COVID-19

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NCS COVID-19 RESOURCES


The Neurocritical Care Society (NCS) is collating resources for the COVID-19 pandemic.
Please visit this page periodically for updated resources as more information becomes available. 

If you have any questions, please reach out to our team at info@neurocriticalcare.org.

NCS RESOURCES

Neurocritical Care Journal
Position Statement: Neurocritical Care Resource Utilization in Pandemics

Podcast Episodes

On this episode of the NCS Podcast Series, Dr. Fawaz Al-Mufti is joined by Drs. Neha Dangayach, Anne Lipke, and Chris Zammit to discuss their experience working with patients diagnosed with COVID-19.
Click here to listen to Episode 33: COVID-19 and the Critical Care Experience

Recorded Webinars
Click below to watch the recorded webinar in which Chris Robinson, DO, MS, Clinical Assistant Professor at the University of Florida, discusses the neurologic effects of COVID-19. This webinar is posted in the Respiratory Support of the Neurocritically Ill chapter of Neurocritical Care ON CALL
Click here to watch.

Online Discussion Forum (Members Only)
View recent discussions regarding COVID-19

Educational Products

In an effort to help all health care professionals as they fight the COVID-19 pandemic, NCS has provided free access to select educational products. Please click below to access these free resources. 

Emergency Neurological Life Support (ENLS) Chapters
Airway, Ventilation and Sedation Protocol
Airway, Ventilation and Sedation Manuscript
Resuscitation Following Cardiac Arrest Manuscript
Resuscitation Following Cardiac Arrest Protocol

Ethics Curriculum for NCC Fellowships
Ethics Curriculum: Decision Making Support webinar 
Medical Futility webinar
Moral Distress webinar

Law and Ethics in Neurocritical Care
Ch 1. Principles of Ethics 
Ch. 3 Ethics in Medicine
Ch.5 Duty of Restraint
Ch.6 Rationing of Medical Services
Ch. 7 Drug Shortages and Patient Care
Ch.13 Medical Futility and Medically Inappropriate Care 
Ch.18 Palliative Care Consultation in the ICU
Ch. 21 Provider Burnout 
Ch. 32 Terminal Withdrawal of Life Support
Ch. 34 Compassionate/Terminal Extubation
Ch. 46 Off-Label Use


NCS 2019 Annual Meeting
Basic Airway Management: Ventilation Without Intubation 

Neurocritical Care ON CALL
Cardiovascular Monitoring and Complications chapter
Hypoxic-Ischemic Encephalopathy in Adults chapter
Respiratory Support of the Neurocriticall Ill chapter (includes section on ARDS)
Sedation and Analgesia in Neurocritical Care 

The Pocket Guide to Neurocritical Care
Mechanical Ventilation Chapter

The Practice of Neurocritical Care
Cardiovascular Monitoring and Complications chapter
Hypoxic-Ischemic Encephalopathy in Adults chapter
Respiratory Support of the Neurocritically Ill chapter
Sedation and Analgesia in Neurocritical Care chapter


RESEARCH OPPORTUNITIES

Help determine the impact of COVID-19 on neurocritical care by participating in the following research. We have developed an international collaborative using common data elements for these studies. Our collaborative includes registered sites from 15 countries around the world, and partnerships with other professional organizations for harmonization of common data elements across initiatives. If you are part of a professional organization interested in collaborating with these efforts, please contact info@neurocriticalcare.org.

If you are an investigator who would like to register your site, please read the descriptions below and fill out the corresponding surveys to indicate your interest.


NCC COVID 19 OUTCOMES: This study is a prospective cohort observational study to determine the impact of COVID 19 crisis on resource allocation and outcomes of ICU patients with acute neurological injury who require routine care and are not necessarily COVID 19 positive. The study will evaluate mortality and functional outcomes at hospital discharge and 90 days among critically ill, neurologically impaired patients admitted during the COVID 19 crisis period. Participating sites have the option to also compare those outcomes to a historical control group who were treated prior to the COVID 19 crisis. 

SIGN UP HERE

NCC COVID 19 MANIFESTATIONS: This study is a prospective observational cohort study to document prevalence and severity of neurological symptoms among patients with confirmed or suspected novel coronavirus (COVID 19). This study contains common data elements that all sites are requested to obtain (Tier 1 data), as well as supplemental data elements that are optional for sites to obtain retrospectively based on time and resources. This study will also offer optional addendums to investigate Tier 2 and Tier 3 strategies, such as more invasive blood and tissue sampling, based on local resources. 

SIGN UP HERE

NCC COVID 19 MANIFESTATIONS IN PEDIATRIC PATIENTS: This study is an observational cohort study to document prevalence and severity of neurological symptoms among patients younger than 18 years old admitted to the hospital with confirmed or presumed novel coronavirus (COVID 19). This study contains common data elements that all sites are requested to obtain (Tier 1 data). Tier 1 data are generally obtainable from electronic medical records and similar sources, under an IRB protocol allowing waiver of consent. Interested sites may also collect Tier 2 data such as standardized outcome measures at a later time point (~ 1 month after hospital discharge). A second IRB for tier 2 data would require informed consent, as would the process of data sharing outside the institution. We will provide IRB templates for both Tier 1 and 2 as well as a Case Report Form upon registration of your unique site.

SIGN UP HERE

Please note: All registered sites will receive access to study protocols and case report forms (CRF). It is the responsibility of each study site and principal investigator to submit these documents to their institutional officials to obtain the required ethical and organizational approvals before collecting any data.

HUMANITARIAN EFFORTS

Help our NeuroHeroes Fight COVID-19 

Many healthcare practitioners treating COVID-19 patients are working 12-hour+ shifts with little time to eat or take a break. A multi-center, multidisciplinary team initiated by NCS members has organized food delivery to lift morale, support, and show solidarity for several NeuroICUs in high-impact cities nationwide.

DONATE NOW

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 CURRENTS ARTICLES
EXTERNAL RESOURCES


American Academy of Neurology
Position Statement: The COVID–19 pandemic and the ethical duties of the neurologist

American Academy of Neurology 
Preserving stroke care during the COVID-19 pandemic

The New England Journal of Medicine
Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young

Washington Post
COVID-19 Related Strokes in Young and Middle Aged People

Society of Critical Care Medicine
Critical Care for the Non-ICU Clinician online course

Occupational Safety and Heath Administration (OSHA)
Guidance on Preparing Workplaces on COVID-19

World Health Organization (WHO)
Key planning recommendation for Mass Gatherings  

World Health Organization (WHO)
Key planning recommendation for Mass Gatherings 

Centers for Disease Control and Prevention (CDC)
Coronavirus (COVID-19) General Information

The Do's and Don't of 'Social Distancing'
View article here
NCS provides this content for general informational purposes only and this information is not legal, financial, consulting or medical advice. Medical professionals must exercise their own professional judgment when providing care to each specific patient and may not substitute NCS content for such judgment. NCS content is not a substitute for medical advice from a qualified healthcare provider in response to an individual’s specific needs. NCS also provides links to third-party content, which is not an endorsement, guarantee, or warranty of the truth, accuracy, quality, completeness, timeliness, or reliability of such content or of the source of the content. NCS exercises no control over and cannot be responsible for third-party content.