COVID-19 Resources for Non-ICU Clinicians

Critical Care for the Non-ICU Clinician

As the COVID-19 pandemic spreads, the number of critically ill patients is expected to surge in hospitals across the United States. This may result in non-ICU clinicians being needed to care for critically ill patients. SCCM's Critical Care for the Non-ICU Clinician provides online education to healthcare professionals who may benefit from critical care training. Be prepared with this free resource.

If you are having trouble playing modules on a mobile device, download the Articulate Mobile App available in iTunes or Google Play. Or, use a desktop web browser.

Self-Assessment

Knowledge Check
Assess your knowledge on information needed to care for critically ill patients during the COVID-19 pandemic. This short quiz includes questions and rationales on topics such as mechanical ventilation; infection prevention and control; and environmental injury and disaster management.

Clinical Resources: Adult

Recognition and Assessment of the Seriously Ill Patient
Evaluate early signs and symptoms of critical illness and perform initial assessment and early treatment of critically ill patients.

Critical Care for the Non-ICU Nurse
Discuss key points of mechanical ventilation and medication usage that non-ICU nurses will need to know when caring for critically ill patients.

Airway Management
Recognize signs of a threatened airway and learn techniques for establishing an airway and starting manual ventilation. Describe preparation of endotracheal intubation and proper use of airway adjuncts.

Airway Assessment and Management
Describe an initial airway assessment, differential diagnosis, and initial management of respiratory failure. Identify a difficult airway, surgical airways. Learn about noninvasive ventilation, endotracheal intubation, and airway adjuncts.

Diagnosis and Management of Acute Respiratory Failure
Identify forms of acute respiratory failure along with their pathophysiology and manifestations. Review oxygen supplementation strategies

Mechanical Ventilation I
Discuss indications and techniques for noninvasive positive pressure ventilation. Understand mechanical ventilation modes, settings, and monitoring.

Mechanical Ventilation II
Describe interactions between ventilatory parameters and ways to modify harmful effects of mechanical ventilation. Review guidelines for initial ventilator management for specific clinical situations.

Prone Positioning

Discuss how prone positioning can be used to improve oxygenation in critically ill patients who require mechanical ventilation for management of hypoxemic respiratory failure. Step-by-step instructions for prone positioning intubated and nonintubated patients are also available.

Diagnosis and Management of Shock
Identify primary categories of shock, principles of management, and resuscitation goals. Describe effects of vasopressor and inotropic agents as well as diagnosis and management of oliguria.

Medication Dosage and Drip Rate Calculation
Learn how to calculate medication dosage and drip rate if an IV pump is not available. Double-checking a calculation with another team member should always be considered if there is any doubt regarding the calculation.

Critical Care for Older Adults
Understand physiologic, psychological, and social vulnerabilities that make caring for patients >65 years old different from that of younger patients.

Physiologic Changes During Pregnancy
Recognize the physiologic changes of pregnancy and how they can affect the diagnosis and management of critically ill patients. Anticipate the effects of pregnancy on new or underlying medical conditions. Describe anatomic, physiologic, and biochemical changes during pregnancy.

Airway Management in the Pregnant Patient
Understand changes in the airway during normal pregnancy and pathologic conditions such as preeclampsia. Describe factors that cause airway difficulties in the pregnant woman. Outline interventions to manage airway difficulties.

Clinical Resources: Children

Assessment of the Critically Ill Child
Review anatomic and physiologic differences between pediatric and adult patients. Understand how to recognize respiratory failure and sepsis and how to apply the Pediatric Early Warning Score (PEWS) to detect clinical deterioration early. Discuss the role of ancillary tests in cardiopulmonary evaluation of a child.

Acute Respiratory Failure and Mechanical Ventilation
Describe the pathophysiology and manifestations of acute respiratory failure and methods for avoiding ventilator-induced lung injury. Review mechanical ventilation modes and settings, noninvasive positive pressure ventilation, and oxygen supplementation strategies.

Cardiovascular Evaluation and Pediatric Shock
Discuss early detection, rapid intervention, and initial management of shock.

Emergency Cards

These one-page cards provide non-ICU clinicians with just-in-time education for use in a variety of emergency situations that may arise when caring for patients. Topics include:

Disaster Preparedness and Response

ICU Microcosm Within Disaster Medical Response
Understand the role of the ICU in disaster preparedness and review concepts of preparation, leadership, and communication in times of disaster.

Augmenting Critical Care Capacity During a Disaster
Recognize the need to modify staffing and space when the number of patients in the ICU overwhelm capacity.

Disaster Triage and Allocation of Scarce Resources
Describe triage goals and resource requirements and limitations. Discuss ethical triage during times of disaster.

Sustained Mechanical Ventilation Outside Traditional Intensive Care Units
Understand resource and space requirements for mass respiratory care. Identify key characteristics of positive pressure ventilation and other respiratory equipment needed for mass critical care.

Biohazard Disasters: Natural and Intentional Outbreaks
Identify different types of biological events and detect threats as early as possible. Implement effective infection control measures.

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