Research Guides: Critical Care Primer: Educational Resources for Non-ICU Clinicians

Recommended Education

Program

Critical Care for Non-ICU Clinicians
Complimentary online training offered by the Society of Critical Care Medicine (SCCM).
Complete free registration to access all materials.

GW Video Training

ICU Primer (YouTube 37:14)
Katrina Hawkins, MD, Assistant Professor of Anesthesiology and Critical Care Medicine; Assistant Professor of Medicine, The George Washington University

Just in Time: Basic Management of a Ventilator (YouTube 21:18)
Babak Sarani, MD, FACS, FCCM Professor of Surgery, The George Washington University Chief of Trauma and Acute Care Surgery, The GW Medical Faculty Associates & George Washington University Hospital

Key Articles

Just-In-Time Tools for Training Non-Critical Care Providers: Basics of Respiratory Failure
Lee, J. D., Albert, T. J., Carmona, H. D., Johnson, N. J., Luks, A. M., Steinbach, T. C., & Kritek, P. A. (2020). Just-In-Time Tools for Training Non-Critical Care Providers: Basics of Respiratory Failure. ATS Scholar, (ja).
Just-In-Time Tools for Training Non-Critical Care Providers: Troubleshooting Problems in the Ventilated Patient
Steinbach, T. C, .Albert, T. J., Carmona, H. D., Johnson, N. J., , Lee, J. D, and Luks, A. M., , & (2020). Just-In-Time Tools for Training Non-Critical Care Providers: Troubleshooting Problems in the Ventilated Patient. ATS Scholar, (ja).

Key Resources for Education

Critical Care for Non-Intensivists

Critical Care for Non-ICU Clinicians
Complimentary online training offered by the Society of Critical Care Medicine (SCCM).
Complete free registration to access all materials.
One-Pager on COVID-19
Mark, N. (2020). One-Pager on COVID-19. Retrieved from https://www.onepagericu.com/
Coronavirus COVID-19 Airway Management Checklist
Intubation during the COVID-19 outbreak is one of the more dangerous procedures for our teams; approach designed to keep patients and providers as safe as possible during pandemic.
ICU Guidebook
Developed to provide residents with quick online access to information that will help
during ICU/CCU rotations. University of Illinois College of Medicine at Chicago.
NEJM Videos in Clinical Medicine: Critical Care Videos
Selected videos geared toward supporting non-ICU clinical staff who may be asked to care for critically ill patients during COVID-19 pandemic.
ACP Critical Care Video Shorts
ACP's collection of 50+ white board videos (2-5 mins each), currently available for free access during the pandemic. View in any order; mobile friendly. Topics include: ABG, acid/base, hypoxemia, ARDS, hypercarbic failure, mechanical ventilation, sepsis, vasopressors, preventive measures in the ICU.
Internet Book of Critical Care (IBCC)
Created and maintained by Josh Farkas, attending intensivist at the University of Vermont.

Critical Care: COVID-19

Care for Critically Ill Patients With COVID-19
Murthy S, Gomersall CD, Fowler RA. Care for Critically Ill Patients With COVID-19 [published online ahead of print, 2020 Mar 11]. JAMA. 2020;10.1001/jama.2020.3633. doi:10.1001/jama.2020.3633
Overview of care of the critically ill patient for the non-intensivist (YouTube 1:05:26)
Aimed at doctors (mostly anaesthetists) who will be asked to help out in regular or makeshift ICUs during the Covid-19 outbreak. Covers general considerations for ICU care and then specifics of managing a ventilated Covid-19 patient.
Critical care management of adults with community-acquired severe respiratory viral infection
Arabi YM, Fowler R, Hayden FG. Critical care management of adults with community-acquired severe respiratory viral infection. Intensive Care Med. 2020;46(2):315–328. doi:10.1007/s00134-020-05943-5

Airway Management

COVID-19 Airway & Management Guidelines
GW Department of Anesthesiology & Critical Care Medicine Updated 3/18/2020
Critical Care Airway Management
Umobong EU, Mayo PH. Critical Care Airway Management. Crit Care Clin. 2018;34(3):313–324. doi:10.1016/j.ccc.2018.03.006

Noninvasive respiratory support

High-flow oxygen therapy and other inhaled therapies in intensive care units
Levy SD, Alladina JW, Hibbert KA, Harris RS, Bajwa EK, Hess DR. High-flow oxygen therapy and other inhaled therapies in intensive care units. Lancet. 2016;387(10030):1867–1878. doi:10.1016/S0140-6736(16)30245-8
Noninvasive respiratory support
From: Parsons, P. (2019). Critical care secrets (Sixth edition.). Philadelphia, PA: Elsevier.
How should we monitor patients with acute respiratory failure treated with noninvasive ventilation?
Ergan B, Nasiłowski J, Winck JC. How should we monitor patients with acute respiratory failure treated with noninvasive ventilation?. Eur Respir Rev. 2018;27(148):170101. Published 2018 Apr 13. doi:10.1183/16000617.0101-2017

