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COVID-19 Updates

College of Anaesthesiologists of Ireland  (26th August 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.

WEBINAR : National Intensive Care COVID Research & Scientific Conference 5th September 2020

Registration link to Kate Flynn Medal & Scientific Session – FELLOW’S SESSION beginning at 9 am: https://dv4.mediasite.com/mediasite/Play/d61ce18c64de4d15b83a17edf8eb00b11d

Registration to the public session starting at 12.15pm : https://dv4.mediasite.com/mediasite/Play/2469bc8807814c288fdb83c71253e1621d

 

Ethical Framework for Decision-Making in a Pandemic

This ethical framework , developed by the Department of Health includes a number of substantive ethical principles and procedural values that can be applied to, and employed during, the decision-making process in a pandemic.https://www.gov.ie/en/publication/a02c5a-what-is-happening/#ethical-framework-for-decision-making-in-a-pandemic

Ethical Considerations Covid-19 Critical Care Final 3-4-20

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 .

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.

Wellbeing Resources

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:
Psychologists-for-doctors

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 sineadkelly@rcpi.ie 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 confidential@practitionerhealth.ie 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

Management of the critically ill patient with confirmed or suspected COVID-19 JFICMI , Dr John Bates 7th May 2020 COVID-19 Critical Care JFICMIver 3 11 5 20 CHJB

Guidance document for the Intensive Care Management of the adult patient with confirmed or suspected COVID-19https://www.intensivecare.ie/wp-content/uploads/2020/02/ICS-Guidelines-COVID-19-V2-1.pdf

Association of Anaesthetists webinar ‘COVID-19: critical care ‘cross-skilling’ and updates for the general anaesthetist‘ : ow.ly/k79P50yRQFE

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)SSC-COVID19-GUIDELINES

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

HSE HPSC COVID hospital algorithm V6.5

WHO_IER_ETH_2008.1_eng

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-march/

Sources of Information

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.