COVID-19: Clinical Care And Management
This site is intended to provide select resources, tools and links for the clinical care and management of COVID-19 by patient population or clinical specialty. It is not meant to replace clinical judgment or specialist consultation. Guidance continues to evolve as new, reliable data and evidence become available. This page will be updated regularly; all content is subject to change without notice.
- American College of Cardiology (ACC) – COVID-19 Clinical Guidance for the Cardiovascular Care Team opens in a new tab
- ACC – COVID-19 Hub opens in a new tab
- ACC – HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19 (March 17) opens in a new tab
- ACC – Telehealth: Rapid Implementation for Your Cardiology Clinic (Updated March 24, 2020) opens in a new tab
- Extracorporeal Life Support Organization (ELSO) – ECMO in COVID-19 opens in a new tab
- RESPIRATORY CARE – Use of a Single Ventilator to Support 4 Patients: Laboratory Evaluation of a Limited Concept opens in a new tab
- Society of Critical Care Medicine (SCCM) – COVID-19 Resources for Non-ICU Clinicians opens in a new tab
- SCCM – Emergency Response – COVID-19 opens in a new tab
Ethics and Palliative Care
Ethics, a system of moral principles, is concerned with what is good for individuals and society. Medical ethics encompasses a flexible set of solutions, based on values and reasoned thinking. Ethical principles provide a framework to consider right and wrong. Four commonly accepted principles of ethics are: duty, accountability, fairness and responsibility.
In responding to the COVID-19 pandemic, be prepared for difficult discussions and decisions about such topics as rationing limited healthcare resources. Having an advance directive that addresses one’s preferences and what is acceptable, such as when one might refuse a ventilator or other life-sustaining interventions, can be helpful.
The following resources aim to promote ethical reflection and decision making during this pandemic.
- AMA Journal of Ethics – COVID-19 Ethics Resource Center opens in a new tab
- The Hastings Center – Ethics Resources on the Coronavirus (COVID-19) opens in a new tab
- University of Virginia School of Medicine – COVID-19 Ethics Resources opens in a new tab
- WHO – International Working Group on Ethics & COVID-19 opens in a new tab
Palliative care is specialized medical care for people living with a serious illness. The goal of palliative care is to relieve suffering and provide the best possible quality of life for patients and their families by focusing on providing relief from the symptoms and stress of the illness.
- American Academy of Hospice and Palliative Care Medicine (AAHPM) – Resources to Address Coronavirus Disease 2019 (COVID-19). opens in a new tab
- Center to Advance Palliative Care (CAPC) – COVID-19 Response Resources opens in a new tab
- National Hospice and Palliative Care Organization (NHPCO) –
- The California State University (CSU) Shiley Institute for Palliative Care –
- American Society for Gastrointestinal Endoscopy (ASGE) – Recommendations for Endoscopy Units in the Era of COVID-19 (March 13) opens in a new tab
- Joint GI Society Message: COVID-19 Clinical Insights for our Community of Gastroenterologists and Gastroenterology Care Providers (March 15) opens in a new tab
- American Academy of Pediatrics (AAP) – COVID-19 in Children: Initial Characterization of the Pediatric Disease (April 2020) opens in a new tab
- CDC – Evaluation and Management Considerations for Neonates At Risk for COVID-19 opens in a new tab (Updated May 20)
- CDC – Multisystem Inflammatory Syndrome in Children (MIS-C) opens in a new tab (Updated May 15)
- CDC – Information for Pediatric Healthcare Providers opens in a new tab
Pregnancy and Obstetrics
- American College of Obstetricians and Gynecologists (ACOG) – Novel Coronavirus 2019 (COVID-19) opens in a new tab
- ACOG and the Society for Maternal-Fetal Medicine – Algorithm opens in a new tab to aid practitioners in assessing and managing pregnant women with suspected or confirmed COVID-19
- Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) – Novel Coronavirus (COVID-19) Updates & Information opens in a new tab
- CDC – Morbidity and Mortality Weekly Report (MMWR) June 26, 2020 / 69(25);769–775. Characteristics of Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–June 7, 2020 opens in a new tab
- As of June 16, 2020, the COVID-19 pandemic has resulted in 2,104,346 cases and 116,140 deaths in the U.S. To date, data to assess the prevalence and severity of COVID-19 among pregnant U.S. women and determine whether signs and symptoms differ among pregnant and nonpregnant women are limited. Limited information is available about SARS-CoV-2 infection in U.S. pregnant women.
