CHEST Pulse

The COVID-19 pandemic affected medical education in multiple ways, as trainees, educators, and training programs had to adapt rapidly to the public health measures. In this episode, panelists reflect on the impact of the pandemic, share the lessons learned, and discuss the future of medical education in the post-pandemic era. Moderator: Viren Kaul, MD, FCCP. Panelists: Leticia Helms, MD; Garrett R...

For various reasons, many patients are still reluctant to be vaccinated against COVID-19. CHEST's COVID-19 Task Force Chair Ryan Maves, MD, FCCP, sits down with Gretchen Winter, MD, to discuss how health care providers can navigate patient reluctance, efforts to combat misinformation relating to the COVID-19 vaccines, understanding reported side effects, and more. Access additional COVID-19 resour...

As we enter the third year of the COVID-19 pandemic, early limitations in ventilators and PPE have been replaced by acute shortages of clinical staff. Surveys of critical care physicians, nurses, pharmacists, and respiratory therapists reveal that high numbers have left or will leave their professions in the near term. In this episode, our expert panelists discuss the sources of staff shortage, th...

CHEST President David Schulman, MD, MPH, FCCP, is joined by Chair of the CHEST Guidelines and Oversight Committee, Lisa Moores, MD, FCCP, to talk about the process to create medical guidelines and how to get involved with the committee.  The Piece by Piece: Conversations With CHEST Leadership series follows Dr. Schulman as he talks with CHEST members about their journey in medicine, their passions...

CHEST President David Schulman, MD, MPH, FCCP, is joined by CHEST 2021 Keynote Speaker Demondes Haynes, MD, FCCP, to talk about climbing the ranks of CHEST and encouraging diversity within medicine. The Piece by Piece: Conversations With CHEST Leadership series follows Dr. Schulman as he talks with CHEST members about their journey in medicine, their passions, and how they got involved in CHEST. ...

CHEST President David Schulman, MD, MPH, FCCP, is joined by CHEST Past President Stephanie Levine, MD, FCCP, and Immediate Past President Steven Q. Simpson, MD, FCCP, to talk about what it was like serving as the Presidents of a lung health association during a global pandemic largely affecting the respiratory system.  The Piece by Piece: Conversations With CHEST Leadership series follows Dr. Schu...

Oral antiviral agents may be a promising tool to reduce hospitalizations and death in patients with COVID-19. New data and research about these therapies are emerging. In this episode, experts discuss oral antiviral agents for COVID-19 and the uses of these medications. (Originally recorded January 27, 2022) Moderator: Alice Gallo de Moraes, MD. Panelists: Steven Gordon, MD; Catherine M. Berjohn,...

ECMO use expanded greatly during the COVID-19 pandemic. But despite this increased use, outcomes have been mixed. The use of this technique also requires substantial resources from health systems that are already stressed. In this episode, ARDS experts discuss the challenges of caring for the sickest patients with COVID-19. They also review the most recent lessons learned regarding patient selecti...

CHEST President David Schulman, MD, MPH, FCCP, is joined by CHEST 2022 Scientific Program Committee Chair and Vice-Chair Subani Chandra, MD, FCCP, and Aneesa Das, MD, FCCP, to talk about getting involved with CHEST and what to expect from the upcoming meeting in Nashville, October 16-19, 2022. The Piece by Piece: Conversations With CHEST Leadership series follows Dr. Schulman as he talks with CHES...

It has now been a year since the first vaccines against COVID-19 have become available, providing the world with our best defense against the pandemic. In this session, our expert panelists review the current state of the science on vaccines, variants, boosters, and emerging strategies to protect our most vulnerable patients. Additionally, they address strategies to reduce vaccine hesitancy in our...

CHEST President-Elect David Schulman, MD, MPH, FCCP, is joined by CHEST 2021 Scientific Program Committee Co-Chairs Christopher L. Carroll, MD, FCCP, and David Zielinski, MD, FCCP, to talk about planning an annual meeting in a virtual environment and how they encourage others to get involved in the planning process. The Piece by Piece: Conversations With CHEST Leadership series follows Dr. Schulma...

Hear from pulmonologists about the outlook of post-COVID chronic lung disease, including a discussion of what we understand about the factors that contribute to the development of post-COVID fibrosis, the role of emerging therapies such as antifibrotics and antiinflammatory agents, and when to consider lung transplantation. (Originally recorded October 28, 2021) Moderator: Holly Keyt, MD, FCCP. Pa...

