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COVID-19 Critical Care Surge Resources
Topic Collection
October 15, 2020

Topic Collection: COVID-19 Critical Care Surge Resources

This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on critical care surge.

Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.

If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to critical care surge can be placed under the COVID-19 Critical Care Surge Resources Topic.

Select Resources


Abir, M., Nelson, C., Chan, E., et al. (2020). Critical Care Surge Response Strategies for the 2020 COVID-19 Outbreak in the United States. (Added 4/21/2020.)RAND Corporation.
This report suggests a range of strategies that may be used to increase hospital critical care surge capacity. The report is accompanied by an online Interactive Critical Care Surge Response Tool that allows users to estimate current surge capacity and see the effects of various user inputs.
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This page includes information on the Ventilator Training Alliance, a mobile app with video tutorials, instruction manuals, and other training materials provided by manufacturers to inform use of ventilators during the COVID-19 pandemic. The free app for iOS and Android may be accessed from the page.
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American Society for Health Care Engineering. (2020). Innovative IV Pump Placement.
This page includes a diagram and equipment relocation checklist to aid healthcare facilities in moving IV pumps outside of patient rooms to reduce personal protective equipment requirements during the COVID-19 pandemic.
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American Society for Health Care Engineering. (2020). Medical Air and Oxygen Capacity Assessment Tool. (Added 7/9/2020.)American Hospital Association.
This downloadable, Excel-based tool allows users to estimate medical air and oxygen capacity while providing six different types of therapies to COVID-19 patients.
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American Society for Health Care Engineering. (2020). Negative Pressure Patient Room Options.
This resource page offers considerations related to patient placement in airborne infection isolation rooms. It includes a table of air change clearance rates, unit conversion considerations with examples, and high-efficiency particulate air considerations with diagrams.
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American Society of Anesthesiologists and Anesthesia Patient Safety Foundation. (2020). APSF/ASA Guidance on Repurposing Anesthesia Machines as ICU Ventilators. (Added 4/7/2020.)
These resources jointly developed by the American Society of Anesthesiologists and Anesthesia Patient Safety Foundation guide the safe and effective use of anesthesia machines as intensive care unit (ICU) ventilators should supply be insufficient during the COVID-19 pandemic. Resources include a guidance document on purposing anesthesia machines as ICU ventilators, a quick reference bedside tool on setup and monitoring instructions, guidance on use of volatile anesthetic for sedation of ICU patients, and a procedural checklist for supporting patients during the anesthesia machine power up test.
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American Society of Health-System Pharmacists. (2020). Patient Surge Management During a Pandemic: Toolkit for Hospital and Health System Pharmacy. (Added 6/12/2020.)
This toolkit highlights lessons learned related to executive emergency orders, drug utilization, pharmacy workforce management, facility surge, and pharmacy service lines along with resources created in response to COVID-19.
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American Society of PeriAnesthesia Nurses. (2020). COVID-19 Toolkit for the Perianesthesia Nurse.
This toolkit provides information for perianesthesia nurses working in extreme situations due to the COVID-19 pandemics. It includes information on nurse self-care as well as strategies for caring for COVID-19 patients.
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Speakers from some of the hardest hit hospitals across the U.S. discuss their COVID-19 experiences in this webinar.
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Centers for Disease Control and Prevention. (2020). COVID-19 Surge. (Added 4/23/2020.) U.S. Department of Health and Human Services.
This spreadsheet-based tool calculates estimates of the number of persons needing hospitalizations, intensive care unit care, and ventilator support compared to existing and expanded hospital capacity. Users can also simultaneously see the outputs of three mitigation strategies versus no interventions.
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Centers for Disease Control and Prevention. (2020). Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19). (Added 5/15/2020.) U.S. Department of Health and Human Services.
This health advisory provides background information and a case definition for multisystem inflammatory syndrome in children.
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COVID-19 Healthcare Resilience Task Force. (2020). COVID-19 Hospital Resource Compilation.
This document lists key COVID-19 guidance and resources for hospital administrators, hospital emergency planners, and infection control practitioners in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, and telemedicine. Each section contains links to Federal and non-Federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak.
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Denver Health. (2007). Project XTREME Respiratory Training. Agency for Healthcare Research and Quality.
