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This webinar debate will cover immunomodulatory therapies and approaches to anticoagulation in patients with COVID-19. Each debate will be moderated by the Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) Presidents.
This presentation discusses how to best organize a pharmacy at an alternate care site. This is SCCM curated COVID-19 microlearning content.
This presentation provides an overview of strategies for triaging analgesic, sedative, and paralytic agents patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
This study describes a simple and safe protocol of anticoagulation with low molecular weight heparin (LMWH) in combination with bedside sustained low efficiency hemodialysis (SLED) in COVID-19 patients.
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.
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.
This presentation provides an overview of the types of strategies for approaching the B Element (Spontaneous Breathing Trials: STBs) of the ICU Liberation Bundlein patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
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.
This presentation provides an overview of the types of strategies for approaching the B Element (Spontaneous Awakening Trials: SATs) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
The ICU liberation Bundle (formerly known as the A-F bundle) is more important than ever in the COVID-19 era. While the pandemic has changed much inside intensive care units (ICUs), the commitment to provide multiprofessional, high-quality care is unwavering.
This presentation covers how to ethically manage shortages and resource allocations. This is SCCM curated COVID-19 microlearning content.
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.
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
This resource details how compassion in healthcare has changed with COVID-19. This is a community developed COVID-19 microlearning resource.
This resource details a pediatric ICU dashboard sample for tracking COVID-19. This is a community developed COVID-19 microlearning resource.
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.
This resource details how manage hypotension. This is SCCM curated COVID-19 microlearning content.
Because all of us are learning as we go and hungry for insights from other healthcare professionals and facilities that have been treating patients who are critically ill with COVID-19, SCCM has created the report Configuring ICUs in the COVID-19 Era.
This presentation covers endotracheal intubation confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.
This presentation covers central veneous confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.
This presentation covers how to manage neuromuscular blocking agent (NMBA) shortages. This is SCCM curated COVID-19 microlearning content.
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.
From Critical Care Medicine. Recent studies have reported a high incidence of thrombotic events in COVID-19. However, the significance of thromboembolic complications has not been widely appreciated. The purpose of this review is to provide current knowledge of this serious problem.
From Pediatric Critical Care Medicine. This study aims to describe a series of children admitted to a pediatric intensive care unit in Spain, one of the countries severely affected by the coronavirus. disease 2019 (COVID-19).
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.
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.
From Critical Care Medicine. The authors sought to determine the frequency of venous thromboembolism in critically ill coronavirus disease 2019 patients and associate a degree of inflammatory marker elevation to venous thromboembolism development. They found that routine chemical venous thromboembolism prophylaxis may be inadequate in preventing venous thromboembolism in severe coronavirus disease 2019.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort.
This presentation provides an overview of the types of strategies for approaching the E Element (Early Mobility) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
There is no doubt we are living in a new world. The COVID-19 pandemic is challenging organizations and individuals to react quickly and adapt overnight.
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.
This presentation covers treating COVID-19 in pediatric patients. This is SCCM curated COVID-19 microlearning content.
The SCCM Ethics Committee prepared a guide entitled, Standard of Care Recommendations for Triaging Resources During the COVID-19 Pandemic.
This presentation cover dermatological conditions seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
This expert panel representatives from Society of Critical Care Medicine (SCCM) and the American Association for Respiratory Care (AARC) teamed up to discuss how ICU respiratory care teams can work together more cohesively when caring for COVID-19 patients. Recorded on: Thursday, May 14, 2020
Clinicians are sharing early findings about an emerging critical illness predominantly affecting school-aged children and young adults. The Centers for Disease Control and Prevention (CDC) has defined criteria, calling it Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19.
Resources for healthcare professionals from the COVID-19 pandemic
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.
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. A letter to the editor in response to Villar et al. article on corticosteroids and COVID-19.
From Critical Care Explorations. During a pandemic, with limited resources, we should provide the safest and most effective care, while protecting caregivers.The authors propose ways to do that.
From Pediatric Critical Care Medicine. The authors outline an approach to practically initiating supportive strategies within the PICU using a well-being approach to improving baseline resilience alongside an acute rescue strategy utilising a peer-support network.
From Critical Care Medicine. An editorial associated with the Mauri et al. article on personalized ventilation for COVID-19 ARDS patients.
The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines.
Discovery, the Critical Care Research Network's Viral Infection and Respiratory Illness Universal Study creates a real-time COVID-19 registry of current ICU and hospital care patterns.
This webcast was an SCCM COVID-19 expert panel discussion comparing the Surviving Sepsis Campaign COVID-19 Guidelines with the newly released National Institutes of Health Coronavirus (COVID-19) Treatment Guidelines.
This joint webinar was moderated by the Society of Critical Care Medicine (SCCM) and the American College of Emergency Physicians (ACEP) Presidents, along with invited experts from both societies, to address difficult questions regarding managing COVID-19 patients.
