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Category: Crisis Management

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Timing of Intubation and Its Implications on Outcomes in Critically Ill Patients With Coronavirus Disease 2019 Infection

From Critical Care Explorations. In this Letter to the Editor, the authors report their findings from an observational study aimed to compare the difference in outcomes of critically ill patients with coronavirus disease 2019 who were intubated early versus later in the disease course.

Coronavirus, COVID-19, Supportive Care

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

A Hybrid Model of Pediatric and Adult Critical Care During the Coronavirus Disease 2019 Surge: The Experience of Two Tertiary Hospitals in London and New York

From Pediatric Critical Care Medicine. In this report, the authors describe the hybrid model implemented at institutions in New York and London and discuss shared experiences, pitfalls, challenges, and adjustments required in caring for both young and older patients.

Coronavirus, COVID-19, pediatrics

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 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

Can you share your experiences about receiving a lot of patients who were transferred to your hospital for advanced treatment such as 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 August 12, 2020.

Coronavirus, COVID-19, Transport

Can you discuss basic ICU management for COVID-19 patients in terms of gastrointestinal prophylaxis, venous thromboembolism prophylaxis, fluid monitoring, dietary requirements, sedation, and vasopressors?

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.

Clinical presentations, Coronavirus, COVID-19, Supportive Care, Therapies

What do you think about the possibility of reinfection and poor clinical outcomes?

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, Infection Control

When should patients first come to the hospital? What distinguishes between mild, moderate, and severe symptoms? Once they come to the hospital how do we evaluate them?

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.

Clinical presentations, Coronavirus, COVID-19

Would you discuss the concept of happy hypoxia, in which patients have a very low saturation rate? What does this mean to emergency department physicians, hospitalists, and nurses? Should we intubate these patients as soon as we see them in the emergency

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

Would you use remdesivir or steroids as early as admittance to the emergency department? Do you advocate their use?

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, Corticosteriods, COVID-19, Therapies

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

Are pharmacists well versed in which COVID-19 drugs to use?

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

Do you recommend calling pharmacy or infectious diseases for patients admitted to the ward with a positive COVID-19 test and some COVID-19 symptoms?

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, Diagnosis and Testing

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

What happens when a patient’s condition starts to deteriorate? What are the criteria for ICU admission and what percentage of patients eventually need ICU admission? Of those patients admitted to the ICU, what percentage become septic and hemodynamically

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, Hemodynamic Support

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

What is the perfect steroid? What are the differences among hydrocortisone, dexamethasone, and prednisone?

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

After a patient has tested positive for COVID-19, when is the most appropriate time to administer remdesivir to maximize its effectiveness?

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 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