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Caring for Critically Ill Patients with Novel Coronavirus

Concern over the 2019 novel coronavirus (2019-nCoV) is growing. It is vital that those on the frontlines be prepared. This article highlights several strategic goals and special considerations related to caring for a critically ill patient who can transmit a deadly disease to you, your staff, or others in your hospital.


Consensus Statement on Multiple Patients Per Ventilator

The Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), Anesthesia Patient Safety Foundation (ASPF), American Association of Critical-Care Nurses (AACN), and American College of Chest Physicians (CHEST) issue this consensus statement on the concept of placing multiple patients on a single mechanical ventilator.


Biohazard Disasters: Natural and International Outbreaks

This complimentary lesson module from SCCM’s Fundamental Disaster Management (FDM) course addresses, among other things, the differences between outbreaks and conventional disasters and implementing appropriate and effective infection control measures.


SCCM Pod-409 SSC COVID-19 Guidelines

Explore the Surviving Sepsis Campaign’s Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19).


Clinicians Report High Stress in COVID-19 Response

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.


Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement

Natural disasters, industrial accidents , terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials.


SCCM Pod-410 COVID-19 Neurologic Manifestations

Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions (Robinson C, et al. Crit Care Explor. 2020;2:e0107) with host Ludwig H. Lin, MD, and author Christopher P. Robinson, DO, MS.


Concise Critical Appraisal: Planning and Provision of ECMO for Severe ARDS From COVID-19

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.


Critical Care for Non-ICU Clinicians

Access the Society of Critical Care Medicine's (SCCM) complimentary online training, Critical Care for Non-ICU Clinicians.


Critically ill patients with the Middle East respiratory syndrome: A multicenter retrospective cohort study

This Critical Care Medicine aims to describe patient characteristics, clinical manifestations, disease course including viral replication patterns, and outcomes of critically ill patients with severe acute respiratory infection from the Middle East respiratory syndrome and to compare these features with patients with severe acute respiratory infection due to other etiologies.


SCCM Pod-412 COVID-19 in Critically Ill Children

Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider.


Configuring the ICU in the COVID-19 Era: Real-World Experience

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.


Ethics of Outbreaks Position Statement

Outbreaks of disease, especially those that are declared a Public Health Emergency of International Concern, present substantial ethical challenges. Here we start a discourse (with a continuation of the dialogue in Ethics of Outbreaks Position Statement.


SCCM Pod-413 COVID-19 Fact Versus Science Fiction

Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation.


Countering COVID-19 Delirium with the ICU Liberation Bundle

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.


Intentional and Natural Outbreaks of Infectious Disease

This chapter from Fundamental Disaster Management aims to:

  • Explain the general principles of surveillance for intentional and natural outbreaks of infectious disease.
  • Describe the clinical presentation of category A and category B agents and the related diagnostic tests, treatment, and infection-control measures.
  • Describe the clinical presentation of other potential emerging diseases and the related diagnostic tests, treatment, and infection-control measures.


SCCM Pod-414 COVID-19 VIRUS Registry Aims to Identify Effective Treatment Strategies

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.


How to Maintain Wellness in the COVID-19 Era

Intensive care unit (ICU) clinicians tend to pride themselves on their ability to care for others, even if it is at the expense of taking care of themselves. Some think of this mantra of "others before me" as a badge of honor, according to James C. Jackson, PhD, PsyD, research professor and assistant director of the ICU Recovery Center at Vanderbilt University Medical Center. Dr. Jackson has a strong message to these clinicians: Now is not the time to dismiss your own needs.


Lessons learned: Protection of healthcare workers from infectious disease risks

This Critical Care Medicine article summarizes current concepts on preventing occupationally acquired infections in healthcare workers.


SCCM Pod-415 NIH COVID-19 Treatment Guidelines

The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. SCCM members Craig M. Coopersmith, MD, FACS, MCCM; Amy L. Dzierba, PharmD, FCCP, BCCCP; and Greg S. Martin, MD, MS, FCCM, served on the guidelines development panel.


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

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, their specific concerns range from shortages of supplies and staff, patient surge and overcrowding, and personal protective equipment.


