Evidence map›Paper›PMID 34499878›Full record

GuidelineChest2022

Mass Critical Care Surge Response During COVID-19: Implementation of Contingency Strategies - A Preliminary Report of Findings From the Task Force for Mass Critical Care.

Jeffrey R Dichter, Asha V Devereaux, Charles L Sprung, Vikramjit Mukherjee, Jason Persoff, Karyn D Baum, Douglas Ornoff, Amit Uppal, Tanzib Hossain, Kiersten N Henry and 13 more

Abstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

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  17. Resiliency and Mental Health in the ICU.American journal of respiratory and critical care medicine · 2024
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Jeffrey R DichterUniversity of Minnesota, Minneapolis, MN. Electronic address: jdichter@umn.edu.
Asha V DevereauxSharp Coronado Hospital, Coronado, CA.
Charles L SprungHebrew University of Jerusalem, Jerusalem, Israel.
Vikramjit MukherjeeGrossman School of Medicine, New York University, New York, NY.
Jason PersoffUniversity of Colorado, Aurora, CO.
Karyn D BaumUniversity of Minnesota, Minneapolis, MN.
Douglas OrnoffSCL Health System, Denver, CO.
Amit UppalGrossman School of Medicine, New York University, New York, NY.
Tanzib HossainGrossman School of Medicine, New York University, New York, NY.
Kiersten N HenryMedStar Montgomery Medical Center, Olney, MD.
Marya GhazipuraGrossman School of Medicine, New York University, New York, NY.
Kasey R BowdenUniversity of Colorado, Aurora, CO.
Henry J FeldmanBeth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Cambridge, MA.
Mitchell T HameleUniformed Services University, Bethesda, MD; Tripler Army Medical Center, Honolulu, HI.
Lisa D BurryUniversity of Toronto, Toronto, ON, Canada.
Anne Marie O MartlandScripps Health, San Diego, CA.
Meredith HuffinesUniversity of Maryland, Baltimore, MD.
Pritish K ToshMayo Clinic, Rochester, MN.
James DownarUniversity of Ottawa, Ottawa, ON, Canada.
John L HickUniversity of Minnesota, Minneapolis, MN; Hennepin Health Care, Minneapolis, MN.
Michael D ChristianResearch & Clinical Effectiveness Lead/HEMS Doctor, London's Air Ambulance, Bart's NHS Health Trust, London, England.
Ryan C MavesUniformed Services University, Bethesda, MD; Wake Forest School of Medicine, Winston-Salem, NC.
Task Force for Mass Critical Care Writing Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter the publication of a 2014 consensus statement regarding mass critical care during public health emergencies, much has been learned about surge responses and the care of overwhelming numbers of patients during the COVID-19 pandemic. Gaps in prior pandemic planning were identified and require modification in the midst of severe ongoing surges throughout the world. RESEARCH QUESTION: A subcommittee from The Task Force for Mass Critical Care (TFMCC) investigated the most recent COVID-19 publications coupled with TFMCC members anecdotal experience in order to formulate operational strategies to optimize contingency level care, and prevent crisis care circumstances associated with increased mortality. STUDY DESIGN AND

methodsTFMCC adopted a modified version of established rapid guideline methodologies from the World Health Organization and the Guidelines International Network-McMaster Guideline Development Checklist. With a consensus development process incorporating expert opinion to define important questions and extract evidence, the TFMCC developed relevant pandemic surge suggestions in a structured manner, incorporating peer-reviewed literature, "gray" evidence from lay media sources, and anecdotal experiential evidence.

resultsTen suggestions were identified regarding staffing, load-balancing, communication, and technology. Staffing models are suggested with resilience strategies to support critical care staff. ICU surge strategies and strain indicators are suggested to enhance ICU prioritization tactics to maintain contingency level care and to avoid crisis triage, with early transfer strategies to further load-balance care. We suggest that intensivists and hospitalists be engaged with the incident command structure to ensure two-way communication, situational awareness, and the use of technology to support critical care delivery and families of patients in ICUs.

interpretationA subcommittee from the TFMCC offers interim evidence-informed operational strategies to assist hospitals and communities to plan for and respond to surge capacity demands resulting from COVID-19.

Indexed as

Advisory CommitteesCOVID-19Critical CareSurge CapacityTriageDelivery of Health CareEvidence-Based PracticeHumansSARS-CoV-2United StatescontingencyconventionalCOVID-19crisis levelscritical clinical prioritizationincident command systemload-balancingmass critical carestaffingsurgetelemedicinetiered staffing

Identifiers

PMID34499878
PMCPMC8420082

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.