Adult Surviving Sepis Campaign Guidelines (Hour-1 Bundle) Children's Surviving Sepsis Campaign Guidelines
Adult ICU Liberation Guidelines and Bundle (A-F) Management of Adults with COVID-19
Log In
Forgot username or password? New User? Sign Up Free
SCCM Tag page
A Shot in The Dark: COVID-19 Vaccine Update A January 8, 2021, SCCM webcast focusing on COVD-19 vaccination served as a primer for healthcare professionals who will be among the first to receive vaccines.
Coronavirus, COVID-19, Vaccines
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.
COVID-19, Disaster Response, Emergency Response, Pandemic
A Case-Control Study of Prone Positioning in Awake and Nonintubated Hospitalized Coronavirus Disease 2019 Patients From Critical Care Explorations. In this study, the authors found no significant association with reduced risk of invasive mechanical ventilation or inhospital mortality after adjusting for baseline severity of illness and oxygenation status.
Coronavirus, COVID-19, Proning
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.
Coronavirus, COVID-19, Pandemic
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).
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.
COVID-19 Guidelines
Coronavirus, COVID-19, Disaster, Emergency, Response
A Centrally Acting Antihypertensive, Clonidine, Sedates Patients Presenting With Acute Respiratory Distress Syndrome Evoked by Severe Acute Respiratory Syndrome-Coronavirus 2 From Critical Care Medicine. The authors report on a sedation and ventilation method used in France.
ARDS, Coronavirus, COVID-19, Therapies
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.
Coronavirus, COVID-19, Emergency Response, Pandemic
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.
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.
COVID-19 Response Resources for healthcare professionals responding to the COVID-19 pandemic.
Coronavirus, COVID-19, Disaster, Disaster Preparedness, Disaster Response
A Conceptual and Adaptable Approach to Hospital Preparedness for Acute Surge Events Due to Emerging Infectious Diseases 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.
Coronavirus, COVID-19, Disaster Preparedness, Infection Control
Critical Care Documentation and Billing Update: COVID-19 Pandemic This article was originally published in the Summer 2020 Issue of Critical Connections.
Administration, Coronavirus, COVID-19, Critical Connections
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.
Concise Critical Appraisal: Dexamethasone Use in the Treatment of COVID-19 This Concise Critical Appraisal offers a look into the results of the RECOVERY trial published in the New England Journal of Medicine, which demonstrated that dexamethasone improved mortality in hospitalized patients with COVID-19.
Concise Critical Appraisal, Coronavirus, COVID-19, Dexamethasone
COVID-19: Calls for Volunteers
Coronavirus, COVID-19, COVID-19 Calls for Volunteers, Pandemic, Volunteers
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
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-413 COVID-19 Fact Versus Science Fiction Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation.
Concise Critical Appraisal: Is CPR Futile for COVID-19 Patients? Is cardiopulmonary resuscitation (CPR) futile in hospitalized patients with COVID-19 experiencing cardiac arrest? A study recently published in Critical Care Medicine sought to answer this question and provide more data around outcomes of in-hospital cardiac arrest in patients with COVID-19.
Concise Critical Appraisal, COVID-19, Resuscitation
Critical Care for Non-ICU Clinicians Access the Society of Critical Care Medicine's (SCCM) complimentary online training, Critical Care for Non-ICU Clinicians.
Coronavirus, COVID-19, Disaster Response, Emergency Response, Pandemic
A Method to Improve Continuous Renal Replacement Therapy Circuit Survival Time in Critically Ill Coronavirus Disease 2019 Patients With Acute Kidney Injury From Critical Care Explorations The authors discuss optimizing continuous renal replacement therapy circuit survival in coronavirus disease 2019 patients admitted to the ICU.
AKI/Renal, Coronavirus, COVID-19, Therapies
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-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.
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.
Appraisal, Coronavirus, COVID-19, ECMO, Emergency Response, Pandemic
Disaster and Emergency Resources SCCM assists the critical care community during disasters and emergencies by providing resources and updates and is actively responding to the coronavirus disease 2019 (COVID-19) outbreak.
A Novel Low-Cost Ventilator for Use in a Worldwide Pandemic: The Portsmouth Ventilator From Critical Care Explorations In this study, the authors found that the Portsmouth Ventilator was able to perform well across all simulated pathologies and in vivo.
