Author + information
- Received April 4, 2020
- Revision received April 13, 2020
- Accepted April 13, 2020
- Published online April 15, 2020.
- Jason N. Katz, MD MHS1,∗∗ (, )
- Shashank S. Sinha, MD MSc2,∗,
- Carlos L. Alviar, MD3,
- David M. Dudzinski, MD JD4,
- Ann Gage, MD5,
- Samuel B. Brusca, MD6,
- M. Casey Flanagan, MD2,
- Timothy Welch, MD27,
- Bram J. Geller, MD8,
- P. Elliott Miller, MD8,
- Sergio Leonardi, MD MHS10,
- Erin A. Bohula, MD DPhil11,
- Susanna Price, MD PhD12,
- Sunit-Preet Chaudhry, MD13,
- Thomas S. Metkus, MD14,
- Connor G. O’Brien, MD15,
- Alessandro Sionis, MD16,
- Christopher F. Barnett, MD17,
- Jacob C. Jentzer, MD18,
- Michael A. Solomon, MD6,19,
- David A. Morrow, MD MPH11 and
- Sean van Diepen, MD MSc20
- 1Division of Cardiology, Duke University, Durham, NC
- 2Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA
- 3Leon H. Charney Division of Cardiology, New York University Langone Medical Center NYU Langone Medical Center, New York, NY
- 4Division of Cardiology, Massachusetts General Hospital, Boston, MA
- 5Division of Cardiology, Cleveland Clinic, Cleveland, OH
- 6Critical Care Medicine, National Institutes of Health Clinical Center, Bethesda, MD
- 7Virginia Heart, Falls Church, VA
- 8Division of Cardiology, Maine Medical Center, Portland, ME
- 10Coronary Care Unit and Laboratory of Clinical and Experimental Cardiology-Fondazione IRCCS Policlinico San Matteo, and Department of Molecular Medicine, University of Pavia, Pavia, Italy
- 11TIMI Study Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
- 12Royal Brompton and Harefield NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom
- 13Department of Cardiology, St. Vincent Hospital, Indianapolis, IN
- 14Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD
- 15Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA
- 16Intensive Cardiac Care Unit, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute IIB-SantPaul, Universidad Autonoma de Barcelona, Barcelona, Spain
- 17Department of Cardiology, Medstar Washington Hospital Center, Washington, DC
- 18Department of Cardiovascular Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN
- 19Cardiovascular Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD
- 20Department of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta Hospital, Alberta, Canada
- ↵∗Address for Correspondence: Jason N. Katz MD, MHS 2301 Erwin Road, DUMC Box 3126 Durham, NC 27710 Ph: 919-660-7427 Fax: 919-681-3458
The COVID-19 pandemic has presented a major unanticipated stress on our workforce, organizational structure, systems of care, and critical resource supply. In order to ensure provider safety, maximize efficiency, and 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 virus and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This manuscript 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. We offer pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies such as telemedicine to enable effective collaboration despite social distancing imperatives.
↵∗ Denotes co-first authors.
9 Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT
Funding: Drs. Brusca and Solomon receive research support from the National Institutes of Health Clinical Center intramural research fund.
Disclosures: None reported
Tweet: How should #CICUs respond to the #COVID19 crisis? Check out @JACCJournals pub on #criticalcarecardiologists adapting to change with lessons learned from #Italy #Spain #UK #NYC #MilitaryMedicine
- Received April 4, 2020.
- Revision received April 13, 2020.
- Accepted April 13, 2020.
- 2020 American College of Cardiology Foundation