College of Anaesthesiologists of Ireland (20th May 2020)
A message from the President.
“Anaesthesiologists and intensive care specialists are integral to the safe and effective care of patients diagnosed with COVID-19 and play a role in informing and reassuring the public about this viral outbreak. Our priority as a College is to support our Fellows and Trainees during this time and we are proud of your exemplary professionalism.
Colleagues, trust in your experience, trust in your training and know that your College is here to support you.”
Dr Brian Kinirons , President, College of Anaesthesiologists of Ireland
Updated Measures in Response to Covid-19
As the health service responds to the global spread of Covid-19 it is important to remember that Anaesthesiologists and Intensive Care Medicine Specialists are experts in their field and have many years of proficiency in dealing with critically ill patients. Our priority as a College, is to support our Fellows & Trainees during this time of uncertainty and we will endeavour to continue operational activity of the College as much as possible in a manner that will minimise disruption to clinicians and any potential risk of disease transmission.The Government has announced additional measures to protect citizens by delaying the spread of Covid-19. The majority of CAI employees are now working from home, in line with recommendations from the Department of Health. As a result, the best way to contact us is by email instead of phone.
Ethical Framework for Decision-Making in a Pandemic
Guidance for continuous renal replacement therapy (CRRT) in the Intensive Care management of patients during the SARS-2-Covid-19 pandemic in the Republic of Ireland Guidance document CRRT Covid final
This document was compiled by Dr Caroline Larkin (Department of Anaesthesiology and Intensive Care Medicine) , Dr Colm Magee and Prof Conall O’ Seaghda ( Department of Nephrology ) at Beaumont Hospital .
Masterclass : Clinical Perspectives on COVID- 19
Our colleagues at RCPI have given permission to share their online lecture series : https://rcpi.cloud.panopto.eu/Panopto/Pages/Home.aspx . When you login to the site for the first time you will have to create an account if you haven’t already got one. These videos are targeted at a medical audience.
Online resource for non-intensive care clinicians
Thank you to our colleagues in University of Toronto for sharing this free resource :www.QuickICUTraining.com. It includes short “pocket card” summaries, evidence-focused lectures, procedural demonstration videos, and links to additional resources.
Educational video on management for suspect or confirmed Covid-19 patients.
Disclaimer: This demo video has been kindly shared with us by the Department of Anaesthesia, Intensive Care and Pain Medicine at St. Vincent’s University Hospital. It reflects the current SVUH guidelines in relation to Anaesthesia and Airway Management for Suspect or Confirmed COVID-19 patients. It is intended as a guide only as we understand that different Departments may have a different approach and availability of airway equipment and PPE at this time.
As the COVID-19 pandemic intensifies, so does the pressure on your wellbeing. Look out for each other and your peers.
A number of Clinical and Counselling Psychologists have volunteered through the Psychological Society of Ireland to prioritise doctors and healthcare workers during the Covid-19 pandemic. You will find their contact details here:
Fast tracked On line mental health resources and frontline resilience training for all medics during COVID-19
The HSE are launching a high quality online training on the following topics: resilience, stress management, sleep. These modules will be provided free by Silvercloud Digital Mental Health, and use evidence based cognitive behavioural strategies, are of high quality and will point to links to HSE services. Check the HSE website for up to date details and more guidance. Employee assistance and Occupational health professionals are ready and waiting to help across the system.
There are individual and collective training body recommendations and resources on their websites and many are building additional material rapidly to add to this. The College of Anaesthesiologists Ireland have resources at : https://www.anaesthesia.ie/covid-19/ The RCPI have resources at https://www.rcpi.ie/news/releases/health-and-wellbeing-for-trainers-and-trainees-during-challenging-times/. The RCSI have resources at https://www.rcsi.com/surgery/training/trainee-resources . ICGP resources are at https://www.icgp.ie/?spKey=in_the_practice.clinical_hub.covid_19_coronavirus.self_care_isolation_testing_supports and the College of Psychiatrists of Ireland are at https://www.irishpsychiatry.ie/covid-19-information-and-updates-from-cpsychi/ .
Additionally a bespoke Irish mental health resource for all healthcare workers in response to COVID 19 can be found at https://www.mindthefrontline.com/. A resilience training programme specific to highly pressured frontline teams is at https://frontlinemind.thinkific.com/courses/resilience-by-design-frontline-mind at special discount of £200 to the constituent members of the Forum of Irish Postgraduate Medical Training Bodies ( All training bodies here and also Interns) is for those seeking a rapid access, highly condensed, context specific training. For further information on this course, contact firstname.lastname@example.org who can provide details. Finally, Prof Brendan Kelly has quickly written a book and can be found https://irishacademicpress.ie/product/coping-with-coronavirus/.
The Practitioner Health Matters Programme (PHMP) in Ireland offers a strictly confidential service to doctors, dentists and pharmacists. They have a confidential telephone line and email contact point for an expert clinical advice service. To make an enquiry or seek support please email email@example.com or call on (01) 297-0356.
