The Michigan Critical Care Collaborative Network (MCCCN)

The MCCCN is a statewide collaboration formed to link healthcare professionals managing COVID-19 patients in the State of Michigan. To prepare for the expected surge in ICU patients, tertiary facilities in Michigan have been gathering lessons learned from around the world. This site serves to collect, curate, and distribute best practices from across the state of Michigan and externally to facilitate care for large numbers of COVID patients.
- COVID-19 Treatment
- Inpatient Adult and Children COVID-19 Rx Guidance: Michigan Medicine (10.28.2020)
- Michigan Medicine Inpatient Clinical Guide for Evaluation and Management of Adults with COVID-19 (10.06.2020)
- Outpatient Adult and Children COVID-19 Rx Guidance: Michigan Medicine (01.21.2021)
- Treatment Tips and Discussion from a Front-Line Provider: Michigan Medicine (03.30.2020)
- Treatment Guide for COVID-19 - Infographic: Michigan Medicine (03.29.2020)
- Regional Isolation Care Unit (RICU) Clinical Management Tips: Michigan Medicine (04.08.2020)
- SCCM Initial Management of Hypoxic COVID-19 Patients - Infographic (11.20.2020)
- SCCM COVID-19 and ARDS Management - Infographic (03.31.2020)
- Adult Critical Care COVID-19 Protocols: Michigan Medicine (03.25.2020)
- Department of Defense COVID-19 Practice Management Guideline (10.16.2020)
- Regional Isolation Care Unit (RICU) Anticoagulation Protocol: Michigan Medicine (04.11.2020)
- VTE/PE Diagnosis and Management in COVID-19: Michigan Medicine (04.03.2020)
- Pediatric Considerations
- ICU Medications
- Sedative, Analgesic, & Neuromuscular Blocking Agent Guidelines for ICU: Michigan Medicine (04.11.2020)
- Ketamine Continuous Infusion Guidelines for Mechanically Ventilated Adult ICU Patients (04.15.2020)
- Sedation, Analgesia, Neuromuscular Blocking Agents (03.31.2020)
- Vasopressor Therapy (04.01.2020)
- Electrolyte Management (04.01.2020)
- Airway
- Respiratory Therapy
- Top Tips for Respiratory Therapist in Managing Patients with COVID-19 (03.28.2020)
- Puritan Bennett 840 Ventilator Quick Use Guide (03.28.2020)
- LTV-1000 Ventilator Quick Use Guide (03.28.2020)
- Avea Ventilator Quick Use Guide (03.28.2020)
- Drager Evita Infinity V500 Ventilator Quick Use Guide (03.28.2020)
- Drager Evita Infinity V500 Trainer Manual (03.28.2020)
- Philips V-60 BiPAP as Ventilator (04.03.2020)
- Respiratory Failure
- ARDS Ventilator Management Strategies: Michigan Medicine (01.06.2020)
- ARDS Management Video
- ECLS COVID 19 Guidelines for ECMO (12.07.2020)
- Proning Method (03.23.2020)
- Proning Video (Michigan Medicine SICU) (03.29.2020)
- Open Lung Tool in Lung Recruitment (03.23.2020)
- Ventilator Management (03.23.2020)
- Nephrology/Renal Failure
- Surgical Services
- Timing of Tracheostomy for Patients With COVID-19 in the ICU (09.03.2020)
- Emergency General Surgery in a COVID-19 Patient (3/19/2020)
- OR Management for COVID19 + or PUI Patient (03.21.2020)
- OR Checklist for COVID-19 + or PUI Patient (03.20.2020)
- Percutaneous Tracheostomy technique to minimize COVID spreading (video)
- Michigan Region 2S & 2N Consensus Statement on Tracheostomy, PEG, Dialysis Access (04.17.2020)
- Tracheostomy Guidelines during COVID-19: Henry Ford Health System (03.25.2020)
- Tracheostomy Guidelines in COVID-19 Era: Michigan Medicine (04.01.2020)
- Laparoscopy smoke evacuation Buffalo filter (03.30.2020)
- Personal Protection Equipment
- Society Guidelines
- Surviving Sepsis Campaign: COVID-19 Guideline (03.20.2020)
- Surviving Sepsis Campaign: COVID-19 Guideline (03.20.2020)
- American College of Surgeons Triage of Emergency Gen. Surgery Patients
- ACS Considerations for Surgeon Protection Before, During, After OR (03.28.2020)
- American Association for Respiratory Care SARS CoV-2 Guidance Document (03.28.2020)
- Articles/Monographs
- NEJM Dexamethasone, RECOVERY Trial (07.17.2020)
- JAMA Dexamethasone, CoDEX Trial (09.02.2020)
- JAMA Hydrocortisone, REMAP-CAP Trial (09.02.2020)
- JAMA Systemic Corticosteroids, Meta Analysis (09.02.2020)
- NEJM Remdesivir Treatment - Final Report (10.09.2020)
- NEJM Remdesivir for 5 vs 10 days (05.27.2020)
- Lancet Remdesivir Treatment (05.28.2020)
- CID Tocilizumab Treatment in Mechanically Ventilated Patients (01.21.2021)
- NEJM Covalescent Plasma (11.24.2020)
- NEJM Hydroxychloroquine (09.10.2020)
- JAMA Hydroxychlooquine 14 day - NHLBI PETAL Network (12.01.2020)
- Lancet Respir Med ECMO in ARDS and COVID (08.13.2020)
- Lancet Extracorporeal membrane oxygenation support in COVID-19: an international cohort study (09.25.2020)
- Gattinoni: COVID-19 pneumonia: different respiratory treatments for different phenotypes? (04.14.2020)
- JAMA Clinical Guidelines Synopsis: Management of Critically Ill Adults with COVID-19
- JAMA Healthcare Workforce
- JAMA Italy COVID-19 Outcomes
- JAMA Italy ICU (03.13.2020)
- UK NHS Intensive Care National Audit & Research Centre report on COVID-19
- CDC Clinical Management of Critically Ill Adults with COVID 19: COCA Webinar
- Compassionate Use of Remdesivir for Patients with Severe Covid-19
- Prone Positioning Therapy in ARDS
- PROSEVA Study (Proning)
- COVID-19 and Kidneys
- Links
- State of Michigan COVID
- Southeast Michigan 2020 COVID-19 Region 2S/2N response: "Michigan Ground Zero"
- Mi-COVID 19 Initiative
- Vital Talk: COVID Ready Communication Playbook (Communicating with Patients and Families)
- University of Nebraska COVID Resources for Providers
- Johns Hopkins Coronavirus Resource Center
- Elsevier Coronavirus Information Center
- Elsevier COVID-10 Toolkit
- Society of Critical Care Medicine: Critical Care for the non-ICU Clinician
- Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)
- National Heart, Lung, and Blood Institute (NHLBI)- Acute Respiratory Distress Syndrome (ARDS) Network
- SOLIDARITY Clinical Trial for COVID 19 Treatment
- COVID -19 Caregivers Workbook