CHEST Pulse

Managing COVID-19 patients and now immunizing the population has been an evolving problem over the last several months. The challenges facing clinicians and leaders have been especially difficult for those in resource-poor and low/middle-income countries. This episode seeks to highlight those issues while discussing opportunities for success in these settings. (Originally recorded February 11, 2021) Moderator: John V. Agapian, MD. Panelists: Sai P. Haranath, MBBS, MPH, FCCP; Claudio F. Lanata, MD, MPH; and Charles Feldman, MB BCh, DSc, PhD. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Survivors of COVID-19 may have continued health issues—both physical and mental—after their initial recovery. Chronic critical illness, depression, and fatigue are all common and require dedicated care. This episode brings together leaders with diverse viewpoints to help us better understand and prepare for challenges in rehabilitation and recovery and to promote resilience among COVID-19 survivors. (Originally recorded February 4, 2021) Moderator: Neha Dangayach, MD. Panelists: Jafar Abunasser, MD; Monica Verduzco-Gutierrez, MD; and Deborah Marin. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

COVID-19 outbreaks are sadly frequent occurrences in long-term care facilities and correctional institutions. Despite their obvious differences, these settings share a key feature: Large numbers of potentially vulnerable persons placed in close proximity, with a high risk for viral transmission. In this episode, our expert panel discusses the different strategies that health systems and public health authorities can use to protect and care for people in these congregate settings. (Originally recorded January 28, 2021) Moderator: Sebastian Kurz, MD. Panelists: Alice Kim, MD, and Lee Norman, MD. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

This episode focuses on the similarities and differences between "long COVID" and other post-viral syndromes for noncritically ill patients, potential management strategies for long COVID, and how long COVID could affect young, healthy individuals. For critically ill patients, the panelists discuss similarities, differences, and potential management strategies for post-intensive care syndrome. (Originally recorded January 21, 2021) Moderator: Neha Dangayach, MD. Panelists: E. Wesley Ely, MD, MPH; Dylan Wessman, MD, CAPT, MC, USN; and Jenna Totso, PT, DPT. Supported in part through an unrestricted educational grant from Mallinckrodt Pharmaceuticals. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

As the initial doses of COVID-19 vaccines are deployed throughout the world, there is a continued debate on which groups should be next in line for vaccination. This episode features an expert panel discussing the rationale and ethical dilemmas of the COVID-19 vaccine distribution plan. (Originally recorded January 7, 2021) Moderator: Alice Gallo De Moraes, MD. Panelists: Rick Bright, PhD; Nathaniel Hupert, MD, MPH; and Ryan Maves, MD, FCCP. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

In the final installment of this three-part series on what the medical community has learned about COVID-19 over the past year, listen to experts discuss the ethics of care in crisis, conducting research during a pandemic, and how science communications have changed. (Originally recorded December 17, 2020) Moderator: Steven Q. Simpson, MD, FCCP. Panelists: Nicholas Bosch, MD, MSc; Debra DeBruin, PhD; and Jonathan M. Iaccarino, MD, MSc. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19. 

In the second installment of this three-part series on what the medical community has learned about COVID-19 over the past year, hear about the evolution of critical care management, respiratory support strategies, COVID-19-targeted therapies, and treatment of venous thromboembolism. (Originally recorded December 10, 2020) Moderator: Kevin K. Chung, MD. Panelists: Richard A. Oeckler, MD, PhD, FCCP; Nida Qadir, MD; Tamas Szakmany, MD, PhD; and Victor Test, MD, FCCP. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

While much is still unknown about COVID-19, the medical community has made significant strides throughout 2020 in its understanding of this disease, as well as how health-care systems can adapt to better care for patients. In the first installment of this three-part series, hear from clinicians who have spent months on the COVID-19 front lines about changes to systems/ICU organization, visitation and family-centered care, and medical education. (Originally recorded December 3, 2020) Moderator: Christopher L. Carroll, MD, FCCP. Panelists: Mangala Narasimhan, DO, FCCP; Geneva B. Tatem, MD, FCCP; and Sara Hegab, MD. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Since the onset of the COVID-19 pandemic in the United States, the US military has deployed teams to support health systems that have been hit the hardest by surging cases of disease. In this episode, our expert panelists will discuss lessons learned during these deployments, principles for providing care in resource-limited settings, and ways to integrate new teams within existing systems. (Originally recorded November 19, 2020) Moderator: Krystle Salazar, MD, LCDR, MC, USN. Panelists: David C. Hostler, MD, MPH, FCCP, LTC, MC, USA; Michael Kavanaugh, MD, CDR, MC, USN; Sean A. McKay, MD, CAPT, MC, FCCP, USN; and Joseph Zeman, Jr., MD, CDR, MC, USN. This program was made possible by an independent grant from Boehringer Ingelheim Pharmaceuticals, Inc., who provided financial support for the program. For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.