The daily exam tracking sheet (page 3) is for clinicians to keep track of their patients’ findings while rounding.Īll three documents provide consensus expert opinion from the CHEST Difficult Airway Management faculty members for teams conducting emergency airway management (endotracheal intubation) for suspected or confirmed COVID-19 patients. The summary of findings sheet (page 2) can be laminated, placed in the patient’s room, and updated daily. Any suspected abnormal findings warrant obtaining additional cardiac views for further investigation. At least one cardiac view, usually the parasternal long-axis view, is obtained daily to assess left ventricular systolic function. The lung findings are coded with the highest number in each zone as normal (0), discrete B-lines (1), fused B-lines (2), subpleural consolidations (3), or lobar consolidation (4). Four lung zones that roughly correspond with the upper, middle (or lingula), and lower lobes are examined on the anterior, lateral, and posterior chest walls, respectively. Learn how to create a closed pleural drainage system using stocked items with these step-by-step instructions from Swedish Medical Center in Seattle, WA.įocused Lung and Cardiac Ultrasound Exams in COVID-19 PatientsĪ daily lung and cardiac ultrasound exam is performed on COVID-19 patients. Determining whether it is appropriate to cannulate a patient and start extracorporeal membrane oxygenation (ECMO) needs to be carefully weighed against the availability of resources, team support, and the patient’s goals of care. The Intensivists’ Dilemma: Extra-Step or No-Step for Extracorporeal Support in Patients With COVID-19ĬOVID-19 has magnified ethical and clinical dilemmas in the ICU. This article by Anne Marie Martland, MS, ACNP-BC, Meredith Huffines, MS, BA, RN, and Kiersten Henry, DNP, ACNP-BC, addresses nursing leadership and administrative considerations, strategies for optimizing staffing resources, and maintaining staff safety and resilience. Surge Priority Planning COVID-19: Critical Care Staffing and Nursing Considerations Hick, MD and Dan Hanfling, MD provide a refresher on transition to crisis care standards of care, often necessitated in pandemics, and offers strategies to employ in particular situations. Updated Joriginally published March 19, 2020 Indicators and Triggers for Potential Movement to Crisis Care Sanjana Mathur, MD, explains how some institutions have utilized simulation during the COVID-19 pandemic. Simulation exercises can provide a reliable way to optimize patient care and minimize viral exposure, while accommodating the needs of learners and clinicians. How Simulation Can Effectively Prepare Staff for Optimal Patient Care and Minimal Viral Spread During COVID-19
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