Critical Care Of Covid 19 In The Emergency Department

​This book functions as a comprehensive manual for emergency care providers who are treating critically ill COVID-19 patients. Beginning with an overview of the COVID-19 infection and an examination of the patients who received critical care from hospital emergency departments around the country, this book provides clinicians with a guide to best-practices in everything from personal protection while deploying critical care to COVID-19 patients to evaluation and diagnosis of the illness. Subsequent chapters break down care of various comorbidities seen in COVID-19 patients and the care offered to patients suffering from the illness in a multitude of ways. Closing chapters examine how emergency departments can best prepare for potential surges in COVID-19 patients as the illness continues to develop, providing important information on how to best protect hospital employees and best care for future patients in a constantly shifting landscape. Due to the rapid onset of the illness and strong-hold the pandemic had on the lives and careers of healthcare professionals, Critical Care of COVID-19 in the Emergency Department fills a critical gap in the literature available on this topic.

The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

In the USA, the COVID-19 crisis came as an unpleasant surprise and a shock to many healthcare systems and hospitals, especially in the crisis epicenter, New York City. The Bronx was one of the hardest hit boroughs of New York City, with significant negative impact of the COVID-19 pandemic on its indigent population. SBH Health System (formerly known as St. Barnabas Hospital) is an integrated system of an acute care hospital, ambulatory care center, trauma center, dialysis center, stroke center and other services and facilities, serving the community of the Bronx. The story of SBH in preparing for and managing the rapidly escalating surge of severely ill patients is a treasure of lessons in health crisis preparedness and management at all levels: clinical, administrative, financial, etc. These lessons can be used for other acute care hospital settings and other potential health crises that may arise in the future. Within a short 3 weeks, SBH increased its in-patient capacity by 50%. However, during the same short time, it increased its critical care capacity by over 500%, providing critical care to severely ill patients on ventilators. This book chronicles the situation step by step and describes how this accomplishment was done. Accounts from the frontline health workers and from the clinical and administrative leaders describe important aspects of crisis management, such as team building, multi-departmental coordination, effective communications, dynamic decision-making in response to rapidly changing situations, keeping up the morale and caring for the healthcare workers and managing the supply chain. The uniqueness of the experience of SBH is enhanced by the fact that SBH is a low budget “safety net” hospital serving the poorest population in New York City. The worldwide trend is toward tighter healthcare budgets with demands for higher efficiency and productivity. There is a lot to be learned from the SBH health crisis management, including how efficient management, team building, management of limited resources and collaborative workplace culture make the foundation of success in the face of the crisis of the century. This unique text serves as a “how to” guide for implementing skills necessary for crisis management. Lessons from the success of SBH in tackling the dramatically fast unfolding crisis are utilized in a clear and concise manner. Such lessons may benefit other health systems and hospitals in planning and preparing for similar crises.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

With the major redeployment of staff during the Covid-19 pandemic, this authoritative textbook provides a practical resource for healthcare professionals who may be new to acute and critical care settings. Written by nurses for nurses, the book will help readers master patient assessment, non-invasive ventilation, the use of high flow nasal oxygenation and renal care. You will learn about the challenges of resuscitation, leadership and responding to a public health emergency, and effective personal protection and hygiene practices. Covid-19: Critical Care textbook has been written by experts with frontline experience of working in hospitals during the pandemic and will remain relevant for those responding to future infectious disease outbreaks or waves of Covid-19. Self-assessment quizzes to support ongoing learning Suitable for staff re-deployed and those already working in acute and critical care areas Fully illustrated to demonstrate the use of PPE and coronavirus-specific procedures Contributions from key experts who have dealt directly with the disease provide practical insights

In this issue of Critical Care Clinics, guest editors Drs. David N. Hager, Kyle Gunnerson, and Stephen Macdonald bring their considerable expertise to the topic of Critical Illness Outside the ICU. Top experts cover key topics such as flight transport of the critically ill; models of critical care in the emergency department; in-hospital triage; rapid response teams; early warning systems; ICU without walls; and more. Contains 14 relevant, practice-oriented topics the role of intermediate care; PACU care; critical care in rural settings; critical care in austere settings; tele-ICU support; alternate care pathways for the patient with multimorbidity; and more. Provides in-depth clinical reviews on critical illness outside the ICU, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The Annual Update compiles reviews of the most recent developments in clinical intensive care and emergency medicine research and practice in one comprehensive book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in intensive care and emergency medicine, anesthesia, surgery, internal medicine, and pediatrics.