CERTAIN STOP-VIRUS Initiative

Mayo Clinic METRIC group has started a program for rapid critical care knowledge exchange to protect critically ill patients, nurses, therapists and physicians during the COVID-19 pandemic. The STOP-VIRUS program is based on the CERTAIN Program and adapted to current situation under the key principle in intensive care “LESS IS MORE”, to prevent iatrogenic complications and protect staff and patients. In addition to  access to rational and practical guidelines endorsed by international organizations (SCCM/ESICM), the program consists of rapid knowledge exchange among clinicians from all over the world via CERTAIN Network, MedTwitter, WhatsApp, Viber & WeChat groups.

CERTAIN Approach

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How to set the Ventilator

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CERTAIN Plan of Care

On admission, deterioration, and every day, check the plan of care by organ systems to prevent omissions and guarantee best practices

On admission, deterioration, and every day, check the plan of care by organ systems to prevent omissions and guarantee best practices

Protect Yourself

Research

#JoinYouMust: Join ICUs worldwide to enter/upload data into SCCM Discovery VIRUS registry for rapid analytics to inform the practice about promising or ineffective COVID-19 treatment strategies

Other

METRIC-2020: Multi-professional Education, Translation & Research in Intensive Care Virtual Critical Care Conference

Mission: Efficient dissemination of relevant new information to promote excellence in critical care practice, education, and research

Location: Anywhere with internet access

Start Date: April 15, 2020 End Date: No end date

Course Directors: Ognjen Gajic, M.D., Erin Barreto, Pharm.D., R.Ph., Yue Dong, M.D., Alexander Niven, M.D.,  Rahul Kashyap, M.B.B.S.,  Katherine Heise, APRN, C.N.P., M.S.N.

#FOAMEd: Free registration for physicians, medical students, nurses, therapists, and pharmacists (CME Credit Available)

Faculty: Experts from Mayo Clinic, CERTAIN Alumni, Invited #MedTwitter Faculty from Five Continents

Session One: Update in COVID-19 Critical Illness

Ognjen Gajic M.D. Mayo Clinic, Rochester, MN, USA

Yaseen Arabi M.D. King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudii Arabia

Christopher Farmer, M.D.  Mayo Clinic, Scottsdale, AZ, USA

Guangxi Li, M.D.,      Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China

Zhiyong Peng M.D. Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China

Shouhong Wang, M.D. Guangdong Provincial Hospital, Guangzhou, China

Damien Barraud , M.D. Hopital de Mercy CHR Metz-Thionville, Ars-Laquenexy, France

Maurizio Cecconi, M.D. Humanitas Rozzano, Milan, Italy

David Kaufman, M.D. NYU Langone Medical Center, New York, NY, USA

Session Two: Severe Hypotension & Shock

Erin Barreto, Pharm.D., R.Ph.  Mayo Clinic, Rochester, MN, USA

Namita Jayaprakash M.D.   Henry Ford Health System and Wayne State University, Detroit, MI, USA

John Litell, M.D. University of Minnesota, Abbott Northwestern Hospital, Minneapolis, MN, USA