This episode reviews the challenges and triumphs in India’s approach to COVID-19 and lessons for public health in the Indian context. Hear how global collaborations helped India respond to COVID-19 and understand areas of opportunity to strengthen these collaborations for future pandemics. (Originally recorded September 16, 2021) Moderators: Neha S. Dangayach, MD, and Sai Haranath, MBBS, MPH, FCCP...

In this episode, experts in the field of critical care medicine share their experiences managing patients with severe COVID-19 in Peru, with an emphasis on controversial topics, while answering questions from the audience. (Originally recorded August 18, 2021) Moderator: Angel Coz Yataco, MD, FCCP. Panelists: Samuel Cosme, MD; Javier Diaz-Mendoza, MD, FCCP; and Diana Fernandez, MD. For more tools...

Medical resources are scarce in Brazil. The scarcity and inequality of distribution were highlighted during the pandemic. In this episode, we talk to three physicians who were at the front line during the pandemic and learn how they managed their patients and the resources available to them. (Originally recorded August 5, 2021) Moderator: Alice Gallo De Moraes, MD. Panelists: Fernando Waldemar, MD...

Coma science is a rapidly evolving field. In this episode, expert panelists share how our understanding of coma and consciousness recovery is changing for patients with and without COVID-19. They also discuss how COVID-19 forced us to rethink and adapt sedation practices for critically ill patients and how this may have contributed to increasing delirium and disorders of consciousness. (Originally...

The COVID-19 pandemic created numerous circumstances that placed people into morally and ethically challenging situations that have caused moral distress and even moral injury for some. The pandemic has also negatively impacted mental health for a large number of people. In this episode, hear about key findings regarding moral distress, moral injury, and mental health affecting both patients and h...

The Spanish Flu pandemic of 1918 has in many ways guided the public health, economic, and social responses to the current COVID-19 pandemic. Most of those “lessons learned” proved useful, many perhaps not, and certainly, some have been controversial. This episode examines historical lessons from 1918, how they played out for COVID-19, and how these two pandemics will help us (hopefully) prepare fo...

Expert interventional pulmonologists and medical oncologists discuss the management of malignant pleural effusion, airway obstruction, and immune-related pneumonitis during the COVID-19 pandemic. The panelists review the literature on these topics and share their own personal and institutional experiences. (Originally recorded June 10, 2021) Moderator: Septimiu Murgu, MD, FCCP. Panelists: Mary Jo...

The COVID-19 pandemic in India has stretched health care resources to the limit. During this webinar, experts share strategies for maximizing limited resources, oxygen conservation evidence, and how to build up capacity in preparation for the next wave—as well as what people overseas can do to help. (Originally recorded May 17, 2021) Moderators: Steven Q. Simpson, MD, FCCP, and Sai Praveen Haranat...

In this episode, experts from countries facing the new wave of COVID-19 discuss if the surges seen in certain countries are simply an increase in the number of cases, or if there are new features of the disease for which we should be prepared. (Originally recorded May 13, 2021) Moderator: Alice Gallo de Moraes, MD. Panelists: Marina Vercoza Viana, MD; Sai Haranath, MBBS, MPH, FCCP; Stefano Alibert...

Children have been less impacted by the pandemic than adults, but its direct and indirect effects still have been significant. Additionally, a newly identified hyperinflammatory syndrome, MIS-C, has caused multisystem critical illness in some children. In this episode, an expert panel reviews the impacts of COVID-19 on children, including the clinical manifestations and potential etiologies of MIS...

As we move into the second year of the pandemic, health care workers and the general public across the globe are struggling to get back to normalcy. In this episode, our expert panelists discuss how to safely reopen clinical practices and how the public can safely engage in health-promoting activities, like exercise and travel, as we prepare for a future beyond COVID-19. (Originally recorded April...

Patients with COVID-19 have an increased risk of venous thromboembolism (VTE), but the best strategy for the prevention and care of VTE remains elusive. Observational studies have suggested that empiric full anticoagulation in patients with COVID-19 is ineffective or indeed harmful. Recently, however, multiple large platform trials (ACTIV-4a, ATTACC, and REMAP-CAP) have provided surprising new evi...

The past 12 months have brought incredible loss, but there are glimmers of hope as multiple vaccines have received emergency use authorization. However, potential side effects, lack of diversity in clinical trials, access issues, and new COVID-19 variants have created hesitancy among some clinicians. In this episode, panelists address clinician vaccine hesitancy and how to build trust within and a...