This series of videos provides training to non-respiratory therapists on basic respiratory care and ventilator management to increase healthcare surge capacity during a mass casualty incident. The videos cover topics including infection control, terms and definitions, manual and mechanical ventilation, and airway maintenance and suctioning. The training is intended for non-respiratory health care providers to be cross-trained as extenders delivering care to adult patients.
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This document describes a project to cross-train non-respiratory therapists to provide basic respiratory care and ventilator management to provide surge staffing capacity during mass casualty incidents. The authors reviewed the literature and legal and regulatory requirements, identified competencies, developed a curriculum, pilot tested the training, conducted exercises, and provided recommendations.
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Einav, S., Hick, J., Hanfling, D., et al. (2014). Surge Capacity Logistics: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement. Chest. 146(4_supplement):e17S–e43S.
The authors list 22 suggestions specific to surge capacity and mass critical care under the following topics: stockpiling of equipment, supplies, and pharmaceuticals; staff preparation and organization; patient flow and distribution; deployable critical care services; and using transportation assets to support surge response. The document includes supply and equipment lists (Tables 3, 4, 5, and 6) and staffing recommendations that may help inform a hospital’s COVID-19 response.
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This figure depicts the proportion of critical care, intermediate care and telemetry unit, and general hospital ward patients during routine operations and during a medical surge. The proportion of critical care patients increases during a medical surge incident as lower acuity patients are directed to community-based care.
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Emergency Medical Services for Children Innovation & Improvement Center. (2020). Coronavirus (COVID-19). (Added 5/21/2020.)
This page is a compilation of COVID-19 related resources for hospital-based, pre-hospital, and community-based providers. Resources are categorized under Multisystem Inflammatory Response Syndrome in Children, pre-hospital and hospital preparedness, family readiness, school and childcare, personal protective equipment and essential skills, and mental and behavioral health. The page is updated as new resources become available.
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EvergreenHealth. (2020). Lessons Learned: COVID-19. (Added 5/4/2020.)
This document, which is updated as needed, features lessons learned from the hospitalist group that managed some of the first COVID-19 patients in the U.S. Sections focus on facility preparedness, testing, infection control, human resources, clinical management, and discharge. The document also includes links to additional resources.
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Food and Drug Administration. (2020). Recommendations for Investigational Use of COVID-19 Convalescent Plasma. U.S. Department of Health and Human Services.
This page includes guidance on the administration and study of investigational COVID-19 convalescent plasma. It includes pathways for use, information on collection of convalescent plasma, labeling, and recordkeeping.
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Guan, W., Ni, Z., Hu, Y., et al. (2020). Clinical Characteristics of Coronavirus Disease 2019 in China. The New England Journal of Medicine .
The authors reviewed data from 1,099 laboratory-confirmed COVID-19 patients in 552 mainland China hospitals through January 29, 2020. The cumulative risk of the composite end point of admission to an intensive care unit, use of mechanical ventilation, or death was 3.6% for all patients and 20.6% for patients with severe disease. The authors noted that 15.7% developed severe illness after hospital admission; 1.4% died; 43.8% of patients presented with fever, but 88.7% developed a fever while hospitalized; and 2.9% of those with severe and 17.9% of those with non-severe disease had no radiologic abnormalities on initial presentation.
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Halpern, N., Kaplan, L., Rausen, M., and Yang, J. (2020). Configuring ICUs in the COVID-19 Era. (Added 9/15/2020.)Society of Critical Care Medicine.
This document - updated as needed - provides information on configuring ICUs based on lessons learned by hospitals that have cared for COVID-19 patients. Topics include increasing and managing ICU capacity, adapting various aspects of critical care delivery and the care environment, communicating with patients, providing emotional support to staff, and adjusting operations in other areas of the hospital.
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Harvard University. (2020). Mechanical Ventilation for COVID-19. edX.
This online course prepares licensed non-intensive care unit clinicians to support hospital critical care teams. The course covers: principles and physiology of mechanical ventilation, initial ventilator setting and adjustments, troubleshooting the ventilator, and ventilating patients in special circumstances.
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This two-pager summarizes critical care planning for COVID-19. It includes a figure depicting the expansion of critical care from conventional to contingency/crisis levels. The document offers key points to operationalize the concept in terms of space, staffing, supplies and to provide critical care.
