ATS 2020 Advance Program

9:21 Mucus Is Not Our Friend: SecretionManagement in Neuromuscular Respiratory Failure D. Zielinski, MD, Montreal, Canada 9:37 Panel Discussion 9:39 The Big Leap of Faith: Smoothing the Transition From Pediatric to Adult Respiratory Care H.B. Panitch, MD, Philadelphia, PA 9:55 Panel Discussion 9:57 Safely Navigating the Perioperative Management of Neuromuscular Patients, Without Panicking Your Anesthesia Colleague H. Sawnani, MD, Cincinnati, OH 10:13 Panel Discussion 10:15 Ethical and End of Life Considerations in Chronic Respiratory Failure: Facing the Inevitable (For Now) With Quality and Autonomy J.O. Benditt, MD, Seattle, WA 10:31 Questions for the Panel BEHAVIORAL • CLINICAL CRITICAL CARE TRACK D4 REDEFINING TIME ZERO: CRITICAL CARE DELIVERY IN THE FIELD, ED, AND WARD Assemblies on Critical Care; Behavioral and Health Services Research; Clinical Problems; Nursing 8:45 a.m. - 10:45 a.m. Target Audience Clinicians providing care to critically ill, as well as patients, nurses/social work/ICU ancillary staff, ICU leadership, trainees in critical care medicine ICU researchers and administrators. Objectives At the conclusion of this session, the participant will be able to: • learn the latest evidence regarding care of critically ill patients prior to ICU arrival, both in the field and in the ED/wards; • improve the quality of care transitions of patients throughout the pre-ICU course; • define new strategies to manage critically ill patients in times of ICU capacity strain. Treatment of community-acquired critical illness usually begins before patients’ arrival to the ICU. Critical care clinicians, meanwhile, confront growing bed shortages and admission delays associated with worse outcomes. In this session, we will discuss barriers to the delivery of timely, high quality critical care services in the pre-hospital and pre-ICU care setting, and explore potential solutions using case examples of sepsis and shock. Discussions will highlight models for critical care delivery in the pre-hospital setting, emergency department, and inpatient wards, leveraging interdisciplinary experiences within academic, community, military, and international/LMIC settings. Chairing: K.S. Mathews, MD, MPH, New York, NY I. Peltan, MD, MSc, Murray, UT H. Wunsch, MSc, MD, Toronto, Canada 8:45 Right Care, Right Time: Why We Need to Talk About Pre-Hospital and Pre-ICU Critical Care K.S. Mathews, MD, MPH, New York, NY 8:57 Rapid Treatment, Rapid Transport: Pre-Hospital Critical Care by Paramedics C. Polito, MD, Atlanta, GA 9:09 Mobile Physician-Led Critical Care Units: Bringing ECMO to the Streets of Paris L. Lamhaut, MD, PhD, Paris, France 9:21 Critical Care in the Field: Lessons Learned From Military Field Care Teams T.Rasmussen,MD;Colonel,USAFMC, Bethesda,MD 9:33 ICU Boarders in the ED: Innovative Models of High Quality Care With ED Intensivists R.C. Hyzy, MD, ATSF, Ann Arbor, MI 9:45 Ward-Based Response Teams: Multidisciplinary Approaches to Optimize Effectiveness M. Shifrin, ACNP-BC, DNP, Nashville, TN ATS 2020 • Philadelphia, PA 126 WEDNESDAY • MAY 20