COVID 19 Resources
Message from the IDCCM Director - Dr. Laurent Brochard
Date: 4.22.2021
Dear all,
We are, all together, living an extremely challenging period, after already 13 months of pandemics.
In critical care in Toronto, it is really impressive to see how everybody is giving her/his best to respond to these needs. The Regional Command Centre and the different sites have been organizing massive transfers and are hugely expanding capacities everywhere. Predictive models have been used that had well predicted this surge. All sites have their plans A, B, C, D etc, and committed multidisciplinary teams organizing it, and I can tell you there is also a very strong sense of interconnection and solidarity between sites and colleagues. Anesthesia, surgery, ED and others are helping critical care - and SickKids colleagues are now caring for adult patients!- and we are very grateful for their help.
Because everyone's role is important, we need all of you to stay safe and well as much as possible. Taking some rest is important. Taking time off is necessary.
Whatever is your role, whether it is directly or indirectly patient's care or about maintaining education, doing research, innovating for quality or, of course, organizing teams, everything is important and useful. But at the same time many things can be postponed and we will support any of your needs and help you to cope with any administrative, deadlines or related issues which could prevent you from taking time for yourself and your loved ones.
We are all together. We'll go through it together and succeed.
Many thanks for your incredible commitments.
Stay well and safe.
Laurent Brochard, MD
Division Director, Interdepartmental Division of Critical Care Medicine
Wellness
Letter from Hannah Wunsch on behalf of IDCCM
Dear critical care colleagues,
We know work in critical care is demanding, and at times each of us may need the opportunity to address the strain we feel. With the added pressures of COVID-19 everyone may have different situations or scenarios that cause them additional stress. We have established a connection with our colleagues in psychiatry who are familiar with critical care, and who are available to touch base with you about any concerns you may have, in a discreet and confidential manner.
The first step in accessing this support is via email to Jon Hunter at jon.hunter@sinaihealth.ca. Either he or a colleague will get back to you as soon as they can and determine the best option for support. For trainees, an additional route is through the Postgraduate Wellness Office atpgwellness@utoronto.ca.
For anyone who may not have easy access to a private space, either at home or at work, we have also listed at the end two critical care staff contacts for each hospital who are available any time to facilitate office/space for you to have privacy – whether just to have time to yourself or to allow for a private conversation.
Reaching out for support is not a sign of weakness, it is a sign that you are human. Please make use of these resources, and also know that colleagues are always there to support you as well.
Thanks.
Hannah Wunsch
(On behalf of the IDCCM, with a special thanks to our psychiatry colleagues for their partnership)
For direct access to support:
jon.hunter@sinaihealth.ca
pgwellness@utoronto.ca (trainees only)
Critical care contacts for additional support and facilitating private space at work:
Sunnybrook Hospital
Hannah Wunsch 416-908-2606, hannah.wunsch@sunnybrook.ca
Rob Fowler 647-991-7799, rob.fowler@sunnybrook.ca
St Michael’s
Karen Burns 647-400-0935, karen.burns@unityhealth.to
Andrew Baker 416-705-0144, andrew.baker@unityhealth.to
Toronto General
Margaret Herridge 416-722-7517, margaret.herridge@uhn.ca
John Granton 647-225-4485, john.granton@uhn.ca
Toronto Western
Laura Hawryluck 416-843-8019, laura.hawryluck@uhn.ca
Jeff Singh 647-990-4854, jeff.singh@uhn.ca
Mount Sinai
Christie Lee 416-278-6493, christie.lee@sinaihealth.ca
Stephen Lapinsky 416-305-5260, stephen.lapinsky@sinaihealth.ca
SickKids
Roxanne Kirsch 647-268-7466, roxanne.kirsch@sickkids.ca
Steven Schwartz 416-627-0418, steven.schwartz@sickkids.ca
Guidance and Protocols - Last updated on April 27, 2021
Guidance and Protocols
https://www.sccm.org/Disaster/Joint-Statement-on-Multiple-Patients-Per-Ventilato
https://www.who.int/publications/i/item/WHO-2019-nCoV-therapeutics-2021.1
https://www.who.int/publications/i/item/WHO-2019-nCoV-prophylaxes-2021-1
https://www.who.int/publications/i/item/WHO-2019-nCoV-clinical-2021-1
Visual Aids
AGMP/INTUBATION
CODE BLUE
RESUSCITATION
TRANSPORT
Order Sets
Admission order sets:
Checklist
AIRWAY
TRANSPORT
Ontario Clinical Practice Guidelines for Antimicrobial and Immunomodulatory Therapy in Patients with COVID-19
This document was developed by a group of Ontario infectious diseases physicians and pharmacists, a clinical pharmacologist/toxicologist, ethicists, and patient partners, with input from critical care physicians and other specialists.
Podcasts and Webinars
Podcast on COVID-19 in Italy (Am J Respir Crit Care Med)
https://outoftheblue.transistor.fm/episodes/covid-19
ESICM Webinar – ‘National Coordination & Experience in Italy’ – Prof. Pesenti & Prof. Antonelli
https://www.esicm.org/blog/?p=2628
Quick ICU training
Welcome to a free online resource designed to provide you with quick and accessible resources to support re-training or redeployment to critical care during the COVID-19 global pandemic.