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Hick, J., Einav, S., Hanfling, D., et al. (2014). Surge Capacity Principles: Care of the Critically Ill and Injured During Pandemics and Disasters. Chest. 146(4_supplement): e1S–e16S.
This article presents 10 suggestions pertaining to the principles that should guide surge capacity and capability planning for mass critical care in disasters or pandemics.
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Hick, J., Einav, S., Hanfling, D., et al. (2020). Surge Capacity Principles: Care of the Critically Ill and Injured During Pandemics and Disasters – Figure 1. Chest. 146(4_supplement): e1S–e16S. .
This figure depicts a framework for how critical care expands from conventional to contingency to crisis based on morbidity and incident demands and operating conditions. The goal is 200% expansion of critical care capacity during a crisis.
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Kaiser Permanente Northern California. (2020). COVID-19 Hospital Surge Playbook. (Added 4/21/2020.)
This playbook follows a space, stuff, staff strategy to rapidly expand inpatient and critical care capacity. It includes an overview of surge capacity concepts, checklists, tables, decision trees, diagrams, and supply and equipment lists.
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This article lists considerations related to identifying alternate staffing resources, developing a team-based approach to patient management, and addressing administrative concerns on staffing, nursing leadership concerns, and nurse safety and resilience while planning for COVID-19 critical care surge.
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This document outlines a process states can use to gather hospital data needed to identify where ventilators are needed and deliver them directly to receiving hospitals. Access the accompanying Excel spreadsheet here: https://files.asprtracie.hhs.gov/documents/covid-state-ventilator-planning-template.xlsx.
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This expert panel report by the Task Force for Mass Critical Care and the American College of Chest Physicians offers a framework to equitably meet the clinical needs of the greatest number of COVID-19 patients when resources are scarce.
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North Carolina Area Health Education Centers Program. (2020). COVID-19 Workforce Surge Planning Playbook for Patients Requiring Critical or ICU Care. (Added 5/22/2020.)
This toolkit provides resources to surge critical care skills to respond to COVID-19 via a team-based care approach.
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  • Jill Forcina For access to the complete series, including preparing spaces, supplies, skills, and structure for LTC, HH, general medicine, and ambulatory care, please visit: https://www.ncahec.net/covid-19/training-and-literature-for-health-care-professionals/workforce-surge-planning-playbooks/
    7/9/2020 12:49:20 PM
NRCC Healthcare Resilience Task Force. (2020). Medical Operations Coordination Cells Toolkit (First Edition).
This toolkit offers flexible and modifiable guidance, developed by the U.S. government, aimed to assist regional, state, local, tribal and territorial governments to ensure load-balancing across healthcare facilities and systems so that the highest possible level of care can be provided to each patient during the COVID-19 pandemic.
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Oklahoma Hospital Association. (2020). Oklahoma Hospital Surge Planning Toolkit for COVID-19.
This document outlines the statewide hospital plan for a surge of COVID-19 patients. The regionally-based plan defines four tiers of operations based on the amount of surge.
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Pan American Health Organization and World Health Organization. (2020). Epidemiological Alert: Complications and Sequelae of COVID-19. (Added 8/18/2020.)
This alert summarizes complications and sequelae of COVID-19 identified during the first seven months of the pandemic.
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Regulatory Affairs Professionals Society. (2020). COVID-19 Therapeutics Tracker. (Added 5/13/2020.)
This resource page - updated as needed - summarizes treatment candidates in development for COVID-19. Therapeutics are categorized as frontline candidates, novel candidates, and therapeutics approved for other indications.
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Safe Airway Society. (2020). COVID-19 Resources.
This resource page includes several editable airway management infographics, a training video on tracheal intubation, and a consensus statement on airway management and tracheal intubation of adult COVID-19 patients.
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Sanford Guide. (2020). Coronavirus, COVID-19, SARS. (Added 5/15/2020.)
This resource summarizes information about COVID-19 in the clinical setting, regimens, and other comments.
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SCCM, AARC, ASA, APSF, AACN, and CHEST. (2020). Joint Statement on Multiple Patients Per Ventilator.
This consensus statement issued by the Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), Anesthesia Patient Safety Foundation (APSF), American Association of Critical-Care Nurses (AACN), and American College of Chest Physicians (CHEST) recommends that mechanical ventilators not be shared by multiple COVID-19 patients.