Coronavirus, COVID-19, Ventilatory Support
Intentional and Natural Outbreaks of Infectious Disease This chapter from Fundamental Disaster Management aims to:
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.
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.
SCCM-ASA Joint Statement to Address the COVID-19 Pandemic 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, Disaster Response, Emergency Response
A Propensity-Matched Cohort Study of Tocilizumab in Patients With Coronavirus Disease 2019 From Critical Care Explorations The authors assessed the impact of tocilizumab therapy and found that it was associated with significantly improved survival in coronavirus disease 2019 patients.
Coronavirus, COVID-19, Therapies
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-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.”
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.
Coronavirus, COVID-19, Disaster Response, Emergency Response, ICU Liberation, Pandemic
Sign Up for COVID-19 Email Updates The Society of Critical Care Medicine (SCCM) is rapidly developing and deploying resources to respond to coronavirus disease 2019 (COVID-19). Enter your email to receive updates about this information.
A Shot in The Dark: COVID-19 Vaccine Update This 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 webcast is the first in a series of updates that the SCCM will be producing to better educate clinicians as the vaccination efforts continue internationally. Webcast Recorded on Friday, January 8, 2021
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-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.
COVID-19: What’s Next: A Deeper Dive into Top Sessions COVID-19: What’s Next, the first-of-its kind virtual conference hosted by the Society of Critical Care Medicine (SCCM), featured the newest research findings, epidemiologic models, and guideline updates for caring for patients with COVID-19 from specialists on the front lines.
Coronavirus, COVID-19, Disaster, Proning, Resource Allocation, Ventilation
ACEP COVID-19 Resource: COVID-19 Field Guide This is a link to an ACEP COVID-19 external resource entitled, "The American College of Emergency Physicians Guide to Coronavirus Disease (COVID-19)."
Coronavirus, COVID-19
PTSD and Burnout in Healthcare Professionals This article was originally published in the Summer 2020 Issue of Critical Connections.
Burnout, COVID-19, Critical Connections, PTSD, Wellness
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.
Critical Care Physician Tapped to Lead COVID-19 Testing Efforts Assistant Secretary for Health Admiral Brett P. Giroir, MD, a prominent critical care physician who has a long history of membership and involvement with the Society of Critical Care Medicine (SCCM), has been tapped to lead one of the most important missions in the government's COVID-19 response.
Coronavirus, COVID-19, COVID-19 Member Stories, Emergency Response
ACEP COVID-19 Resource: Hurting and Helping: Team Care and Self Care During Crisis ACEP is collaborating with the American Association of Emergency Psychiatry on some new resources related to physician wellness and mental health during COVID-19.
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.
COVID-19, Pandemic
Discovery VIRUS Registry Outcomes and STOP-VIRUS ICU Learning Collaborative The first outcomes of VIRUS were recently published in Critical Care Medicine. More than 20 manuscripts are being prepared for publication during the next several months. Additionally, sites have been invited to submit ancillary study ideas drawing on registry data. Of the 150 proposed, more than 60 have been approved. Join the registry today and contribute to this important data collection.
Coronavirus, COVID-19, Discovery Research Network, Statistics
Acute Kidney Injury in COVID-19 This presentation covers acute kidney injury seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
AKI/Renal, Coronavirus, COVID-19
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.
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.
Coronavirus, COVID-19, Pandemic, Stress, Wellness
Acute Kidney Injury in Pediatric Inflammatory Multisystem Syndrome Temporally Associated With Severe Acute Respiratory Syndrome Coronavirus-2 Pandemic: Experience From PICUs Across United Kingdom From Critical Care Medicine. The authors evaluated the prevalence, evolution, and clinical factors associated with acute kidney injury in children admitted to PICUs with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus-2.
Coronavirus, COVID-19, Renal
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.
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.
Coronavirus, COVID-19, ICU Readiness Assessment, Pandemic
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.
Coronavirus, COVID-19, Triage
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.
Message from the President: COVID-19 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.
Coronavirus, COVID-19, Message from the President
Adult Extracorporeal Membrane Oxygenation Patient Selection During Coronavirus Disease 2019: The Value of a Review Panel During Coronavirus Disease 2019 From Critical Care Medicine. Authors write regarding article by Bohman et al "Approach to Adult Extracorporeal Membrane Oxygenation Patient Selection" and note that a formal approach to decision making is key for the appropriate use of this labori ntensive rescue therapy.
