Triage

Validation of a Crisis Standards of Care Model for Prioritization of Limited Resources During the Coronavirus Disease 2019 Crisis in an Urban, Safety-Net, Academic Medical Center

From Critical Care Medicine. In Massachusetts, triage guidelines were designed based on acute illness and chronic life-limiting conditions. In this study, the authors sought to retrospectively validate this protocol to cohorts of critically ill patients from their hospital.

Existing Crisis Standards of Care Triage Protocols May Not Significantly Differentiate Between Patients With Coronavirus Disease 2019 Who Require Intensive Care

From Critical Care Explorations. The authors sought to determine how several existing crisis standards of care triage protocols would have distinguished between patients with coronavirus disease 2019 requiring intensive care.

Rapid Development of a Tool for Prioritizing Patients with Coronavirus Disease 2019 for Intensive Care

From Critical Care Explorations. In this study, the authors share a new approach for rapidly developing a decision-support tool for prioritizing patients with coronavirus 2019 disease for admission to ICUs.

Critical Ethics: How to Balance Patient Autonomy With Fairness When Patients Refuse Coronavirus Disease 2019 Testing

From Critical Care Explorations. In this review articles, the authors set out to identify the most ethical way a given healthcare system may respond to a patient’s refusal to undergo coronavirus disease 2019 testing.

An Algorithm for Classifying Patients Most Likely to Develop Severe Coronavirus Disease 2019 Illness

From Critical Care Explorations

The authors developed an algorithm to assess whether someone is at high risk of admission to the ICU or dying from coronavirus disease 2019, should he or she test positive for coronavirus disease 2019.

What are your thoughts about triage for ICU admission, lack of equipment, lack of PPE, and lack of dialysis equipment?

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.

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.

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.

What is the approach in the emergency department for patients who arrive with potential COVID-19 symptoms? What triage, diagnostic, and treatment practices are in place?

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.

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.
 

Alternative Analgesic and Sedative Agents in the Setting of Drug Shortages during the COVID19 Pandemic

This resources detail how to manage drug shortages for alternative analgesics and sedagent agents. This is SCCM curated COVID-19 microlearning content.

Analgesic, Sedative, and Paralytic Strategies in COVID-19 Patients During Critical Shortages

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.

What lessons have you learned about triaging patients with COVID-19 or other conditions for the ICU?

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

What is your protocol for triaging patients to the ward, the ICU, or the step-down unit?

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.

What are some strategies for providing care with limited resources?

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.

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.

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.

Triaging Critical Resources During COVID-19

The SCCM Ethics Committee prepared a guide entitled, Standard of Care Recommendations for Triaging Resources During the COVID-19 Pandemic.

SCCM/ACEP Presidents' Expert Panel: Unanticipated Consequences of Pandemic Care

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.

Prediction of Pediatric Critical Care Resource Utilization for Disaster Triage

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.

Acute Physiology and Chronic Health Evaluation II Score as a Predictor of Hospital Mortality in Patients of Coronavirus Disease 2019

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.

Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival

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.

Caring for Critically Ill Adults in PICUs Is Not "Child's Play"

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.

Caring for Critically Ill Adults With Coronavirus Disease 2019 in a PICU: Recommendations by Dual Trained Intensivists

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.

The Need for Continued Compassion in Healthcare Beyond COVID-19

This resource details how compassion in healthcare has changed with COVID-19. This is a community developed COVID-19 microlearning resource.

Society of Critical Care Medicine Crisis Standard of Care Recommendations for Triaging Critical Resources During the COVID-19 Pandemic

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.

What are your experiences with triaging patients in the ICU at your institution?

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