As survivors of critical illness, relatives of ICU survivors and critical care professionals, everyone at ICUsteps has a profound understanding of the journey ahead for those who will be hardest hit by the Coronavirus pandemic. Our thoughts are with all of them, and those who will be fighting to help them through it.
In addition however, our thoughts and concerns are also with others being treated in critical care for other reasons and also those who are on their road to recovery from critical illness who are particularly vulnerable to the effects of COVID-19.
ICUsteps stands behind NHS efforts to manage and cope with the virus. In these worrying and uncertain times, we urge those looking for information to rely on credible sources of information only.
In a new documentary from The Atlantic, coronavirus survivors describe frightening experiences in the intensive-care unit...Read more
Sadly many people are experiencing loss and bereavement right now, in uncertain and unprecedented circumstances. The British Psychological Society have produced an advice booklet on supporting each other through the grieving process during the Covid-19 pandemic...Read more
The crisis of COVID-19 have seen follow-up, outreach and rehabilitation teams having to work on the ICU rather than seeing patients during their recovery on the wards. This means that many ICU survivors return home without any effective support...Read more
Delirium appears to be very common in COVID-19, with one-third of hospitalised COVID-19 patients of all ages and two-thirds of those with severe disease, showing signs of delirium...Read more
Preparing patients at discharge is so key: even pre-COVID19 we saw a decrease in early readmissions when patients and families were given anticipatory guidance and a lifeline back to their ICU team. ...Read more
Dr. Dominique Pepper interviews Dr. Dale Needham in this podcast, "Critical Perspective: Management of Post-Intensive Care Syndrome in the Era of COVID-19". Listen here...Read more
•The Chartered Society of Physiotherapy have predicted a “tsunami of rehabilitation needs following Covid-19”. This article examines the challenge of patient rehabilitation after intensive care...Read more
Article discussing the possible cognitive and psychological problems patients face after a stay in ICU with Covid-19...Read more
ICU delirium expert Wes Ely @WesElyMD chatting about COVID-19 ventilation and sedation. Examining practical approaches to, hopefully, avoid intubation and to try to minimise medications that disrupt sleep...Read more
Looking at maintaining essential rehabilitation services across the care continuum during Covid-19...Read more
The COVID-19 pandemic poses a high risk to older people. The aim of this paper is to provide a rapid overview of the COVID-19 literature, with a specific focus on older adults. There is an overview of the disease and also the article evaluates the inclusion of older people within forthcoming clinical trials...Read more
Is Covid-19 under-diagnosed in older people? 40% of all Covid-19 cases have no radiographic abnormalities on presentation. Also older adults with the virus often do not mount a temperature and many do not manifest breathing difficulty even in the face of low oxygen levels...Read more
Guidance to inform recruitment and consent in studies involving critically ill patients is available on the Perspectives study website and the plain language video animation explaining about consent in ICU research can be accessed from this website...Read more
Early Interventions for the Prevention of Posttraumatic Stress Symptoms in Survivors of Critical Illness: A Qualitative Systematic Review
The sooner that communication is restored for ICU patient, the quicker and greater the impact. The app myICUvoice is designed to restore communication at the earliest possible point and can be used on a tablet...Read more
The Nursing Times has built a free access coronavirus clinical zone that collates articles relevant to care for patients with Covid-19. Topics include PPE, infection prevention and control, respiratory care, nutrition, meds management, and a range of national clinical guidance...Read more
This podcast from Dr Megan Hosey, an ICU clinical psychologist, discusses potential challenges faced by patients with Covid-19 during and after their time in an intensive care unit...Read more
ICU patient information resources
Given the additional risk to those recovering from critical care at this difficult time, ICUsteps recommends that support group events be suspended for the time-being to minimise potential exposure to the virus. We urge those seeking support to use our HealthUnlocked online community.
Our internationally renown guide for patients and relatives on intensive care treatment and recovery avavailable for hospitals to order, or as a PDF download...Read more
Our translated intensive care guides in 17 languages...Read more
Intensive care topic related information sheets on brain injury, delirium, and traumatic brain injury and more...Read more
Our active community of patients and relatives affected by critical illness and COVID-19...Read more