Home Guidelines & Resources COVID-19 (coronavirus)

COVID-19 (coronavirus)

New Content in Brief: March 31, 2020

  • Ronald Grossman, MD, FCCP, defines HAP and VAP and identifies useful preventive measures, the value of diagnostic procedures, and the impact of therapeutic recommendations. CHEST e-Learning Modules from the Experts
  • This handy infographic displays updated PPE recommendations for usage with patients who test positive or are suspected positive for COVID-19. Clinical Resources
  • Curtis N. Sessler, MD, FCCP, deconstructs mechanical ventilation, discussing components, breaths, and modes and addresses other topics, including complications, liberation from ventilation, and noninvasive positive-pressure ventilation. CHEST e-Learning Modules from the Experts
  • Ronald Grossman, MD, FCCP, discusses the importance of pathogens in CAP and identifies the long-term implications of pneumonia and the impact of therapeutic recommendations. CHEST e-Learning Modules from the Experts
  • Andrew Klein, MS, RT, discusses his experience ramping up to manage patients with COVID-19 with Victor Test, MD, FCCP. Advice From the Front Lines
  • Dr. Simpson interviews a physician on the front line who suspected COVID-19 in a COPD patient and consequently improved precautionary measures and treatment at her institution. Advice From the Front Lines
  • Jaspal Singh, MD, FCCP, provides an introduction to the fundamentals of mechanical ventilation in this interactive module. CHEST e-Learning Modules from the Experts
  • Join a two-part webinar series on the experience in Wuhan, highlighting strategies for containing the present pandemic, patient management, and treatment protocols. COVID-19 Webinar Series
  • Nilam J. Soni, MD, MS, discusses use of point-of-care ultrasound in COVID-19 based on his experience at South Texas Veterans Health Care System. Advice From the Front Lines
  • Curtis N. Sessler, MD, FCCP, examines the causes of hypoxemic respiratory failure; reviews the clinical features and diagnosis; and explains management strategies for acute lung injury, including mechanical ventilation. CHEST e-Learning Modules from the Experts

CHEST GUIDELINE

CHEST Guidelines

CHEST Guideline

Care of the Critically Ill and Injured During Pandemics and Disasters

Natural disasters, industrial accidents, terrorist attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This CHEST consensus statement series provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials.

Guideline Summary

Duration: 43 min
Moderator: D. Kyle Hogarth, MD, FCCP, Podcast Editor, CHEST
Participants: Michael D. Christian, MD, FRCPC, FCCP; Niranjan Kissoon, MBBS, FRCPC; Christian E. Sandrock, MD, MPH, FCCP

ADVICE FROM THE FRONT LINES

The following are firsthand short interviews with CHEST-member clinicians who are on the COVID-19 front lines. We will continue to add more interviews as they become available.

Dr. Simpson interviews a physician on the front line who suspected COVID-19 in a COPD patient and consequently improved precautionary measures and treatment at her institution.

Andrew Klein, MS, RT, discusses his experience ramping up to manage patients with COVID-19 with Victor Test, MD, FCCP.

Nilam J. Soni, MD, MS, discusses use of point-of-care ultrasound in COVID-19 based on his experience at South Texas Veterans Health Care System.

Martha Billings, MD, MSc and Renea Jablonski, MD compare their experiences in managing outpatient pulmonary clinics as they transition to remote telemedicine care.

Dr. Narasimhan discusses her experience ramping up to manage patients with COVID-19, with Bhakti Patel, MD.

CHEST COMMUNITY EXPERIENCES

NEW

Recognizing the importance of staying connected with the community, our CHEST front-line clinicians share their experiences and plans for the future as they navigate the COVID-19 pandemic.

Steven Q. Simpson, MD, FCCP

CHEST President-Elect and COVID-19 Task Force Chair
KU Medical Center

CLINICAL RESOURCES

Personal Protective Equipment for COVID-19


Updated Recommendations for COVID-19 PPE

  • This handy infographic displays updated PPE recommendations for usage with patients who test positive or are suspected positive for COVID-19. Download now!
    Updated Recommendations for COVID-19 PPE

CHEST Articles

  • Management of Patients with COVID-19 Infection
    Ryan C. Maves, MD, FCCP; and Vikram Mukherjee, MD
    This brief article describes known factors related to the transmission of COVID-19, its epidemiologic and clinical factors, and offers guidance on patient management and the protection of healthcare workers. (Written March 11, 2020)
  • Indicators and Triggers for Potential Movement to Crisis Care
    John L. Hick, MD; and Dan Hanfling
    This article provides a refresher on transition to crisis care standards of care, often necessitated in pandemics, and offers strategies to employ in particular situations. (March 19, 2020)
  • Surge Priority Planning COVID-19: Critical Care Staffing and Nursing Considerations
    Anne Marie Martland, MS, ACNP-BC; Meredith Huffines, MS, BA, RN; and Kiersten Henry, DNP, ACNP-BC
    This article addresses nursing leadership and administrative considerations, strategies for optimizing staffing resources, and maintaining staff safety and resilience. (March 19, 2020)
  • Essential Institutional Supply Chain Management in the Setting of COVID-19
    Pritish K. Tosh, MD; and Lisa Burry, PharmD
    As the COVD-19 pandemic evolves, supply chain disruptions for medical supplies and medications are anticipated. As a result, health-care facilities must examine and optimize their supply chain management in order to detect and respond to supply chain disruptions. (March 19, 2020)

COVID-19 Clinical Trial

  • For individuals with high-risk exposure to COVID-19, there is a trial at the University of Minnesota of hydroxychloroquine as post-exposure prophylaxis. It is open to health-care workers from "across the United States" and others with a high-risk exposure. Only asymptomatic individuals with high-risk exposure are eligible, within 3 days of the exposure. If you think you might qualify, you can email covid19@umn.edu.

