Adult Sepsis Guidelines
Children's Sepsis Guidelines
Adult ICU Liberation Guidelines
PANDEM Guidelines for Children and Infants
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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.
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.
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.
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.
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.
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 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.
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.
Nearly 5000 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.
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.
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.
Free COVID-19 educational programs and webcasts for clinicains that may need additional critical care training.
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.
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.
This chapter from Fundamental Disaster Management aims to:
This Critical Care Medicine article summarizes current concepts on preventing occupationally acquired infections in healthcare workers.
This Critical Care Medicine article provides a conceptual and clinical review of Middle East respiratory syndrome.
(Crit Care Med 2015; 43:1283-1290)
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.
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)
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.
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.
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?"
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.
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.
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.
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.
Robert Truog, MD, discusses his article in the April 2006 issue of Critical Care Medicine, "Rationing in the Intensive Care Unit."
Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine.
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.