allocation

Nursing Staffing Models: Med-Surg Contingency & Crisis Model
This is a nursing staffing model for Med-Surg emergency contingencies and crises. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Resource Allocation

Nursing Staffing Models: Telemetry Contingency & Crisis Model
This is a nursing staffing model for telemetry contigencies. This is a community developed COVID-19 microlearning resource.

Coronavirus, COVID-19, Resource Allocation

Nutrition Support for Critically Ill Patients with COVID-19 Disease:​ Top 10 Key Recommendations
This presentation is an overview of proper nutrition recommendations approved by SCCM and ASPEN for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Infection Control, Nutrition

Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care
Nutrition recommendations for caring for the critically ill patient with COVID-19. Joint Recommendations from SCCM and ASPEN.

Coronavirus, COVID-19, Infection Control, Nutrition

Obesity and the Risk of Intubation or Death in Patients With Coronavirus Disease 2019
From Critical Care Medicine. In the study, obesity was an independent risk factor for intubation or death.

Comorbidities, Coronavirus, COVID-19, Ventilatory Support

On initial assessment, how do you decide whether a patient should be admitted to the ward or to the ICU?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 27th, 2020.

Coronavirus, COVID-19, Diagnosis and Testing, Indications for Laboratory Testing

Online Letter to the Editor: Analysis of Critical Care Severity of Illness Scoring Systems in Patients With Coronavirus Disease 2019: A Retrospective Analysis of Three U.K. ICUs
From Critical Care Medicine

In this letter, the authors discuss APACHE II scores being used to predict mortality in coronavirus disease 2019 patients, however it may not be replicable.

Coronavirus, COVID-19

Online Letter to the Editor: Bronchiolitis and Potential Pathophysiological Implications in Coronavirus Disease 2019 ARDS Patients With Near-Normal Respiratory Compliance
From Critical Care Medicine. The authors share the following opinions on the recruitment-response COVID-19 ARDS patients, 1) bronchiolitis, in a histologic context, is a plausible pathophysiological mechanism, and 2) a simple bedside physiologic test could potentially determine recruitment potential in resource-limited settings.

ARDS, Coronavirus, COVID-19, Supportive Care

Online Letter to the Editor: Coronavirus Disease 2019: Withdrawing Mechanical Ventilation to Reallocate Life Support Under Crisis Standards of Care-Nonequivalence of the Equivalence Thesis
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?

Coronavirus, COVID-19, Ventilatory Support

Pandemic-Related Submissions: The Challenge of Discerning Signal Amidst Noise
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.

Coronavirus, COVID-19, Disaster Preparedness

Patient & Family Communication
This presentation is an overview of communicating strategies for dealing with COVID-19 patients and their families. This is SCCM curated COVID-19 microlearning content.

Communication, Coronavirus, COVID-19

Paved With Good Intentions: Hospital Visitation Restrictions in the Age of Coronavirus Disease 2019
From Pediatric Critical Care Medicine. Using their experience in a pediatric intensive care unit, the authors surveyed the shortcomings of current visitation restrictions.

Communication, Coronavirus, COVID-19

Pediatric concerns: Symptoms, diagnosis and mortality
This presentation is an overview of symptoms, diagnosis and mortality concerns seen when treating pediatric patients with COVID-19. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Diagnosis and Testing, Statistics, Supportive Care, Therapies

Pediatric Critical Care Medicine in the COVID-19 Pandemic
From Pediatric Critical Care Medicine. A foreword from the editors of PCCM about COVID-19 and the journal.

Coronavirus, COVID-19, Pediatrics

Pediatric Multisystem Inflammatory Syndrome
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13, 2020.

Coronavirus, COVID-19, Pediatrics

Pediatric Resuscitation Practices During the Coronavirus Disease 2019 Pandemic
From Pediatric Critical Care Medicine. The authors conducted a survey and found that most U.S. pediatric institutions rapidly adapted their resuscitation systems and practices in response to the coronavirus disease 2019 pandemic.

Coronavirus, COVID-19, pediatrics, Supportive Care

Percutaneous Tracheostomy With Apnea During Coronavirus Disease 2019 Era: A Protocol and Brief Report of Cases
From Critical Care Explorations. The authors sought to modify their current procedure for performing percutaneous tracheostomy to minimize aerosolization in hopes that it would help reduce exposure to staff involved. They concluded that percutaneous tracheostomy performed with apnea protocol may help minimize aerosolization, reducing risk of exposure of COVID19 to staff.

Coronavirus, COVID-19, Supportive Care

Persevering With Prone Ventilation in Coronavirus Disease 2019 Pneumonia
From Critical Care Explorations. In this case study, the authors present a 53-year-old patient with a severe coronavirus disease 2019 pneumonia who has made a remarkable recovery after a difficult period on intensive care.

Case Presentation, Coronavirus, COVID-19, Ventilatory Support

Perspective of the Surviving Sepsis Campaign on the Management of Pediatric Sepsis in the Era of Coronavirus Disease 2019
From Pediatric Critical Care Medicine. In this article, the authors discuss the Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-associated Organ Dysfunction in Children as they relate to COVID-19.

Coronavirus, COVID-19, Pediatrics, Sepsis

Pharmacy MacGyvers: Modifying the Drug-use Process to Maximize Clinician Safety During the SARS-CoV-2 Pandemic
This presentation covers how to modify durg-use during the COVID-19 pandemic. This is SCCM curated COVID-19 microlearning content.

Coronavirus, COVID-19, Resource Allocation, Therapies, Triage

Physiologic Response to Angiotensin II Treatment for Coronavirus Disease 2019–Induced Vasodilatory Shock: A Retrospective Matched Cohort Study
From Critical Care Explorations. In this study, the authors found that angiotensin-II treatment for coronavirus disease 2019–induced distributive shock was associated with rapid improvement in multiple physiologic indices and that angiotensin-II in coronavirus disease 2019–induced shock warrants further study.

Coronavirus, COVID-19, Shock, Therapies