COVID Critical Care

Information for our practice

COVID Critical Care

Medical Management of Patients with COVID-19

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Osler CCRC Reviews

Last Updated on: March 23rd, 2021 at 10:33 pm

The Osler COVID Clinical Response Committee is asked to review clinical questions and make local recommendations based on available evidence. As with all COVID-19 issues, science and experience continue to evolve rapidly. These documents represent our current recommendations and rationale at the time of review.

The CCRC is willing to accept requests to review any of these decisions at any time.

5 May 2020 CCRC Terms of ReferenceDownload
CCRCUpdate_Nov2020Download

Decisions, Recommendations, and Rationale

DateDocument
23 Mar 2021Approval Form at Osler *updated
1 Mar 2021Updated Tocilizumab for COVID-19 at Osler
28 Feb 2021Updated High Flow Nasal Cannula on Ward
24 Feb 2021Updated Non-Invasive Ventilation (minor edits)
10 Feb 2021CCRC Goals of Care Discussions (CCRC Jan 18, MAC Feb 10)
20 Dec 2020High Flow Nasal Cannula on Ward
Dec 2020Home CPAP & BiPAP / Trach Care during COVID-19
7 Dec 2020Airway Physician
2 Sept 2020Mandatory Masks at Osler
1 Aug 2020Physician Presence at Codes *Revised*
26 June 2020Half-piece Mask Respirators during Resuscitations
26 June 2020Isolation and PPE Requirements in Neonatal Care
28 May 2020Home CPAP & BiPAP / Trach Care in COVID-19
28 May 2020Osler Specific – Oxygen on Discharge for COVID-19
15 May 2020Intubating Teams – Wave 2
15 May 2020Use of negative relative pressure (NRP) rooms
and HEPA-filters during COVID_19 *Revised*
Room signage *Requires IPAC Approval*
15 May 2020Non-invasive Ventilation & High Flow Nasal Cannula
13 May 2020Use of prone positioning in patients
not on mechanical ventilation
8 May 2020Non-invasive Ventilation (CPAP/BiPAP) in Long Term Care
28 April 2020Care of the pregnant patient with COVID-19 infection
Infographic
28 April 2020Procedural Sedation in the ED – Is it an AGMP?
20 April 2020Infection control measures for wandering patients
15 April 2020Future Strategy for Level 2 ICU Patients NOT ACTIVE
9 April 2020Critical Care Pandemic RN Practice Expectations
6 April 2020Intubating Boxes

Retired Documents List

COVID-19 Viral Clearance, Case Definitions, and Data Management
Retired in deference to PHO/MOH Provincial Standards

Interim Guidance OR Procedures and Infection Control
Retired in deference to PHO/MOH Provincial Recommendations

Tracheostomy Above 30 days
Replaced by alternate CCCRC Guidance

Empiric antibiotics in suspected COVID-19 pneumonia
Replaced by Ontario Science Table Recommendations

During Wave 1, we created a very successful cohorting strategy using CT and clinical scoring to determine the likelihood of COVID-19. This was completed in the context of (1) poor test turnaround times, (2) high prevalence of the disease, (3) poor availability of isolation rooms. It permitted safe cohorting for many of our patients. It is not applicable now.
Second test and cohorting guidance
Dr. Go Assessment Form
PUI Cohorting Room Sign

DRAFT – PUICohortRoomSignDownload
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