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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Katz, JN; Sinha, SS; Alviar, CL; Dudzinski, DM; Gage, A; Brusca, SB; Flanagan, MC; Welch, T; Geller, BJ; Miller, PE; Leonardi, S; Bohula, EA; Price, S; Chaudhry, S-P; Metkus, TS; O'Brien, CG; Sionis, A; Barnett, CF; Jentzer, JC; Solomon, MA; Morrow, DA; van Diepen, S

Published Date

  • July 7, 2020

Published In

Volume / Issue

  • 76 / 1

Start / End Page

  • 72 - 84

PubMed ID

  • 32305402

Pubmed Central ID

  • PMC7161519

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2020.04.029


  • eng

Conference Location

  • United States