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

Recommended Education

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.

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 21:17)

Babak Sarani, MD, FACS, FCCM Professor of Surgery, The George Washington Unversity Chief of Trauma and Acute Care Surgery, The GW Medical Faculty Associates & George Washington University Hospital

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/
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.
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

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.

Clinical Update 04/02/2020
Hana Akselrod, MD, MPH
GW Division of Infectious Diseases
Clinical Update 3/26/2020
Hana Akselrod, MD, MPH
GW Division of Infectious Diseases
With thanks to Rachel Harold, MD and Saghar Saber, MD
Clinical Update 3/19/2020
Hana Akselrod, MD, MPH
GW Division of Infectious Diseases
With thanks to Rachel Harold, MD and Saghar Saber, MD
Clinical Update 03/17/2020
Hana Akselrod, MD, MPH
GW Division of Infectious Diseases

Professional Practice

American College of Physicians (ACP): COVID-19 Physician's Guide + Resources
Iinformation 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.

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)

COVID-19 Evidence Base Care

Guidelines

COVID-19 Airway & Management Guidelines
GW Department of Anesthesiology & Critical Care Medicine Updated 3/18/2020
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
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 3/20/2020