Key Points

  • We are collecting and curating information to help clinical professionals stay up to date during this crisis
  • We now have guidance for both hospitalized patients and outpatients
  • Please be aware of the dates the documents were created. We are working to keep this page updated, but they may not be the latest versions

DISCLAIMER: This document and any policies described were prepared (in March-September, 2020) by and for Mass General Brigham medical professionals (a.k.a. clinicians, care givers) and employees and is being made available publicly for informational purposes only, in the context of a public health emergency related to COVID-19 (a.k.a. the coronavirus) and in connection with the state of emergency declared by the Governor of the Commonwealth of Massachusetts and the President of the United States. It is based on pertinent published medical literature, national and state guidances, and/or expert consensus, which continues to evolve relative to COVID-19. It is neither an attempt to substitute for the practice of medicine nor as a substitute for the provision of any medical professional services. Furthermore, the content is not meant to be complete, exhaustive or a substitute for medical professional advice, diagnosis or treatment. The information herein should be adapted to each specific patient based on the treating medical professional’s independent professional judgment and consideration of the patient’s needs, the resources available at the location from where the medical professional services are being provided (e.g., healthcare institution, ambulatory clinic, physician’s office, etc.), and any other unique circumstances. This information should not be used to replace, substitute for or overrule a qualified medical professional’s judgment. You assume full responsibility for using this information and understand and agree that Mass General Brigham is not responsible or liable for any errors or omissions or for any claim, loss or damage resulting from the use of this information.

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Inpatient Care Recommendations Contents

To be redirected to a specific section of the page, please click on the section name below:

Treatment Recommendations from Infectious Diseases

Document Date
Complete Treatment Guidance (PDF) 9/23/2020
Supplementary Documents 
Liver and COVID-19 (PDF)   
Risk Stratification of COVID (PDF) 4/10/2020
Statin Rationale (PDF) 4/10/2020
QTC Monitoring Guidance (PDF) 4/20/2020
FAQs (PDF) 4/20/2020
Figure 1: Schematic Layout of Treatment Algorithm (PDF) 9/23/2020
COVID-19 Treatment: A Primer with Talking Points for Patients and Families (PDF) 5/2/2020
Background on Hydroxychloroquine and COVID-19 (PDF)  4/25/2020
Infection & Steroids on Immunotherapy (PDF)  5/19/2020
Task Force Members (PDF)  3/23/2020

Pulmonary/Critical Care

Document Date
Critical Care Guidance (PDF) 4/5/2020
COVID ICU Guidance for Critically Ill Pregnant Patients (PDF) 4/3/2020
Weaning and Extubation Guidance (PDF) 4/28/2020
COVID-19 Sedation Summary Guidance (PDF) 4/28/2020
Strategies for Weaning Analgesia and Sedation (PDF) 4/29/2020
Respiratory Care Policy – High Flow Nasal Cannula Use in Patients with COVID-19 10/20/2020
Supplementary Documents 
Figure 1: Visual Summary (PDF)  10/7/2020
FAQs about these guidance  
Related Resources 
BWH/MGH ICU Guidance (PDF) for the respiratory care of patients on strict isolation (PDF) 3/3/2020
Critical Care Triage (PDF) 3/20/2020
ECMO Protocol During COVID-19 Pandemic (PDF) 5/14/2020
COVID-19 ECMO Cannulation Strategies (PDF) 3/20/2020
Prone Positioning Protocol for Intubated Patients (PDF) 4/8/2020
Prone Positioning Protocol for Non-intubated Patients (PDF) 4/2/2020
Peep Titration (PDF) 4/15/2020
Guidelines for Performance of Tracheostomies During COVID-19 (PDF) 4/23/2020

Treatment Guidance from Hematology

Document Date
Hematology Issues during COVID-19 (PDF) 4/30/2020
Mass General COVID-19 Anticoagulation Algorithm (PDF) 4/16/2020

Serious Illness Conversation

Document Date
Basic Guide for Serious Illness Discussion (PDF) 4/1/2020
Talking about CPR with Very Sick Patients (PDF) 4/1/2020
EOL Symptom Management (PDF) 4/2/2020
Opioid Decision Tree for Treatment of Dyspnea (PDF) 4/2/2020
Compassionate Ventilator Discontinuation Protocol (PDF)  4/9/2020

Surge Resources: Inpatient Medicine Guidance

Document Date
Common Inpatient Topics (PDF) 4/8/2020
Teaching on Resident Services (PDF) 3/24/2020
IV Access and Blood Draw Algorithm, Including PICC Screening (PDF) 3/25/2020
Inpatient Medicine Quick Start Guide (PDF) 4/8/2020