Mechanical Ventilation

Mechanical Ventilation Protocol Summary
ARDSnet - NIH NHLBI ARDS Clinical Network
Introduction to Mechanical Ventilation (YouTube 18:17)
Introduction to mechanical ventilation for house officers rotating in the Intensive Care Unit. Basics of fully supported modes (Assist/Control, PRVC) and weaning modes (CPAP, PS, T-tube trial).
Clinical challenges in mechanical ventilation
Goligher EC, Ferguson ND, Brochard LJ. Clinical challenges in mechanical ventilation. Lancet. 2016;387(10030):1856–1866. doi:10.1016/S0140-6736(16)30176-3
Mechanical ventilation
From: Parsons, P. (2019). Critical care secrets (Sixth edition.). Philadelphia, PA: Elsevier.
Weaning from mechanical ventilation
McConville JF, Kress JP. Weaning patients from the ventilator. N Engl J Med. 2012;367(23):2233–2239. doi:10.1056/NEJMra1203367

ECMO

Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications: A Review
Brodie D, Slutsky AS, Combes A. Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications: A Review. JAMA. 2019;322(6):557–568. doi:10.1001/jama.2019.9302
Bedside troubleshooting during ECMO
Patel B, Arcaro M, Chatterjee S. Bedside troubleshooting during venovenous extracorporeal membrane oxygenation (ECMO). J Thorac Dis. 2019;11(Suppl 14):S1698–S1707. doi:10.21037/jtd.2019.04.81

COVID-19 Evidence Base Care

Guidelines

NIH COVID-19 Treatment Guidelines: Critical Care
Regularly updated.
COVID-19 Airway & Management Guidelines
GW Department of Anesthesiology & Critical Care Medicine Updated 3/18/2020
Surviving Sepsis Campaign COVID-19 Guidelines
The SSC COVID-19 subcommittee panel (36 experts from 12 countries) issued 53 statements based on the available evidence, four of which are best practices based on high-quality evidence. Updated as new evidence becomes available
Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected
World Health Organization. Intended for clinicians taking care of hospitalised adult and paediatric patients with severe acute respiratory infection (SARI) when a nCoV infection is suspected. Updated 3/13/2020

Point-of-Care Summaries

DynaMed: Coronavirus (COVID-19) Clinical Summary
Includes diagnostic, management, and epidemiological information and resources
StatPearls: Coronavirus (COVID-19) Clinical Summary
Updated weekly
Elsevier Point of Care: Coronavirus (COVID-19) Clinical Summary
Epocrates Essentials: Coronavirus (COVID-19) Clinical Summary
Includes information on diagnosis, treatment, follow-up.

GW Infectious Disease Updates

Provided by Hana Akselrod, MD, MPH, GW Division of Infectious Diseases

Clinical Update 7/16/2020
Clinical Update 7/2/2020
Clinical Update 6/25/2020
Clinical Update 6/18/2020
Clinical Update 06/11/2020
Clinical Update 6/4/2020
Clinical Update 5/28/2020
Clinical Update 5/21/2020
Clinical Update 5/14/2020
Clinical Update 5/7/2020
Clinical Update 4/30/2020
Clinical Update 04/23/2020
Clinical Update 4/16/2020
Clinical Update 04/09/2020
Clinical Update 04/02/2020
Clinical Update 3/26/2020
With thanks to Rachel Harold, MD and Saghar Saber, MD
Clinical Update 3/19/2020
With thanks to Rachel Harold, MD and Saghar Saber, MD
Clinical Update 03/17/2020

Contributors

Babak Sarani, Courtney Paul, Danielle Davison, Hana Akselrod, Jalil Ahari, Laura Abate & Philip Zapanta

Questions or comments? Please email Laura Abate (leabate@gwu.edu)

GW Updates

We have developed COVID-19: GW Health Updates and a daily digest email to minimize the number of emails our providers and staff are getting daily. By going to this page, you will be able to access the latest information in your area in real time and will try to minimize blast emails for urgent information.

Professional Practice

American College of Physicians (ACP): COVID-19 Physician's Guide + Resources
Information resources to support physicians as they respond to the SARS-CoV-2 pandemic, including patients who have Covid-19 or who are under suspicion for Covid-19.
University of Washington Medicine COVID-19 Resource Site
Policies and procedures developed in response to early epicenter of Covid-19 in western Washington state. Developed by the University of Washington health system and their partners Seattle Cancer Care Alliance.
Society of Critical Care Medicine (SCCM) Emergency Resources: COVID-19
Responds to disasters and emergencies by providing resources and updates to the critical care community.