COVID19 Cardiac Arrest and Resucitation

Please share your experience with cardiac arrest management for confirmed COVID 19 or PUI. Strategies to minimize personnel in room to prevent exposure. Are you using mechanical compression devices? What are the barriers and challenges that you faced beyond obvious delays due to PPE donning.

Thank you for this forum, I have a question. Our medical director is asking if it is acceptable to leave an intubated COVID patient on the ventilator during CPR. This would minimize the risk of viral spread, instead of disconnecting the patient and using an ambu bag. The plan would be to do a manual inspiration from the vent every 6 seconds on the upstroke of the compressions. Please give us guidance on this. Thank you.

Yes, that is exactly what we are doing. Do not disconnect from the ventilator. Drop the respiratory rate to 10 and PEEP to 0.

Thank you so much for your response. This helped.

I think this is reasonable, one less person needed in the room and contains aerosol.

Our hospital recently began testing all “asymptomatic” (pts not clinically suspected of having COVID-19) hospital admissions with the rapid Abbott POC test. All “symptomatic” patients, and all those with a + POC result are tested with a PCR (TOT around 2 days). One of the hopes was that if a code is called on a patient who was clinically low risk and had a negative POC test, then PPE designed for a COVID pt wold be unnecessary. Several members of my group are uncomfortable with this, and so we are currently using PPE as for a COVID pt for all code blues. Interested in how others are approaching this question.
-Rich Lari
Eugene, OR

Thank you to our supporters

              
Thank you to those that provided an unrestricted educational grant
Pfizer
The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. With members in more than 100 countries, SCCM is the only organization that represents all professional components of the critical care team. The Society offers a variety of activities that ensures excellence in patient care, education, research and advocacy. Read more
Headquarters
500 Midway Drive, Mount Prospect, IL 60056 USA

Phone: +1 847 827-6888
Fax: +1 847-439-7226
Email: support@sccm.org
© Society of Critical Care Medicine. All rights reserved.
The Society of Critical Care Medicine, SCCM and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.
Like SCCM on Facebook  @SCCM on Twitter  SCCM on LinkedIn  Subscribe to the SCCM YouTube Channel  Donate to SCCM