Characteristics and Outcomes of 21 Critically Ill COVID-19 Patients in Washington State

This study represents the first description of critically ill patients infected with SARS-CoV-2 in the US. Patients with confirmed SARS-CoV-2 infection (positive result by polymerase chain reaction testing of a nasopharyngeal... read more

COVID-19 Emergency Intubation Simulation Guidance

Glenfield Hospital have produced a simulation based on the above joint guidance which may be helpful for teaching and familiarisation. Small modifications have been made based on local resources and feedback. Thanks to the... read more

Chinese Anesthesiologists Share Strategies for Health Care Response to COVID-19

Anesthesiologists treating patients at the forefront of the coronavirus (COVID-19) outbreak in Wuhan, China, share valuable lessons for other practitioners as the wave of coronavirus infections rolls through other countries.... read more

Statement in Support of the Scientists, Public Health Professionals, and Medical Professionals of China Combatting COVID-19

We are public health scientists who have closely followed the emergence of 2019 novel coronavirus disease (COVID-19) and are deeply concerned about its impact on global health and wellbeing. We have watched as the scientists,... read more

Preliminary Recommendations on How to Prepare Your ED and ICU for the US Red Zone

Over the course of these past several weeks, our area system and hospitals (Harborview Medical Center, UW Medical Center-Montlake, UW Medical Center-Northwest, Valley Medical Center, UW Neighborhood Clinics and Airlift Northwest)... read more

Health Professionals Fight Against COVID-19 Myths and Misinformation

Misinformation about the COVID-19 travels faster than the virus and complicates the job of doctors who are treating those infected and responding to concerns of their other patients. An array of myths springing up around... read more

COVID-19: We’re Making Decisions Without Reliable Data

The current coronavirus disease, COVID-19, has been called a once-in-a-century pandemic. But it may also be a once-in-a-century evidence fiasco. At a time when everyone needs better information, from disease modelers and... read more

Clinical Utility and Technique for Lung Ultrasound in COVID-19 Cases

Since the outbreak of a novel coronavirus in Wuhan in December 2019 and its subsequent evolution to a pandemic in March 2020, there has been growing interest in the utility of lung ultrasound in the workup and management... read more

COVID-19: A Message From Concerned Physicians

The COVID-19 pandemic has reached a point where containment is no longer possible. The COVID-19 threat is real, and rapidly getting worse. Many of you are very nervous, some are unsure of the validity of the information you... read more

Care for Critically Ill Patients with COVID-19

Initial reports suggest that COVID-19 is associated with severe disease that requires intensive care in approximately 5% of proven infections. Given how common the disease is becoming, as in prior major severe acute respiratory... read more

Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It

The fascinating, true story of the world's deadliest disease. In 1918, the Great Flu Epidemic felled the young and healthy virtually overnight. An estimated forty million people died as the epidemic raged. Children... read more

Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It

New Technology Gives Parents Virtual Face Time With Their Hospitalized Children

The pediatric intensive care unit (PICU) team at the University of Maryland Children's Hospital (UMCH) is offering a new way for families to interact with their child and the medical team when they can’t be there in person. PICU... read more

Safe Airway Society Principles of Airway Management and Tracheal Intubation Specific to the COVID-19

Transmission of COVID-19 is primarily through droplet spread. These droplets are affected by gravity and may cause direct transmission from close contact or contribute to surface contamination (where the virus may remain... read more

The Drug Hunters: The Improbable Quest to Discover New Medicines

The surprising, behind-the-scenes story of how our medicines are discovered, told by a veteran drug hunter. The search to find medicines is as old as disease, which is to say as old as the human race. Through serendipity—... read more

The Drug Hunters: The Improbable Quest to Discover New Medicines

Splitting Ventilators to Provide Titrated Support to a Large Group of Patients

COVID-19 can out-strip the number of mechanical ventilators available to us. This has led to interest in using a single ventilator to support multiple patients. This post will review the theory and evidence regarding this... read more

The Disaster Preparedness Handbook: A Guide for Families

Let survival expert, Army veteran, NASA scientist help you and your family prepare for any kind of disaster—flood, civil unrest, hurricane, fire, war, earthquake. Ninety-nine percent of the time, the world spins like... read more

The Disaster Preparedness Handbook: A Guide for Families

Models of Peer Support to Remediate Post-Intensive Care Syndrome

A number of different models of peer support are currently being developed to help patients and families recover and grow in the post-critical care setting. Via an iterative process of in-person and email/conference calls,... read more

Humanizing the ICU Experience with Enhanced Communication

Decisions to limit therapy (DTLT) are routine for ICU physicians. Although breaking bad news is one of the most difficult tasks clinicians face, ongoing communication is even more crucial as families (not necessary following... read more

Focus on Clinical Trial Interpretation

In a recently published meta-epidemiological study of 604 randomised clinical trials (RCTs) published between 1977 and 2018 from 53 Cochrane systematic reviews in critical care, less than 7% of the RCTs had overall low risk... read more

Critical Care and the COVID-19 Outbreak in Italy: Early Experience and Forecast

There was an immediate sharp increase in ICU admissions from day 1 to day 14. The increase was steady and consistent. Publicly available data indicate that ICU admissions (n = 556) represented 16% of all patients (n = 3420)... read more

Lung Ultrasonography Features of COVID-19 Pneumonia

As lung abnormalities may develop before clinical manifestations and nucleic acid detection, experts have recommended early chest computerized tomography (CT) for screening suspected patients. The high contagiousness... read more

COVID-19 Airway Management – The Role of Simulation

Health services around the world are faced with the challenge of preparing for the impact of COVID-19 on their communities as we all prepare for a potential global pandemic. I see a great role for simulation in process... read more