    For additional info: https://med.umn.edu/news-events/covid-19-clinical-trial-launches-university-minnesota

Additional Resources


World Health Organization (WHO)
For the latest situation updates regarding COVID-19, including data and technical guidance, please visit the World Health Organization.


Centers for Disease Control and Prevention (CDC)
For updated information and guidance on COVID-19 including how to protect yourself and other resources for the community, please visit the CDC.


John Hopkins University of Medicine
For daily updates for the John Hopkins community on health and well-being as it relates to COVID-19, please vist John Hopkins University.


Mayo Clinic

PRACTICE MANAGEMENT RESOURCES

CPT® Code and Description

The resources below provide important information COVID-19 related CPT® codes and descriptions. The new coding guidelines are effective immediately and will be standard across the US health system. ICD-10-CM coding guidelines for encounters related to coronavirus are also available. Check the American Medical Association for updated information related to flexible CMS and regulatory flexibility during COVID 19.

Medicare Telehealth Expanded Coverage

Through the Centers for Medicare & Medicaid Services (CMS), the Trump Administration has announced the expansion of Medicare telehealth coverage, effective March 6, 2020. Included below is an important fact sheet and FAQs regarding this expanded coverage.


NEW

For more information on the expansion of telehealth services, please review the below guidelines put together by CHEST's Joint Clinical Practice Committee.

CHEST Task Force

Stephanie Levine

NEW

CHEST Task Force

COVID-19 Task Force Update from CHEST President Stephanie M. Levine, MD, FCCP

During this difficult time, we want to thank you for being on the front lines of the COVID-19 pandemic. CHEST is dedicated to providing our community with the most accurate, up-to-date information as we work through this health crisis together. To help in the fight, I have asked Steven Q. Simpson, MD, FCCP, to lead a task force made up of CHEST experts across our NetWorks in Chest Infections, Critical Care, and Disaster Response and Global Health. This task force is helping to ensure that we are delivering the educational resources that you need during this unprecedented time. While we recognize that the situation is evolving daily, this group is working to ensure that our online resources are maintained and updated to provide meaningful and complementary guidance to that emerging from the CDC and from your local settings. Please keep us apprised of your needs. We welcome input and ask that you contact us via COVID-19@chestnet.org to tell us how we can best support you.

CHEST E-LEARNING MODULES FROM THE EXPERTS

Acute Respiratory Distress Syndrome (ARDS)

Jason Poston, MD, discusses the definition of ARDS, how to diagnose a patient with ARDS, and treatment paths.

Basics of Mechanical Ventilation for the Clinician

Basics of Mechanical Ventilation

Jaspal Singh, MD, FCCP, provides an introduction to the fundamentals of mechanical ventilation in this interactive module.

Community-Acquired Pneumonia

Ronald Grossman, MD, FCCP, discusses the importance of pathogens in CAP and identifies the long-term implications of pneumonia and the impact of therapeutic recommendations.

Hospital-Acquired and Ventilator-Associated Pneumonia

Ronald Grossman, MD, FCCP, defines HAP and VAP and identifies useful preventive measures, the value of diagnostic procedures, and the impact of therapeutic recommendations.

Hypoxemic Respiratory Failure

Curtis N. Sessler, MD, FCCP, examines the causes of hypoxemic respiratory failure; reviews the clinical features and diagnosis; and explains management strategies for acute lung injury, including mechanical ventilation.

Mechanical Ventilation

Curtis N. Sessler, MD, FCCP, deconstructs mechanical ventilation, discussing components, breaths, and modes and addresses other topics, including complications, liberation from ventilation, and noninvasive positive-pressure ventilation.

Pneumonia

Kathryn A. Hibbert, MD, describes the different types of pneumonia, diagnostic strategies to consider, risk factors for drug resistance, and approaches to treating patients.

Shock

Krysta Wolfe, MD, teaches the different shock evaluation algorithms based on patient’s shock type and management techniques for patients with shock.

Shock, Sepsis, and Hemodynamic Monitoring

Steven Simpson, MD, FCCP, discusses the causes, diagnosis, and treatment of shock and sepsis and evaluates the assessment of the critically ill patient with the use of hemodynamic monitoring.




Media Resources

Searching for a subject matter expert to speak with you for an article or other media on COVID-19? Need vetted, reliable data for your story? Access to the journal CHEST? We can help. Please contact media@chestnet.org to speak with our team of experts.