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Schwarze, M., Zelenski, A., Baggett, N., et al.. (2020). Best Case/Worst Case: ICU, with Special Content for Patients with COVID-19. University of Wisconsin-Madison.
This framework is designed to help clinicians communicate with patients and their families to achieve treatment decisions that align with patient preferences. The toolkit contains step-by-step instructions for use, templates filled with hypothetical examples, a blank template, photos demonstrating use of the intervention, and an ICU pocket card.
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Society of Critical Care Medicine. (2020). Critical Care for the Non-ICU Clinician. (Added 4/7/2020.)
These free, online modules provide training for non-intensive care unit clinicians to provide care during a surge of critically ill patients.
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This article describes the epidemiological and clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in a single hospital. While the article is the largest case series to date, it was published before outcomes were known for most patients.
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WHO-China Joint Mission. (2020). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). World Health Organization.
This report describes the joint World Health Organization-China 25-member mission to understand the evolving COVID-19 outbreak in China. The report details epidemiologic and clinical data through February 20, 2020 and describes measures taken by China to prevent transmission, slow the outbreak, and reduce cases. The report offers recommendations for China, for countries with imported cases or outbreaks, for countries with no known cases, for the public, and for the international community.
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The authors describe their findings from a retrospective cohort study of 201 hospitalized COVID-19 patients in a single Chinese hospital between December 25, 2019 and January 26, 2020 with final follow-up on February 13, 2020. They found that 41.8% of patients developed acute respiratory distress syndrome (ARDS) and 52.4% of those who developed ARDS died. The authors concluded that a less rigorous immune response in older adults was associated with a greater risk of developing and death and that while fever was associated with developing ARDS, those with ARDS and fever had better outcomes. The also cautiously noted that methylprednisolone may be a beneficial treatment for ARDS, but additional research is needed.
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Clinical Guidelines


American Society of Health-System Pharmacists. (2020). Assessment of Evidence for COVID-19-Related Treatments. (Added 4/7/2020.)
This periodically updated table summarizes current evidence related to the use of various drugs to treat patients with COVID-19.
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Australian and New Zealand Intensive Care Society. (2020). ANZICS COVID-19 Guidelines.
These guidelines provide critical care recommendations and suggestions for a pandemic setting. They are intended as a living document based on previous experience and are updated as the evidence base for COVID-19 clinical care grows. The document includes three sections: 1) Planning for a Pandemic – An Operational Guide, 2) Providing a Safe Working Environment – Staff Protection and Sustainability, and 3) Identification and Treatment of Patients with COVID-19 Infection – The Basics.
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Beitler, J., Kallet, R., Kacmarek, R., et al.. (2020). Ventilator Sharing Protocol: Dual-Patient Ventilation with a Single Mechanical Ventilator for Use during Critical Ventilator Shortages. (Added 4/15/2020.)Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian Hospital.
This protocol describes how to support two patients on a single ventilator when there is a critical shortage. The protocol is accompanied by a training video.
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Beth Israel Lahey Health. (2020). COVID-19 Materials.
This web page includes frequently updated COVID-19 information for healthcare workers. Resources include: testing and patient evaluation algorithms, clinical guidance, operational guidance, personal protective equipment information, resources for patients and their caregivers, symptom screening tools, and sample signage.
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Bhimraj, A., Morgan, R., Shumaker, A., et al. (2020). Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19. (Added 4/15/2020.)Infectious Diseases Society of America.
These online guidelines systematically review the evidence related to seven potential COVID-19 treatment options and grade recommendations as strong, conditional, or a knowledge gap. Complementary recommendations are available on diagnostics and infection prevention.
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These COVID-19 guidelines are based on current available evidence and continually updated based on feedback from practitioners. Included are one-page quick guides and information organized under: non-ICU management, triage, and transfers; respiratory support; therapies and clinical trials; cardiac complications; shock; thrombotic and coagulation manifestations; renal manifestations; and other related issues. A COVID ICU Bundle Checklist is included as an addendum.
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CAESAR Project. (2020). COVID Activated Emergency Scaling of Anesthesiology Responsibilities (CAESAR) ICU. American Society of Anesthesiologists, Anesthesia Patient Safety Foundation, Society of Critical Care Anesthesiologists, and Society of Critical Care Medicine.