Coronavirus, COVID-19, ECMO
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."
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.
Coronavirus, COVID-19, Disaster, Disaster Response, Emergency Response, Pandemic
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.
Coronavirus, COVID-19, Disaster Preparedness, Resource Allocation, Triage
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.
SCCM and Its Members Rise to the COVID-19 Challenge 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.
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
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) (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.
Coronavirus, COVID-19, Guidelines, Sepsis
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.
Age Distribution and Critical Illness Severity of COVID-19 This presentation is an overview of age distribution as it relates to severity in COVID-19 patients.
Clinical presentations, Coronavirus, COVID-19, Statistics
Coronavirus, COVID-19, Diagnostics
SCCM Experts Weigh in on Latest COVID-19 Treatment Strategies This article distills some of the challenges and lessons learned in key areas of COVID-19 management: convalescent plasma therapy and strategies for diabetes/hyperglycemia and myocarditis.
Coronavirus, COVID-19, Treatments
Airway Management 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.
Coronavirus, COVID-19, Hemodynamic Support, Supportive Care, Ventilatory Support
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 (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.
Coronavirus, COVID-19, ICU
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.
Coronavirus, COVID-19, COVID-19 Member Stories, Emergency Response, Pandemic
Almitrine Infusion in Severe Acute Respiratory Syndrome Coronavirus 2-Induced Acute Respiratory Distress Syndrome: A Single-Center Observational Study From Critical Care Medicine The authors assessed the effect of almitrine, a selective pulmonary vasoconstrictor, on arterial oxygenation in severe acute respiratory syndrome coronavirus 2-induced acute respiratory distress syndrome.
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 (Ingraham N, et al. Crit Care Explor. 2020;2:e0108) with host Ashish K. Khanna, MD, FCCP, FCCM, and Nicholas E. Ingraham, MD.
Communication, Coronavirus, COVID-19
SCCM Member Volunteers to Care for NYC COVID-19 Patients SCCM member Gregory Margolin, DO, FCCP, FCCM, will be volunteering in New York City next week. He has been treating critically ill patients with COVID-19 at his hospital in Scottsdale, Arizona, and will continue his efforts by treating patients at the Javits Center, the convention center in Manhattan repurposed for COVID-19 overflow.
Altered Mental Status: Non-ICU Emergency Cards This resource details how to assess the altered mental status of COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
Clinical presentations, Coronavirus, COVID-19, Diagnosis and Testing
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.
Coronavirus, COVID-19, Infection Control, research, Treatment
Sharing Data is the Key to Unlocking Remdesivir 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.
Coronavirus, COVID-19, Emergency Response
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.
Coronavirus, COVID-19, Resource Allocation, Therapies, Triage
SCCM Pod-415 NIH COVID-19 Treatment Guidelines The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines.
Coronavirus, COVID-19, guidelines, Infection Control
The Difficult Path Ahead: We Hear You and Are Here for You SCCM released a statement to media imploring the public to rise to the challenge and follow recommended public health measures, such as mask wearing, social distancing, hand hygiene, avoiding large groups and staying home as much as possible.
COVID-19, Emergency Response, Mental Health, Resource Allocation
An 18-Year-Old Survivor With a Body Mass Index of 73.9 kg/m2 on Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019: A Collaborative Multidisciplinary Effort From Critical Care Explorations. In this case report, the authors describe a case of acute respiratory distress syndrome secondary to coronavirus disease 2019 infection in setting of super morbid obesity (body mass index 73.9 kg/m2) with the successful use of extracorporeal membrane oxygenation.
Case Presentations, Coronavirus, COVID-19
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" (Han J, et al. Crit Care Explor. 2020;2:e0118).
Tocilizumab May Reduce Mortality in Certain COVID-19 Patients Two recent trials suggest that immune-damping drugs such as tocilizumab may reduce mortality in patients with severe COVID-19.
Coronavirus, COVID-19, Pharmacology, Therapies
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.
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 (Marini J. Crit Care Med. 2020 May 13; Epub ahead of print).