Kianoush Kashani , M.D. Mayo Clinic, Rochester, MN, USA

Hemang Yadav,  M.D. Mayo Clinic, Rochester, MN, USA

Phillippe Bauer, M.D. Mayo Clinic, Rochester, MN, USA

Session Three: Severe Hypoxemia & Mechanical Ventilation

Ognjen Gajic, M.D. Mayo Clinic, Rochester, MN, USA

Steve Holets, Mayo Clinic, Rochester, MN, USA

Alice Gallo De Moraes, M.D. Mayo Clinic, Rochester, MN, USA

Gustavo Cortes-Puentes, M.D. Mayo Clinic, Rochester, MN, USA

Phillippe Bauer, M.D. Mayo Clinic, Rochester, MN, USA

Sarina Sahetya, M.D. Johns Hopkins University, Baltimore, MD

Andrew Bersten, M.D. Flinders Medical Centre, Adelaide, Australia 

Matt Siuba, M.D. Cleveland Clinic, Cleveland, OH, USA

Session Four: Encephalopathy, Delirium & Cognitive Impairment

Matthew Warner, M.D. Mayo Clinic, Rochester, MN, USA

Dale Needham, M.D. Johns Hopkins University, Baltimore, MD, USA

Alejandro Rabinstein, M.D. Mayo Clinic, Rochester, MN, USA

Emily Bodensteiner Schmitt Mayo Clinic, Rochester, MN, USA

Jillene Chitulangoma, P.T., D.P.T. Mayo Clinic, Rochester, MN, USA

Lioudmila Karnatovskaia, M.D. Mayo Clinic, Rochester, MN, USA

Sarah Leung Pharm.D., R.Ph. Mayo Clinic, Rochester, MN, USA

Session Five Intelligent Environment & Artificial Stupidity

Brian Pickering, M.B.B.Ch. Mayo Clinic, Rochester, MN, USA

Sonal Pannu, M.B.B.S. Ohio State University Medical Center, Columbus, OH, USA

Erin Barreto, Pharm.D., R.Ph. Mayo Clinic, Rochester, MN, USA

Vitaly Herasevich, M.D., PhD. Mayo Clinic, Rochester, MN, USA

Michael Joyner, M.D. Mayo Clinic, Rochester, MN, USA

Joe Eric Levitt, M.D. Stanford University Medical Center, Stanford, CA, USA

Michael Wilson, M.D. Mayo Clinic, Rochester, MN, USA

Session Six: Humanizing ICU Before & After COVID-19

Ognjen Gajic M.D. Mayo Clinic, Rochester, MN, USA

Samuel Brown M.D. University of Utah School of Medicine, Salt Lake City, UT, USA

Sumera Ahmad, M.D. Mayo Clinic, Rochester, MN, USA

Lioudmila Karnatovskaia, M.D. Mayo Clinic, Rochester, MN, USA

Corinne A Thul Mayo Clinic, Rochester, MN, USA

Eileen Rubin ARDS Foundation, Northbrook, IL, USA

Aysun Tekin, M.D. Mayo Clinic, Rochester, MN, USA

Session Seven: Informed Assent & Shared Decision Making in Critical Illness

Ognjen Gajic, M.D. Mayo Clinic, Rochester, MN, USA

Alison Turnbull, Ph.D. Johns Hopkins University, Baltimore, MD, USA

Victor Montori, M.D. Mayo Clinic, Rochester, MN, USA

Scott Aberegg, M.D. University of Utah, Salt Lake City, UT, USA

Session Eight: Meaningful Outcomes in Critical Illness

Alex Niven, M.D.   Mayo Clinic, Rochester, MN, USA

Michelle Biehl, M.D. Cleveland Clinic, Cleveland, OH, USA

Arthur Kwizera, M.D. Makerere University College of Health Sciences, Mulago Hospital, Kampala, Uganda

Fernardo Zampieri, M.D. Hospital for the Heart, São Paulo, Brazil

Matt Siuba, M.D. Cleveland Clinic, Cleveland, OH, USA

Ognjen Gajic, M.D. Mayo Clinic, Rochester, MN, USA

Session Nine: Pathophysiology and Translational research in Covid-19

Dr Joanna Poole, Anaesthetic Registrar, Bristol [moderator]

Pathophysiology of ARDS

Charlotte Summers, BSc (Hons), BM, PhD, FRCP, FFICM

University Lecturer in Intensive Care Medicine, University of Cambridge, UK

T cell behaviour: role in inflammation, cytokine storms, how antigens bind HLA and provoke an immune response

Amir Toor, M.D.,

Professor of Medicine, Virginia Commonwealth University, Richmond, VA

Testing times - serum, saliva, swab and autopsy

Jo Martin, MA (Cantab), MB, BS, PhD FRCPath

Professor of Pathology, Queen Mary University London and President of the Royal College of Pathologists, UK

Anti-inflammatory therapies in Covid-19

Hemang Yadav, M.B.B.S.

Critical Care and Pulmonologist, Mayo Clinic, Rochester, MN, USA