This resource page includes written and video educational materials related to managing COVID-19 patients. Resources are categorized under: ICU Ventilation and Pulmonary, ECMO, Gastrointestinal/Nutrition, Ethics, Renal/Fluids, Endocrine/Steroids, Musculoskeletal/Hematomology/Prophylaxis/ICU, Infectious Diseases, Cardiovascular, and Neurology.
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Cayuga Health System. (2020). COVID-19 Clinical Management Guidelines. (Added 5/4/2020.)
This frequently updated page offers resources for clinicians caring for COVID-19 patients. It includes information on transmission, presentation, personal protective equipment, testing, healthcare worker exposures, imaging, clinical course, patient management, and discharge.
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Cleveland Clinic. (2020). COVID-19. (Added 5/14/2020.)
This frequently updated page provides resources to assist medical professionals responding to the COVID-19 pandemic. Resources are organized under the following topic areas: overview, detection, personal protective equipment recommendations, protecting against the spread, care considerations, workforce redeployment, caregiver, ambulatory, bioethics, virtual visits, emergency department, intensive care unit, managerial, operating room, and research.
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Columbia University Irving Medical Center. (2020). COVID-19 Information and Resources for Clinical Staff. (Added 4/15/2020.)
This frequently updated web page assists clinicians responding to COVID-19. The page includes information on screening, testing, and caring for patients as well as resources to support staff.
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Emory Healthcare. (2020). COVID-19 for Medical Professionals. (Added 4/30/2020.)
This frequently updated page hosts patient management protocols and resources for medical professionals caring for COVID-19 patients. Topics include care protocols and guidelines (general, venous thromboembolism, renal replacement therapy, radiology and imaging, and ethics, palliative, and end-of-life care), personal protective equipment, and telemedicine (training, policy and implementation guides, and technology support).
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Hackensack Meridian Health. (2020). COVID-19 Clinical Protocols/ Research.
This frequently updated page includes information on: 1) screening a suspected COVID-19 case, 2) communicating a suspected COVID-19 case, 3) masking guidelines, 4) personal protective equipment information, 5) respiratory etiquette, 6) ambulatory scheduled video visits, and 7) protocols and policies for a variety of clinical settings and activities.
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Hamilton, K., Saw, S., Candeloro, C., et al. (2020). Penn Medicine Treatment Guidelines for SARS-CoV-2 Infection. Penn Medicine.
These guidelines highlight recent updates and general considerations followed by a table showing treatment considerations and special considerations for various clinical situations. Extensive references are listed for each of the therapeutic options.
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HCA Healthcare. (2020). Clinical Resources. (Added 4/30/2020.)
This frequently updated page includes operational support, clinical resources, and thought leadership resources to support clinicians responding to the COVID-19 pandemic. Resources include COVID-19: Interim Adult Treatment Guidance.
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Infectious Diseases Education and Assessment Program. (2020). COVID-19 Treatment. University of Washington .
This resource page includes summaries, slide decks, and links to additional information on potential COVID-19 treatments based on ongoing clinical trials and published literature.
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Intermountain Healthcare. (2020). Clinical Guidance: Triaging / Testing.
This page provides clinical guidance for physicians and advanced practice providers, surgical operations, frontline receptionists, hospital and clinic caregivers, and home care. Documents include: assessment guidance, care processes, testing guidance and procedures, imaging guidelines, personal protective equipment guidance, decision pathways, scripts, cleaning guidance for rooms and equipment, waste disposal guidance, and frequently asked questions.
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Massachusetts General Hospital. (2020). COVID-19 Treatment Guidance.
This frequently updated page includes both inpatient and outpatient care recommendations as well as fast literature updates. Documents include: treatment and critical care guidance, algorithms, protocols, workflows, figures, frequently asked questions, and supporting literature.
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These guidelines reflect the best information available to guide decision making in the management of COVID-19 patients. Included is information on screening and triage, infection prevention, specimen collection, clinical management, treatment options, telemedicine, emergency medical services, and ethical considerations. It also includes appendices with checklists, supply lists, algorithms, and other tools.
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MedStar Health. (2020). COVID-19 Patient Care and Associate Safety Resources. (Added 6/4/2020.)
