Preparing for the COVID-19 pandemic
Mastering Intensive Care 059: Steve McGloughlin – Preparing for the COVID-19 pandemic
In the midst of the global COVID-19 pandemic, this episode focuses on the pandemic planning all ICUs should be doing – if they haven’t already been overwhelmed.
This week a Working Group of 30 colleagues released the Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. This episode features the Chair of that Working Group, A/Prof Steve McGloughlin. Steve is an intensivist, an infectious diseases physician, and the Director of the ICU at the Alfred Hospital in Melbourne, one of the largest Australian ICUs.
In this conversation, Steve talks about:
- How he is “hoping for the best and preparing for the worst”
- His confidence in the Australian Intensive Care system
- How and why the ANZICS COVID-19 Guidelines were developed
- Measures for increasing ICU capacity
- His belief that intensive care can be offered to all who might benefit in the pandemic
- The need to communicate more in a crisis to ease anxiety
- The value of asking “Are you confident we know what we are doing as a team”?
- PPE being safe as long as the equipment is used properly
- His ICU developing the role of a PPE monitor
- The hierarchy for negative pressure room use
- Splitting teams into 3 so workers are either on, on call, or totally off
- What the guidelines recommend about high flow nasal oxygen, non-invasive ventilation & ECMO
- The lack of evidence for medications and COVID-19
- Looking after our teams by ensuring a degree of confidence
- How he will deal with the social isolation
- The ways we might obtain additional intensive care trained healthcare workers
- His thoughts on older health care workers and their risks
Links related to Steve McGloughlin
- A/Prof Steve McGloughlin and the Alfred Intensive Care Unit
- Linkedin: A/Prof Steve McGloughlin
Links to resources (in order of mentioning)
- WHO situation reports on COVID-19
- ANZICS COVID-19 guidelines (Version 1)
- JAMA Network Video “Coronavirus in Italy – Reports From The Front Lines”
Further reading and listening
- Full podcast collection on LITFL and Libsyn
- The New Normal Project podcast
- More conversation on Twitter (@andrewdavies66) and Facebook
Mastering Intensive Care
Dr Andrew Davies MBBS FRACP FCIC. Intensivist/researcher at Frankston Hospital, Melbourne. Aiming to bring my best self to work & life. | Mastering Intensive Care | New Normal project |