ARDS, Coronavirus, COVID-19
United States Resource Availability for COVID-19 With the onset of COVID-19, and the strong possibility of large percentages of the U.S. population being admitted to the hospital and intensive care unit (ICU), the Society of Critical Care Medicine (SCCM) has updated its statistics on critical care resources available in the United States.
Coronavirus, COVID-19, Disaster Response, Emergency Response
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.
Coronavirus, COVID-19, Sedation, Therapies, Triage
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.
Coronavirus, COVID-19, PPE
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.
Coronavirus, COVID-19, Emergency Response, MIS-C, Multisytem Inflammatory Syndrome in Children, Pandemic
Antibiotic Stewardship Crisis during COVID-19 This resource covers antimicrobial stewardship concerns during the COVID-19 pandemic. This is SCCM curated COVID-19 microlearning content.
Coronavirus, COVID-19, Infection Control
SCCM Pod-421 COVID-19 and Renal Replacement Therapy The increase in acute kidney injury in COVID-19 patients is resulting in more utilization of renal replacement therapy (RRT) and continuous renal replacement therapy. Host Pamela M. Peeke, MD, MPH, FACP, FACSM , is joined by Michael J. Connor Jr, MD, to review RRT utilization.
continuous renal replacement therapy, coronavirus, COVID-19, renal replacement therapy
Anticoagulation Issues This presentation covers treating anticoagulation issues seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
Anticoagulation, Coronavirus, COVID-19
SCCM Pod-422 Procalcitonin in COVID-19 and Influenza-Related Secondary Bacterial Infections Procalcitonin testing on admission seems to be a valuable piece of information for early risk assessment and ruling out bacterial co-infection in COVID-19 patients. Host Pamela M. Peeke, MD, MPH, is joined by Michael Broyles, PharmD, and Eric H. Gluck, MD, to explore this topic.
coronavirus, COVID-19, infection, procalcitonin
Anticoagulation Issues in COVID-19 This presentation covers anticoagluation issues seen with COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
SCCM Pod-423 Coagulopathy in COVID-19 Patients COVID-19 is associated with a high prevalence of coagulopathy and venous thromboembolism. Explore what clinicians need to know about this serious problem and how it impacts care delivery.
Coagulopathy, Coronavirus, COVID-19
Antiviral Dosing Modification for Coronavirus Disease 2019–Infected Patients Receiving Extracorporeal Therapy From Critical Care Explorations. In this study, the authors gathered available published resources including physicochemical and pharmacokinetic properties and suggest antiviral drug dosing adaptation for coronavirus disease 2019–infected critically ill patients receiving extracorporeal therapy.
Coronavirus, COVID-19, ECMO, Therapies, Virology
SCCM Pod-427 Severe COVID-19 and Sepsis Severe COVID-19 infection can be a form of viral sepsis with occasionally concomitant bacterial infection. Explore the definition of sepsis and overlap with case descriptions of patients with severe COVID-19, treatment, and more.
Coronavirus, COVID-19, Sepsis
Antiviral Therapeutics for the Treatment of Critically-Ill COVID-19 Patients This presentation details the proper usage of antivirals when treating COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
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.
Approaching delirium in patients with COVID-19 This presentation provides an overview of the types of strategies for approaching the D Element (Delirium) of the ICU Liberation Bundle in patients with COVID-19. This is SCCM curated COVID-19 microlearning content.
Coronavirus, COVID-19, ICU Liberation
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)
Are patients self-proning and are benefits resulting from it? 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
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.
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.
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?"
Are there any data supporting convalescent plasma? 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 January 13, 2021.
Convalescent Plasma Therapy, Coronavirus, COVID-19
Are there any differences in standards of care between adult patients and pediatric or adolescent 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 July 8th, 2020.
coronavirus, COVID-19, Pediatrics
Are there any issues related to the use of diagnostic and interventional radiology that would preclude the performance of certain tests in patients who are COVID-19-positive? 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, Scanning
Are there any updates on using steroids to treat patients with 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.
Are you giving all patients dexamethasone? What steroid regimen have you found most helpful? What dosing do you recommend for obese 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 January 13, 2021.
Are you using convalescent plasma in your practice? 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.
Convalescent Plasma Therapy, Coronavirus, COVID-19, Therapies
Are you using more advanced ventilation modes, such as airway pressure ventilation (APRV) or oscillator? 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 January 13, 2021.