The Intensive Care Society in the UK share their new wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist here . Their poster series aims to improve the understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care.
The HSE Workplace Health and Wellbeing unit offers their staff a range of support services at this unprecedented time: https://www.hse.ie/eng/staff/workplace-health-and-wellbeing-unit/home
The most recent support published on March 16th on minding your mental health during the Covid-19 outbreak is available here: https://healthservice.hse.ie/staff/news/coronavirus/staff-minding-your-mental-health-during-the-coronavirus-outbreak.html
Prior to contacting a counselling service please consider the most appropriate option for you by observing the functions of other services available on this link; https://www.hse.ie/eng/staff/workplace-health-and-wellbeing-unit/your-support-services/
If you cannot contact a local internal counsellor from the information provided please contact the Staff Care line if National external counselling is the service you require. Telephone – 1800 409388
Specialist Educational Resources
Position statement from the Undersea and Hyperbaric Medical Society ( re Covid-19) : UHMS_Position_Statement_Hyperbaric_Oxygen_for_COVID-19_Patients_v13_Final_copy_editedUHMS_Position_Statement_Hyperbaric_Oxygen_for_COVID-19_Patients_v13_Final_copy_edited
Guidance document for the Intensive Care Management of the adult patient with confirmed or suspected COVID-19: https://www.intensivecare.ie/wp-content/uploads/2020/02/ICS-Guidelines-COVID-19-V2-1.pdf
Coronavirus Map: https://coronavirus.jhu.edu/map.html
Coronavirus – guidance for anaesthesia and perioperative care providers ( WFSA) : https://www.wfsahq.org/resources/coronavirus
Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected
Algorithms for COVID-19: https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/algorithms/
Health protection surveillance centre advice and guidance on Novel Coronavirus : https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/
A collection of articles and other resources on the Coronavirus (Covid-19) outbreak, including clinical reports, management guidelines, and commentary.( New England Journal of Medicine): https://www.nejm.org/coronavirus?cid=DM88295&bid=163494080
The Society of Critical Care Medicine (SCCM) has launched an online training resource for those responding to the COVID-19 pandemic. The number of patients requiring hospital admission is expected to surge which may require the need for non-ICU clinicians to care for critically ill patients.Critical Care for the non-ICU Clinician provides free online education for healthcare professionals who could benefit from critical care training. This is free training for Non-ICU Clinicians to help them get prepared. VISIT sccm.org/covid19<http://SCCM.informz.net/z/cjUucD9taT05MjA4NTc3JnA9MSZ1PTEwODM1Mjc3MDcmbGk9NzUwMDA3MDY/index.html> TO ACCESS THE TRAINING
Statement from the national public health emergency team:https://www.gov.ie/en/press-release/25663c-statement-from-the-national-public-health-emergency-team-16-
Sources of Information
- The Department of Health provides information on the national approach to prevention and control of Covid-19 as the situation evolves: https://www.gov.ie/en/campaigns/c36c85-covid-19-coronavirus/
- The Department of Foreign Affairs has travel advice on a country by country basis: https://www.dfa.ie/travel/travel-advice/
- Detailed information for health professionals in different care settings is available from the Health Protection Surveillance Centre. Check it also for regular updates and links to the latest from WHO and the European Centre for Disease Control: https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/
- The Health Service Executive provides information and advice for the general public at https://www2.hse.ie/conditions/coronavirus/coronavirus.html
- The Medical Council of Ireland provides information for doctors, information for patients, information relating to registration, re-joining the register, ethical guidance on their website: https://www.medicalcouncil.ie/covid-19/
These websites will continue to be updated, as will the advice from health authorities around the world.
We are still open for business
Government advice is that all non-essential travel and non-essential contact with others is now to be avoided. Considering that announcement and in order to protect the health of the College’s staff and visitors, the College’s buildings will remain closed until the Government’s advice changes. While the building may be closed, the College of Anaesthesiologists of Ireland emphatically remains open for business and the core focus of our work remains supporting our fellows and trainees through this incredibly challenging period.Our main telephone line at reception will continue to be monitored. The best way to contact staff is by email.
Update on the CAI Congress 2020
We are aware that Anaesthesiologists and Intensive Care specialists will be at the forefront of the response to those most impacted by the COVID-19 virus. The risks of spreading the infection amongst a large number of delegates at our annual scientific meeting and the subsequent lengthy quarantine period creates an unacceptable risk to the health system. Our intensive care units and hospitals networks require our fellows and trainees to stay in hospitals to help manage the outbreak and care for our communities. We have therefore taken the decision to cancel the CAI Congress 2020 which was due to take place in Dublin on May 21st -22nd 2020.
Examinations and CPD events
We have postponed all Examinations and CPD events until the end of May and are currently working rearranging . The CAI examinations calendar will be updated to reflect new times.