COVID-19 and Disruptive Modifications to Cardiac Critical Care Delivery: JACC Review Topic of the Week

Jason N. Katz, Shashank S. Sinha, Carlos L. Alviar, David M. Dudzinski, Ann Gage, Samuel B. Brusca, M. Casey Flanagan, Timothy Welch, Bram J. Geller, P. Elliott Miller, Sergio Leonardi, Erin A. Bohula, Susanna Price, Sunit Preet Chaudhry, Thomas S. Metkus, Connor G. O'Brien, Alessandro Sionis, Christopher F. Barnett, Jacob C. Jentzer, Michael A. SolomonDavid A. Morrow, Sean van Diepen

Research output: Contribution to journalReview articlepeer-review

Abstract

The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe, as well as lessons learned from military mass casualty medicine. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives.

Original languageEnglish (US)
Pages (from-to)72-84
Number of pages13
JournalJournal of the American College of Cardiology
Volume76
Issue number1
DOIs
StatePublished - Jul 7 2020

Keywords

  • cardiac critical care
  • crisis
  • pandemic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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