Are you using steroids, including dexamethasone, in your adult and pediatric practices? 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.
Are you using typical DVT prophylaxis or something more, such as therapeutic anticoagulation? 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.
Anticoagulation, Coronavirus, COVID-19, DVT
Association Between Early Invasive Mechanical Ventilation and Day-60 Mortality in Acute Hypoxemic Respiratory Failure Related to Coronavirus Disease-2019 Pneumonia From Critical Care Explorations. In this study, the authors assessed the effect of early invasive mechanical ventilation in coronavirus disease-2019 with acute hypoxemic respiratory failure on day-60 mortality.
At what saturation levels should a patient be intubated and what strategies can be used to avoid intubation? Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.
Atrial Fibrillation and COVID-19 This presentation covers atrial fibrillation COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
AFib, Coronavirus, COVID-19
Available Treatments: Efficacy This presentation is an overview of efficacy of the available treatments for COVID-19.
Because of the need for such high doses of sedatives and narcotics, how are you preventing post-intensive care syndrome and delirium? 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 January 13, 2021.
Coronavirus, COVID-19, Delirium, Sedation
Because patients with COVID-19 seem to remain intubated for long periods of time, do you have any recommendations regarding early versus late tracheostomy? It seems COVID-19 patients remain intubated for a long period of time. Do you have any recommendations for early vs. late tracheostomy?
Aerosol-Generating Procedures, Coronavirus, COVID-19, Intubation, Supportive Care, Ventilatory Support
Benchmarking Critical Care Well-Being: Before and After the Coronavirus Disease 2019 Pandemic From Critical Care Explorations The authors examined the impact of COVID-19 with regard to well-being, measured as burnout and professional fulfillment, across critical care healthcare professionals, ICUs, and hospitals within a health system.
Brain Death Evaluation in Children With Suspected or Confirmed Coronavirus Disease 2019 From Pediatric Critical Care Medicine The authors discuss the challenges of conducting a death by neurologic criteria or brain death evaluation in the coronavirus disease 2019 era and provide guidance to mitigate viral transmission risk and maintain patient safety during testing.
Camostat Mesylate May Reduce Severity of Coronavirus Disease 2019 Sepsis: A First Observation From Critical Care Explorations The authors present a case series of eleven patients, five treated with camostat mesylate and six treated with hydroxychloroquine.
Case Presentations, Coronavirus, COVID-19, Therapies
Can chest radiograph findings change the indication for either intubation or extubation? 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, Scanning, Supportive Care, Ventilatory Support
Can you comment on the use of nebulizers for chronic obstructive pulmonary disease and other diseases that may respond to bronchodilators? 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
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
Can you discuss coagulability issues? 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.
Can you discuss pediatric inflammatory conditions? 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, Pediatrics
Can you discuss sedation, nutritional needs, and CPR? 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, Sedation, Therapies
Can you discuss the psychological needs of the patient and family regarding family involvement and end-of-life issues 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.
Communication, Coronavirus, COVID-19, Mental Health
Can you discuss the range and ceiling of permissive hypercapnia? Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.
Can you give an update on the current literature on using steroids in the treatment of COVID-19? How are you using this literature in your practice? 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, Therapies
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
Capillary Leukocytes, Microaggregates, and the Response to Hypoxemia in the Microcirculation of Coronavirus Disease 2019 Patients From Critical Care Medicine. In this study, the authors hypothesized that coronavirus disease 2019 patients exhibit sublingual microcirculatory alterations caused by inflammation, coagulopathy, and hypoxemia.
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.
Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections’ Collaborative of the European Society of Pediatric and Neonatal Intensive Care From Pediatric Critical Care Medicine. In this article, the authors review the current clinical knowledge of coronavirus disease 2019 disease in critically ill children and discuss some specific treatment concepts based mainly on expert opinion based on limited experience and the lack completed controlled trials in children at the time of the paper.
Coronavirus, COVID-19, Multisystem Inflammatory Syndrome, Pediatrics
Case Report: Acute Limb Ischemia Due to Arterial Thrombosis Associated With Coronavirus Disease 2019 From Critical Care Explorations. The authors report a case of peripheral arterial thrombosis associated with COVID-19, resulting in acute limb ischemia of the right lower extremity.
