Michael D. Christian, MD, FCCP, Niranjan Kissoon, MBBS, and editorialist Christian E. Sandrock, MD, MPH, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to talk about what is new in the just released collection of CHEST Consensus Statement articles on "Care of the Critically Ill and Injured During Pandemics and Disasters." This is the first comprehensive update to these statements since 2008 and provides suggestions for physicians, administrators, and others on the gamut of challenges that must be prepared for when events strain medical resources. Among the new and updated topics they discuss are pediatric patients, resource poor environments, special patient populations, and planning and implementation issues across regions and country boundaries. The special problems of collecting evidence-based data in these events are also discussed.
Terence K. Trow, MD, FCCP (one of the authors for the new Pharmacologic Therapy for Pulmonary Arterial Hypertension (PAH) in Adults CHEST Guideline and Expert Panel Report); Mary G. George, MD (corresponding author of the new CDC pulmonary hypertension surveillance report); and editorialist Anna R. Hemnes, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP to review these important articles. The new CHEST PAH Guidelines distill the available evidence on new therapies and treatment. Among the points emphasized by Dr. Trow is the need to use more than echocardiograms in diagnosis; right-sided heart catheterization is also required. Dr. George reviews the data from the National Vital Statistics System and from the National Hospital Discharge Survey, noting that after a period of decline, the mortality associated with PH among men is beginning to rise; a rise among women also continues.