This frequently updated page includes operational and patient care information for employees responding to COVID-19. Resources are focused on staff safety and well-being, operations policies and signage, job aids, procedural guidelines, and inpatient and ambulatory care clinical guidelines.
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Michigan Medicine. (2020). COVID-19 (Novel Coronavirus) Information. University of Michigan.
This page includes COVID-19 testing guidance as well as emergency department, inpatient, and outpatient treatment guidelines.
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Mount Sinai. (2020). Clinical Guidelines and Information for Staff. (Added 4/17/2020.)
This frequently updated page includes numerous resources to guide the management of COVID-19 patients including treatment guidelines for adults and pediatric patients, information on personal protective equipment, information on respiratory support, palliative care resources, scripts, and information about the convalescent plasma program.
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Munson Healthcare. (2020). COVID-19 Updates for Providers. (Added 5/4/2020.)
This page - updated frequently - provides protocols and resources for providers during the COVID-19 pandemic. Included are patient care resources (ambulatory triage and workflow, discharge guidelines, worker protections, guidelines and treatments, reopening of services), information for practices (forms, guidance, signage), communications and provider resources, and links to additional information.
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National Institute for Health and Care Excellence. (2020). Coronavirus (COVID-19). (Added 4/23/2020.)
This frequently updated page from the United Kingdom includes rapid guidelines, evidence summaries, and other information based on national and international guidance and policies and the experience of clinicians treating patients during the COVID-19 pandemic. The guidelines are supported by tools and resources, including implementation support, decision aids, algorithms, and practice guides. Topics include critical care in adults, acute myocardial injury, dialysis service delivery, severe asthma, cystic fibrosis, delivery of radiotherapy, managing suspected or confirmed pneumonia in the community, delivery of systemic anticancer treatment, rheumatological disorders, gastrointestinal and liver conditions, stem cell transplantation, and managing symptoms.
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National Institutes of Health. (2020). Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. (Added 4/21/2020.) U.S. Department of Health and Human Services.
A COVID-19 Treatment Guidelines Panel developed these guidelines to assist clinicians caring for patients with COVID-19. Each of the recommendations in the frequently updated guidelines includes ratings of the strength of the recommendation and the quality of evidence supporting the recommendation.
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Nebraska Medicine. (2020). COVID-19 Resources for Providers *.
This frequently updated page includes information on use, donning and doffing, and decontamination of personal protective equipment; protocols and checklists; inpatient, ambulatory, surgical, special patient populations, treatment, and patient transport guidance; and other related resources for healthcare providers.
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Queen Alexandria Hospital Portsmouth, Academic Department of Critical Care. (2020). COVID-Specific Critical Care Guidelines. Portsmouth Hospitals NHS Trust.
These guidelines from a hospital in the United Kingdom offer a one-page summary listing necessary equipment and supplies, staffing roles, patient preparation steps, and an airway assessment and intubation plan. Also included are an admission and daily care checklist, critical care escalation plan, extubation procedure, nutrition quick guide, and information on personal protective equipment.
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Royal College of Paediatrics and Child Health. (2020). Guidance: Paediatric Multisystem Inflammatory Syndrome Temporally Associated with COVID-19. (Added 5/19/2020.)
This guidance document includes a case definition and clinical management information related to a rare syndrome first identified in pediatric COVID-19 patients by clinicians in Great Britain.
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This frequently updated page includes information on clinical and administrative policies and protocols. It includes information on personal protective equipment; a dashboard on testing, virtual visits, and hospitalized patients; and testing, inpatient, and emergency department clinical pathways.
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The Centre for Evidence-Based Medicine. (2020). Oxford COVID-19 Evidence Service. (Added 4/15/2020.)University of Oxford.
This frequently updated web page supports clinicians in making informed decisions on COVID-19 patient care. It synthesizes evidence on various topics including presentation, testing, treatment, populations at greater risk, personal protective equipment, social distancing, and mortality.
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The First Affiliated Hospital, Zhejiang University School of Medicine. (2020). Handbook of COVID-19 Prevention and Treatment. Jack Ma Foundation and Alibaba Foundation.
This guide is based on the experience of clinicians treating patients at The First Affiliated Hospital. It includes sections on prevention and control management, diagnosis and treatment, and nursing. It includes tables, step-by-step lists, infographics, algorithms, and images supporting the descriptive text.