CDC Guidance for health-worker monitoring regarding COVID-19 This presentation is a review of CDC guidance regarding assessment of risk, monitoring and work restriction decisions for healthcare providers with potential exposure to COVID-19. This is SCCM curated COVID-19 microlearning content.
coronavirus, COVID-19, Disaster Preparedness, Infection Control
CDC Resources: Administration SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Administration
CDC Resources: Immunology SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Immunology
CDC Resources: Infection SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Infection
Coronavirus, COVID-19, Infection Control, Post COVID-19, PPE, Reinfection, Resource Allocation, Virology
CDC Resources: Obstetrics SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Obstetrics
Coronavirus, COVID-19, Pregnancy
CDC Resources: Pediatrics SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Pediatrics
Coronavirus, COVID-19, pediatrics, Statistics
CDC Resources: Pharmacology SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Pharmacology
Comorbidities, Coronavirus, COVID-19, Vaccines
CDC Resources: Research SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Research
Coronavirus, COVID-19, Statistics
CDC Resources: Well-Being SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Well-Being
Coronavirus, COVID-19, Mental Health
Central Venous Confirmation With Point-of-Care Ultrasound This presentation covers central veneous confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.
Coronavirus, COVID-19, Ultrasound
Children in Critical Care Due to Severe Acute Respiratory Syndrome Coronavirus 2 Infection: Experience in a Spanish Hospital 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).
Clinical Distancing and Mitigation of Coronavirus Disease 2019 From Critical Care Explorations. In this commentary, the authors provide specific recommendations for the rapid implementation of clinical distancing techniques.
Clinical Features of Coronavirus Disease 2019 Patients With Mechanical Ventilation: A Nationwide Study in China From Critical Care Medicine. Mechanical ventilation (MV) is life-saving for respiratory distress; this study was designed to delineate the clinical features of the COVID-19 patients with MV from a national cohort in China.
Clinical Features of Critical Coronavirus Disease 2019 in Children From Pediatric Critical Care Medicine. In this study, the authors observed a greater proportion of hospitalized children requiring mechanical ventilation than has been reported to date; they state that older children, African-American or Hispanic children, and males may be at greater risk for severe illness requiring hospitalization.
Clinical Outcomes Following Tocilizumab Administration in Mechanically Ventilated Coronavirus Disease 2019 Patients From Critical Care Explorations. In this study, the authors examined the outcomes of critically ill coronavirus disease 2019 patients treated with tocilizumab and factors associated with clinical improvement.
Coronavirus, COVID-19, Therapies, Ventilatory Support
Clinical Outcomes With the Use of Prophylactic Versus Therapeutic Anticoagulation in Coronavirus Disease 2019 From Critical Care Explorations In this study, the authors found an increase in inhospital mortality was observed among patients on preemptive therapeutic anticoagulation.
Clinical Pearls on Sedative Weaning This resource details tips for sedative weaning for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
Coronavirus, COVID-19, Sedation
Clinical Perspectives: The Front Lines This webinar discusses COVID-19 cases from the front-line at the University of Nebraska Medical Center Recorded on: April 17, 2020
Case Presentations, Coronavirus, COVID-19, Infection Control, Ventilatory Support
Clinical Pharmacists: An Invaluable Part of the Coronavirus Disease 2019 Frontline Response From Critical Care Explorations The authors describe how clinical pharmacists fulfilled an essential service during the coronavirus pandemic by working to ensure the best possible outcomes for the patients they served on the frontline.
Coagulopathy of Coronavirus Disease 2019 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.
Anticoagulation, Coronavirus, COVID-19, Therapies
Comparing the Surviving Sepsis Campaign (SSC) and National Institutes of Health (NIH) COVID-19 Guidelines 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.
Coronavirus, COVID-19, Infection Control, Supportive Care, Therapies
Configuring ICUs in the COVID-19 Era This report provides guidance on how to innovate your existing intensive care unit (ICU) or convert other spaces into an ICU to improve workflow, manage capacity, and minimize healthcare professionals’ exposure to COVID-19 based on the evolving experiences from more than a dozen hospitals and their healthcare professionals on the front lines.