From Pediatric Critical Care Medicine. The authors sought to determine whether currently available pediatric illness severity scores can predict duration of critical care resource use.
From Critical Care Medicine. In this article, APACHE II score was identified to be an effective clinical tool to predict mortality in COVID-19 patients compared with SOFA score and CURB65 score.
From Critical Care Medicine. This paper introduces and highlights several important and /or novel concepts seldom considered by the practicing intensivist.
From Critical Care Medicine. The authors discuss the major issues related to ICU triage and try to give recommendations where appropriate but also give different choices for certain issues for countries based on what is best for them.
From Pediatric Critical Care Medicine. Editorial in response to Ong et al. article ("A comprehensive narrative review on the impact and implications of COVID-19 in children"), focusing on the management of those most severely affected, as well as providing some practical suggestions for pediatric intensive care clinicians to prepare should COVID-19 become more virulent in children.
From Pediatric Critical Care Medicine. Editorial by authors that led the Pediatric Emergency Mass Critical Care Task Force and 2014 Task Force for Mass Critical Care.
This presentation covers acute kidney injury seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
From Pediatric Critical Care Medicine. Although pediatric intensivists are well versed in the care of ARDS from viral pneumonia, the care of an differing aged adult populations presents some unique challenges.
Critical care teams should consider using remdesivir to treat patients with severe acute SARS-CoV-2 infection, but supply of the drug is limited and best practices for maximizing its effectiveness are not completely understood.
This Concise Critical Appraisal explores a Lancet Respiratory Medicine article by Ramanathan et al, which outlines how to plan for extracorporeal membrane oxygenation (ECMO) for patients with severe acute respiratory distress syndrome (ARDS) related to COVID-19. ECMO is a complex therapy usually restricted to specialized centers. World Health Organization guidelines suggest that carefully selected patients with ARDS may benefit. The authors explore how good planning can help during outbreaks of emerging infectious diseases.
This resource is a quick training guide on labor pool deployment workflow and inpatient competency. This is a community developed COVID-19 microlearning resource.
This resource is a quick guide on medical nutrition therapy for COVID-19 patients. This is a community developed COVID-19 microlearning resource.
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.
This resource covers cardiac arrest codes for PUI and COVID-19 patients. This is a community developed COVID-19 microlearning resource.
This resource covers breastfeeding concerns with COVID-19. This is a community developed COVID-19 microlearning resource.
This resource covers managing stress and coping strategies during the COVID-19 pandemic. This is a community developed COVID-19 microlearning resource.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.
This presentation covers atrial fibrillation COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
This is a quick airway management resource guide for treating COVID-19 patients . This is a community developed COVID-19 microlearning resource.
In a follow-up to the April 7, 2020 webinar on Managing Mental Health During the COVID Crisis, Dr. Jim Jackson and Dr. Megan Hosey discussed the uncertainty of the next phase of the COVID-19 pandemic and ways to cope with the ambiguity of the duration and severity of the situation. Recorded on: Tuesday, May 5, 2020
Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation (Ingraham N, et al. Crit Care Explor. 2020;2:e0108) with host Ashish K. Khanna, MD, FCCP, FCCM, and Nicholas E. Ingraham, MD.
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider (Ong J, et al. Pediatr Crit Care Med. 2020 Apr 7; Epub ahead of print) with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH.
Critical care clinicians are feeling increased personal stress about COVID-19 and are especially worried about infecting loved ones, while also expressing continued concern about personal protective equipment (PPE) and staffing shortages, according to a rapid-cycle survey from SCCM.
From Critical Care Explorations. The authors discuss the neurologic manifestations of severe viral respiratory infections including coronavirus, influenza, respiratory syncytial virus, metapneumovirus, and enterovirus.
From Pediatric Critical Care Medicine. In this article the authors review available literature on COVID019 in critically ill children and provide valuable insight into the clinical management of this disease, as well as information on preparedness activities that every PICU should perform.
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.
From Critical Care Explorations. A letter to the editor of Critical Care Explorations about SSC COVID-19 Guidelines and the need to update these guideines and others regularly to help universally optimize sepsis care due to COVID-19 and help flatten the briskly rising morbidity and mortality curve.
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.
From Critical Care Explorations. This article addresses health care capacity strains and provides a framework for considering key resources during an acute surge event and an adaptable approach to the most common domains that should be addressed during the preparation for and response to acute surge events.
From Critical Care Explorations. This article examines the clinical presentation and important immunology of viral pneumonia with a focus on severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019).
From Critical Care Explorations. The authors state that inconclusive clinical evidence should not be a reason for abandoning CST in COVID-19-associated ARDS.
From Critical Care Medicine. Severe cases of coronavirus disease 2019 develop the acute respiratory distress syndrome, requiring admission to the ICU. This study aims to describe specific pathophysiological characteristics of acute respiratory distress syndrome from coronavirus disease 2019.
From Critical Care Explorations. This article describes the conception and implementation of an intensive care database rapidly developed and designed to meet data analytic needs in response to the coronavirus disease 2019 pandemic - the multicenter, international Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study.