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The Intensive Care Society. (2020). COVID-19: A Synthesis of Clinical Experience in UK Intensive Care Settings. (Added 4/15/2020.)
This document summarizes lessons learned from clinicians with experience caring for COVID-19 patients. Topics covered include: presentation, mechanical ventilation, fluid balance, antibiotics, workforce and infection control, renal support, and oxygen.
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The University of Chicago Medicine. (2020). COVID-19 Clinical Pathways. (Added 5/4/2020.)
This page includes COVID-19 clinical pathways for adults, pediatrics, labor and delivery, and telehealth in various settings.
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The University of Mississippi Medical Center. (2020). COVID-19 Clinical Processes. (Added 5/4/2020.)
This page - updated frequently - offers resources to assist medical professionals managing patients with COVID-19. The page includes protocols, procedures, processes, and checklists for patient treatment; blood product utilization; medication conservation; room, equipment, and transport; and surgical and procedural issues.
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The University of Texas Health Science Center at Houston. (2020). COVID-19 Clinical Management and Guideline Updates.
This web page includes COVID-19 clinical management resources, including intubation guidelines and clinical pearls for proning.
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This frequently updated page of one health system's clinical practice documents includes: an airway management safety diagram, an acute respiratory distress syndrome bedside card, an intubation checklist, a pharmacotherapy flowsheet, a tidal volume per IBW table, intubation precautions, code blue guidance, and intensive care unit care guidelines.
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University of California San Francisco, Department of Hospital Epidemiology and Infection Control. (2020). UCSF Health COVID-19 Clinical Resources*.
These frequently updated guidelines offer: 1) information on personal protective equipment, 2) algorithms, 3) other clinical information and announcements, 4) control plan and testing, 5) signage in multiple languages, 6) forms, 7) staff education materials, 8) provider and staff training resources, 9) patient education, 10) email digests, and 11) external resources.
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University of Iowa Health Care. (2020). COVID-19 Clinical Information. (Added 5/4/2020.)
This frequently updated page includes resources to assist healthcare workers managing patients with COVID-19. Resources include: COVID-19 symptoms, a treatment guide with therapeutic guidance and an azithromycin discontinuation protocol, testing information, clinical guidelines and codes, clinical processes and workflows, telemedicine information, home monitoring resources, and patient education materials.
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University of Kentucky HealthCare. (2020). COVID-19 Guidelines and Documents. (Added 5/15/2020.)
This frequently updated page includes resources to assist providers and staff in managing patients during the COVID-19 pandemic. Resources are in the categories of personal protective equipment and infection control, clinical, signage, handouts in multiple languages, and patient messaging. Included resources are for inpatient and ambulatory settings as well as drive through testing sites and telehealth.
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University of Michigan. (2020). COVID-19 Best Evidence Front Door. (Added 8/18/2020.)
This searchable database includes meta-analyses, literature syntheses, and clinical guidelines from reliable sources related to COVID-19.
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University of Washington Medicine. (2020). UW Medicine COVID-19 Resource Site.
This page includes policies and protocols developed by the University of Washington health system and its partners to address COVID-19. Frequently updated, the page includes: 1) patient care protocols and algorithms, 2) other inpatient clinical guidance, 3) neonatal care protocols, 4) policy statements on personal protective equipment, patient care, post-acute and long term care, operations and facilities, staff, and other (autopsy, information technology, and vendor and delivery driver access).
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Van Ierssel, S., Dauby, N., Bottieau, E., et al.. (2020). Interim Clinical Guidance For Adults with Suspected or Confirmed COVID-19 in Belgium. (Added 4/7/2020.)
This frequently updated document provides guidance to clinicians caring for COVID-19 patients in Belgium.
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This document reflects the guidance of the Surviving Sepsis Campaign COVID-19 panel, composed of 36 experts from 12 countries. The panel issued 54 statements on: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy. Of the 54 statements, four are best practices, nine are strong recommendations, 35 are weak recommendations, and six questions have no recommendations. Accompanying infographics depict a summary of recommendations on managing patients with acute respiratory distress syndrome and COVID-19 and a summary of recommendations on the initial management of hypoxic COVID-19 patients.