Middle East Respiratory Syndrome: Knowledge to Date

This Critical Care Medicine article provides a conceptual and clinical review of Middle East respiratory syndrome.
(Crit Care Med 2015; 43:1283-1290)


SCCM Pod-416 COVID-19 Learning: Multiple Patients on a Single Ventilator

In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort. In this podcast, Arthur S. Slutsky, MD, discusses his article “Personalized Ventilation to Multiple Patients Using a Single Ventilator: Description and Proof of Concept.” 


PPE Strategies for the COVID-19 Era

The supply of personal protective equipment (PPE) has been uncertain since the start of the COVID-19 pandemic. Months into this healthcare crisis, supply chains are unpredictable as reports of shortages continue. Follow these key strategies for managing PPE.


Pandemics Cross Borders: How to Tackle Them From a Global Perspective

This is a presentation from the 47th Critical Care Congress on Pandemics Cross Borders.


SCCM Pod-417 COVID-19-Associated Acute Respiratory Distress Syndrome

Clinicians are working to understand and formulate an effective treatment for COVID-19-associated acute respiratory distress syndrome.


SCCM Deploys Supplies and Volunteers to Support ICUs in Need

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.


SCCM Pod-106 Discussion of H1N1 Influenza - Part I

Randy S. Wax, MD, discusses the current outbreak of H1N1 Influenza, the triage protocol for critical care during an influenza epidemic, the public's role in taking necessary precautions, and educational resources that are available.


SCCM Pod-418 COVID-19 Learning: Conversion of a Children’s Hospital to an Adult Hospital

Montefiore Medical Center in the Bronx, New York, USA, quickly converted a children’s hospital to an adult COVID-19 hospital. Hear Margaret M. Parker, MD, MCCM, talk with H. Michael Ushay, MD, PhD, FAAP, FCCM, about the process, challenges with staffing and personal protective equipment, and more.


SCCM Member Provides Remote Disaster Response to Italy

SCCM Member and disaster management expert Marie R. Baldisseri, MD, MPH, FCCM, is helping Italy remotely with their COVID-19 response plans. Dr. Baldisseri shares her knowledge about the situation in Italy and talks about what drives her to respond in times of crisis. 


SCCM Pod-107 Discussion of H1N1 Influenza - Part II

John H. Beigel, MD, clarifies the definition of influenza and discusses the evolution of viruses, speculation on the mode of transmission and the role of vaccines and therapies as they relate to H1N1 Influenza.


What Critical Care Clinicians Need to Know Today About MIS-C

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.


SCCM Pod-108 Discussion of H1N1 Influenza - Part III

Naomi O'Grady, MD clarifies the strain of the current virus, discusses the difference between a pandemic and an epidemic, and outlines the prescription therapies available specific to H1N1 Influenza.


SCCM Pod-200 PCCM: Mechanical Ventilation Use in Children with 2009 H1N1 Versus Seasonal Influenza

Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine.


SCCM Pod-29 CCM: Rationing in the ICU

Robert Truog, MD, discusses his article in the April 2006 issue of Critical Care Medicine, "Rationing in the Intensive Care Unit."


SCCM Pod-325 Pediatric Triage in a Severe Pandemic

Margaret Parker, MD, MCCM, speaks with Christine Gall, DrPH, about the article, “Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds,” published in the September 2016 issue of Critical Care Medicine.


Severe acute respiratory distress syndrome (SARS): A critical care perspective

This Critical Care Medicine article aims to review the epidemiology, clinical features, etiology, diagnosis, and management of severe acute respiratory syndrome (SARS) from a critical care perspective.


Severe acute respiratory syndrome and critical care medicine: The Toronto experience

The 2003 global outbreak of severe acute respiratory syndrome (SARS) provided numerous challenges to the delivery of critical care. The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks.(Crit Care Med 2005; 33[Suppl.]:S53–S60)


Treating Lethal Infectious Disease in the ICU

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 45th Critical Care Congress on infectious diseases.


What Do I Need to Know About Rationing in the ICU?

This is a complimentary chapter from the textbook, Critical Care Ethics: A Practice Guide, Third Edition, titled, "What Do I Need to Know About Rationing in the ICU?"