Coronavirus, COVID-19, Disaster Preparedness
Consensus Statement on Multiple Patients Per Ventilator COVID-19 - SCCM Joint Statement. This joint society consensus statement provides advice to clinicians considering placing multiple patients on a single mechanical ventilator.
Coronavirus, COVID-19, Supportive Care, Ventilatory Support
Consideration of Severe Coronavirus Disease 2019 As Viral Sepsis and Potential Use of Immune Checkpoint Inhibitors From Critical Care Explorations. Supportive treatment and immunomodulators have a critical place in the treatment of severe patients until effective antivirals are developed. Interleukin-6 antagonists, one of the immunomodulating agents, appears to be effective in the treatment of cytokine storm, but some patients continue to have severe lymphopenia and immunosuppression.
Convalescent Plasma Therapy in Four Critically Ill Pediatric Patients With Coronavirus Disease 2019: A Case Series From Critical Care Explorations. In this case report, the authors report a series of four critically ill pediatric patients with acute respiratory failure who received coronavirus disease 2019 convalescent plasma as a treatment strategy for severe disease.
Coronavirus, COVID-19, Pediatrics, Therapies
Coping with Uncertainty: What to Do When You Don’t Know What's Next 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
Core Outcome Measures for Trials in People With Coronavirus Disease 2019: Respiratory Failure, Multiorgan Failure, Shortness of Breath, and Recovery From Critical Care Medicine. The authors sought to establish the core outcome measures for respiratory failure, multiple organ failure, shortness of breath, recovery, and mortality for trials in coronavirus disease 2019.
Clinical Trials, Coronavirus, COVID-19, Sepsis
Core Outcomes Set for Trials in People With Coronavirus Disease 2019 From Critical Care Medicine. The authors aimed to establish a core outcomes set for trials in people with suspected or confirmed coronavirus disease 2019.
Clinical Trials, Coronavirus, COVID-19
Coronavirus Disease 2019 Acute Respiratory Distress Syndrome: Guideline-Driven Care Should Be Our Natural Reflex From Critical Care Medicine. In this Viewpoints article, the authors discuss the value of evidence-based, guidelines-driven care in ARDS in patients with COVID-19.
Coronavirus Disease 2019 and Acute Respiratory Distress Syndrome: Why the Intensivist Is More Important Than Ever From Critical Care Medicine. In this Viewpoints article, the authors discuss the challenges of ARDS in COVID-19 patients.
Coronavirus Disease 2019 Calls for Predictive Analytics Monitoring—A New Kind of Illness Scoring System From Critical Care Explorations The authors believe that current illness severity scoring systems, which usually update only when clinicians measure vital signs or laboratory values, are poorly suited for early detection of this kind of rapid clinical deterioration, and therefore propose that continuous predictive analytics monitoring, a new approach to bedside management, is more useful.
Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals Fron Critical Care Medicine. This study shows that overburdening of ICU professionals during an extended period of time leads to symptoms of burnout.
Coronavirus Disease 2019 in Children: An Invisible Threat Which We Cannot Ignore 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.
Coronavirus Disease 2019 Intermediate Care Units: Containing Escalation of ICUs From Critical Care Medicine. In this Letter to the Editor, the authors share their view that - for COVID-19 patient - Intermediate Care Units (IMCUs) may be better suited for post-ICU care than ordinary hospital wards.
Coronavirus Disease 2019 Pandemic Measures: Reports From a National Survey of 9,120 ICU Clinicians From Critical Care Medicine. In this national ICU clinician survey, it was found that there are continued concerns regarding personal protective equipment supplies with the chief issue being N95 respirator availability.
Coronavirus Disease 2019: Harnessing Healthy Fear via Knowledge, Attitudes, and Behavior From Critical Care Explorations. This commentary discussed how fear (both rational and irrational) influences application of evidence-based data in the ICU during pandemics.
Coronavirus Disease in Children This presentation covers treating COVID-19 in pediatric patients. This is SCCM curated COVID-19 microlearning content.
Correlation of Respiratory Physiologic Parameters in Mechanically Ventilated Coronavirus Disease 2019 Patients From Critical Care Explorations. In this article, the authors report simultaneously measured respiratory parameters (static lung compliance, alveolar dead space ventilation, and shunt fraction) in 14 patients with advanced coronavirus disease 2019-related acute respiratory distress syndrome.