- Hispanic and non-Hispanic Black pregnant women appear to be disproportionately affected by SARS-CoV-2 infection during pregnancy. Among reproductive-age women with SARS-CoV-2 infection, pregnancy was associated with hospitalization and increased risk for intensive care unit admission, and receipt of mechanical ventilation, but not with death.
- Pregnant women might be at increased risk for severe COVID-19 illness. To reduce severe COVID-19–associated illness, pregnant women should be aware of their potential risk for severe COVID-19 illness. Prevention of COVID-19 should be emphasized for pregnant women and potential barriers to adherence to these measures need to be addressed.
- CDC – Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings opens in a new tab
- CDC – Pregnancy and Breastfeeding opens in a new tab – Currently, it is not known if pregnant women have a greater chance of getting sick from COVID-19 than the general public nor whether they are more likely to have serious illness as a result. Pregnant women should do the same things as the general public to avoid infection.
- Cover your cough (using your elbow is a good technique)
- Avoid people who are sick
- Clean your hands often using soap and water or alcohol-based hand sanitizer
- Premier – COVID-19 resources in the Perinatal Safety opens in a new tab – login required online community (Member login required)
- Premier – Perinatal Quality Dashboard opens in a new tab – A new, robust report of more than 80 metrics that align with the CDC and American College of Obstetrics and Gynecologists’ (ACOG) definitions for maternal safety and quality improvement, including COVID-19’s effect on mothers. The Perinatal Quality Dashboard builds on Premier’s Bundle of Joy™ opens in a new tab campaign, which launched in 2019 to advance care for mothers and infants.
- American Journal of Perinatology – General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit During the COVID-19 Pandemic. opens in a new tab 2020; 37(08): 829-836. Published online April 28.
- Brigham and Women’s Hospital COVID-19 Clinical Guidelines opens in a new tab
- National Institutes of Health (NIH) – Coronavirus Disease 2019 (COVID-19) Treatment Guidelines links to content within the page (Updated May 12)
- UW Medicine COVID-19 Resource Site opens in a new tab
- University of California San Francisco (UCSF) Health Hospital COVID-19 Clinical Resources opens in a new tab
- American Association for Bronchology and Interventional Pulmonology (AABIP) – Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients with Suspected or Confirmed COVID-19 Infection (March 19) opens in a new tab
- Pediatric Pulmonology – Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults (March 5) opens in a new tab
- American College of Radiology (ACR) – ACR COVID-19 Clinical Resources for Radiologists opens in a new tab
- ACR – Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection (March 11) opens in a new tab
- Intensive Care Medicine – Findings of Lung Ultrasonography of Novel Corona Virus Pneumonia During the 2019–2020 Epidemic (March 12) opens in a new tab
- Italian Society of Medical and Interventional Radiology (SIRM) – COVID-19: Management Strategy in Radiology opens in a new tab
- Radiology Society of North America (RSNA) – Radiology Department Preparedness for COVID-19: Radiology Scientific Expert Panel (March 16) opens in a new tab
- Radiopaedia – COVID-19 opens in a new tab and quick reference guide opens in a new tab
- NIH – Remdesivir study results released on May 22: Peer-Reviewed Data Shows Remdesivir for COVID-19 Improves Time to Recovery opens in a new tab. The randomized, controlled trial enrolled hospitalized adults with COVID-19 with evidence of lower respiratory tract involvement (generally moderate to severe disease). Investigators found that Remdesivir was most beneficial for hospitalized patients with severe disease who required supplemental oxygen. Findings about benefits in other patient subgroups were less conclusive in this preliminary analysis.
- NIH U.S. National Library of Medicine. ClinicalTrials.gov COVID-19 opens in a new tab
- American College of Surgeons (ACS)
- COVID-19 and Surgery: Clinical Issues and Guidance opens in a new tab
- COVID-19: Recommendations for Management of Elective Surgical Procedures opens in a new tab
- COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures opens in a new tab
- COVID-19 and Surgical Procedures: A Guide for Patients opens in a new tab