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World Health Organization. (2020). Clinical management of COVID-19: interim guidance.
This document provides clinicians with information on managing suspected adult, pregnant, and pediatric COVID-19 patients. It provides information on screening and triage, infection control, collection of laboratory specimens, management of various symptoms and levels of illness, therapies, care of at-risk population groups, and clinical research on potential treatments.
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Yale New Haven Health. (2020). COVID-19 Clinical Resources for Employees and Medical Staff. (Added 4/15/2020.)
This frequently updated web page includes clinical resources for staff including: 1) visitor restrictions policy, 2) inpatient clinical resources related to medication, testing, intensive care unit critical care, non-intensive care unit care, ventilators, obstetrics, pediatrics, and personal protective equipment, 3) outpatient clinical resources related to medication and triage and clinical guidelines, 4) communications resources, and 5) the Bioquell Decontamination System.
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Clinical Rounds


Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care - Coagulation Challenges (5/19/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This critical care session focused on coagulation challenges featured a presentation from Mount Sinai Health System.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care - Cytokine Storm (6/2/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This critical care session focused on cytokine storms and featured a speaker from the Johns Hopkins Biocontainment Unit.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care - Ugly Tail End of ARDS (6/9/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This session focused on the ugly tail end of acute respiratory distress syndrome and featured presentations from Bellevue Hospital Hospital Center and Emory Healthcare.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care (3/24/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar is the first in the series focused on lifesaving treatment and clinical operations. Speakers from Emory University School of Medicine/Emory Critical Care Center and University of Minnesota/ Minnesota Health System discuss clinical and team management in the COVID-ICU and use of Extracorporeal Membrane Oxygenation (ECMO) in COVID-19.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care (4/28/2020). (Added 5/14/2020.)U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This session focused on critical care featured presentations from the University of Chicago, Emory, and the University of Minnesota.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care (5/12/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This session focused on critical care featured speakers from Bellevue Hospital Center and Guy's and St. Thomas' NHS Foundation Trust.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care Resources (3/31/2020). (Added 4/7/2020.)U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar is the second in the series focused on lifesaving treatment and clinical operations. Speakers from New York City Health + Hospitals Bellevue Hospital Center and Singapore's National Centre for Infectious Disease discuss their observations from treating COVID-19 patients.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care Resources (4/14/2020.). U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar featured critical care updates from Bellevue Hospital/New York City Health + Hospitals and Munich Clinic Schwabing/Academic Teaching Hospital Ludwig-Maximilians-University of Munich.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care Resources (4/21/2020.). U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar featured an update on the Association of American Medical Colleges' COVID-19 Clinical Guidance Repository and critical care updates from Sinai-Grace Hospital/Detroit Medical Center and Morristown Medical Center/Atlantic Health System.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care Resources (4/7/2020). U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar featured critical care updates from the Emory Critical Care Center, University of Minnesota Health System, and Bellevue Hospital Center.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Critical Care Resources (5/5/2020.). (Added 5/12/2020.)U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar featured critical care updates from University Medical Center New Orleans, University of Nebraska Medical Center, and University of Washington Medical Center.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Special Session - Pediatrics (5/22/2020). U.S. Department of Health and Human Services.
This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This special session focused on pediatric clinical care and featured presentations from Children's Healthcare of Atlanta/Emory University and South Thames Retrieval Service/Evelina London.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Ventilation Management Strategies (4/10/2020). U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar featured presentations on ventilation management strategies from Providence and LSU University Medical Center New Orleans.
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Agencies and Organizations


American Academy of Pediatrics. Critical Updates on COVID-19.
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American College of Cardiology. COVID-19 Hub.
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American College of Chest Physicians. COVID-19: Resource Center.
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American College of Medical Toxicology. Resources and Updates Related to the COVID-19 Pandemic.
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American College of Surgeons. COVID-19 and Surgery.
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American Society of Anesthesiologists. COVID-19 Information.
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American Society of Health-System Pharmacists. Coronavirus Disease 2019 (COVID-19).
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Association of American Medical Colleges. COVID-19 Clinical Guidance Repository.
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European Society of Intensive Care Medicine. COVID-19 Resource Page.
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Society of Critical Care Medicine. Emergency Resources: COVID-19.
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