Corticosteroid Responsive Encephalopathy: Prolonged Coma in Patients Late in the Course of Dreadful Severe Acute Respiratory Syndrome Coronavirus 2 Infection From Critical Care Explorations. In this case report, the authors describe two cases of prolonged coma after weaning off sedation in severe acute respiratory syndrome coronavirus 2 with rapid neurologic improvement shortly after high-dose corticosteroid regimen.
Case Presentations, Coronavirus, COVID-19, Sedation
COVID Toes and Other Rashes This presentation cover dermatological conditions seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
Comorbidities, Coronavirus, COVID-19, Pediatrics
COVID-19 and Breastfeeding This resource covers breastfeeding concerns with COVID-19. This is a community developed COVID-19 microlearning resource.
Community Developed, Coronavirus, COVID-19, Nutrition, OB/GYN, Pregnancy
COVID-19 Dashboard: North American Pediatric ICUs This resource details a pediatric ICU dashboard sample for tracking COVID-19. This is a community developed COVID-19 microlearning resource.
COVID-19 ICU Update on Telegram Messenger 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.
COVID-19 in Critically Ill Children: A Narrative Review of the Literature 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.
COVID-19 Integrating Critical Care Pharmacists into Safe and Effective Care Delivery in the SARS-CoV-2 Pandemic This interactive webinar focused on key elements of critical care pharmacotherapy and pharmacy operations in the SARS-CoV-2 pandemic.
Coronavirus, COVID-19, Infection Control, Therapies
COVID-19 Managing Nutrition Support for Critically Ill COVID-19 Patients - Held in partnership with ASPEN 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.
Coronavirus, COVID-19, Infection Control, Nutrition
COVID-19 Pharmacology Debates: Anticoagulant and Immunomodulator Use 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.
COVID-19 Pharmacology Debates: Management of Delirium, Pain and Sedation The Society of Critical Care Medicine (SCCM) and the American Society of Health-System Pharmacists (ASHP) in their third series of therapeutic debates in the management of COVID-19.
COVID-19 Pharmacology Debates: Steroid and Antiviral Use in COVID-19 Patients ASHP and the SCCM teamed up in their second series of therapeutic debates in the management of COVID-19. In the first debate, the content matter experts reviewed the latest literature and debate the use of steroids for treatment of COVID-19.
Antivirals, Coronavirus, COVID-19, Steroids, Therapies
COVID-19 Vaccination: Logistics, Logistics, Logistics 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 COVID-19 vaccination logistics. Webcast Recorded on Friday, January 8, 2021
COVID-19 Vaccine Implementation 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 vaccine implementation. Webcast Recorded on Friday, January 8, 2021
COVID-19 Vaccine Storage Considerations 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 vaccine storage considerations. Webcast Recorded on Friday, January 8, 2021
Creative Approaches for Early Mobility in Patients with COVID-19 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.
Critical Care Clinician Reports on Coronavirus Disease 2019: Results From a National Survey of 4,875 ICU Providers This study queried United States (U.S.) ICU clinician perspectives on ICU preparedness and concerns regarding delivering COVID-19 patient care.
Critical Care Documentation and Billing Update: COVID-19 Pandemic 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.
Critical Care for Coronavirus Disease 2019: Perspectives From the PICU to the Medical ICU From Critical Care Medicine. The authors describe the unique perspective of pediatric intensivists caring for critically ill adults during the coronavirus disease 2019 pandemic.
Critical Care for Non-ICU Clinicians: Expert Panel Series This webcast series engages a panel of critical care experts who will address questions from non-ICU clinicians caring for critically ill patients during the COVID-19 pandemic. Participants are encouraged to ask about any related topics at the time of registration or live during the session.
Coronavirus, COVID-19, Infection Control, Supportive Care, Therapies, Ventilatory Support
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.
Critical Illness, Intensive Care, And Post-Traumatic Stress Disorder This resource is a patient guide detailing how Post-Traumatic Stress Disorder (PTSD) is seen in critical illness and intensive care. This is a community developed COVID-19 microlearning resource.
Cytokine Storm and ARDS - Comparison of Corticosteroid Dosing Strategies This resource details how to manage cytokine storm and ARDS by comparing corticosteriod dosing strategies for COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
ARDS, Coronavirus, Corticosteriods, COVID-19