From Critical Care Explorations. In this commentary, the authors provide specific recommendations for the rapid implementation of clinical distancing techniques.
From Pediatric Critical Care Medicine. The authors sought to determine whether currently available pediatric illness severity scores can predict duration of critical care resource use. A pediatric disaster triage algorithm that includes both likelihood for survival and for requiring critical care resources could minimize subjectivity in resource allocation decision-making.
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.
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.
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," discusses the timing, dosing and duration recommendations for the use of corticosteriod treatment for COVID-19. This is SCCM curated COVID-19 microlearning content.
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," discusses the disparities in the use of corticosteriod treatment for ARDS caused by COVID-19 by different organizations. This is SCCM curated COVID-19 microlearning content.
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," discusses the use of corticosteriod treatment for ARDS caused by COVID-19. This is SCCM curated COVID-19 microlearning content.
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.
This pre-recorded webinar presents an overview of the nutritional management of the critically ill patient with COVID-19 infection and addresses the vital need for nutrition, nutritional requirements, and the appropriate indications and management of enteral and parenteral nutrition in the context of COVID-19 management.
This interactive webinar focused on key elements of critical care pharmacotherapy and pharmacy operations in the SARS-CoV-2 pandemic.
Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions (Robinson C, et al. Crit Care Explor. 2020;2:e0107).
Explore the Surviving Sepsis Campaign’s Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020 Mar 27; Epub ahead of print) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC.
This presentation is an overview of using ECMO for COVID -19 patients. This is SCCM curated COVID-19 microlearning content.
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.
Point of Care (PoC) Refresher Training
Point of Care (PoC) Refresher Training. While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies vary by institution. Make sure to follow your institution's protocols.
The purpose of these recommendations is to provide a transparent, equitable, and consistent approach to allocation of scarce resources during a COVID-19-declared emergency in which crisis standards of care have been implemented.
The COVID-19 pandemic has presented a unique set of challenges. These challenges have been tempered to some extent by provisions made by the American Medical Association and Centers for Medicare and Medicaid Services (CMS) to assist with the billing and documentation burden.
With hospitals in hardest-hit areas clamoring for clinicians, supplies, and equipment during the COVID-19 pandemic, SCCM has been working with other nonprofits and corporations to answer the hospitals' call for help. SCCM partnered with Direct Relief to send ICU kits that included more than 86,000 units of essential pharmaceuticals to hospitals in New York and South Dakota.
This webinar discusses COVID-19 cases from the front-line at the University of Nebraska Medical Center Recorded on: April 17, 2020
This presentation is an overview of proper staff preparation during a pandemic to help avoid burnout. This is SCCM curated COVID-19 microlearning content.
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.
This segment offers an opportunity to experience the power of deep relaxation through a guided visualization. This is SCCM curated COVID-19 microlearning content.
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 Question and Answer Webcast Series - Webcast 2 held on April 10, 2020.
COVID-19 Guideline Resource. SCCM has released its Surviving Sepsis Campaign COVID-19 guidelines to manage critically ill adults with COVID-19 in the intensive care unit (ICU).
This presentation discusses the mortality factors regarding COVID-19. This is SCCM curated COVID-19 microlearning content.
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.
Acute inpatient care - and critical care in particular - has responded to the COVID-19 pandemic in unprecedented ways. Hospital entry screening, reduction or near-elimination of visitation, universal masks, and concerns regarding the supply of beds, medications, personal protective equipment (PPE), ventilators, and ICU team members are chief among the changes. But these are not the only changes that now characterize our daily work and workflow.
This presentation reviews how clinicians are sharing COVID-19 stories and management information through an online communication tool during the pandemic. This is SCCM curated COVID-19 microlearning content.
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.
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.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource regarding infection control and testing when treating COVID-19 patients.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing ventilation options for managing COVID-19 patients.
COVID-19 - - Quick Reference Chart. This chart is to be used as a rapid resource when choosing hemodynamic options for managing COVID-19 patients.
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.
This presentation is an overview of proper transport procedures of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
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.
Nutrition recommendations for caring for the critically ill patient with COVID-19. Joint Recommendations from SCCM and ASPEN.
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.
COVID-19 - SCCM Joint Statement. This joint society consensus statement provides advice to clinicians considering placing multiple patients on a single mechanical ventilator.
COVID-19 SSC Guidelines Infographic. This rapid resource is aligned with the SSC COVID-19 Guidelines.
COVID-19 Checklist (Spanish Version). This checklist can be used to help prepare your institution during the COVID-19 surge.
COVID-19 - SCCM Joint Statement. The Society of Critical Care Medicine (SCCM) and the American Society of Anesthesiologists (ASA) announce their plans to collaborate to address the COVID-19 crisis.
COVID-19 - SCCM Joint Statement. Production and distribution of personal protective equipment (PPE) and life-saving equipment.