The C19_SPACE course is a resource for health professionals, based on the latest evidence and available in six languages

With the support of the European Union early in the COVID-19 pandemic, ESICM developed the C19 Skills Preparation Course (C19_SPACE) to orientate and supplement clinical learning for nurses and doctors not regularly or newly engaged in intensive care units (ICUs). C19_SPACE provides the most recent evidence-based information, video lectures and clinical case videos delivered by critical care experts to continue supporting the healthcare community worldwide.

In a new collaboration with WHO and ESICM the C19_SPACE interactive programme is now available in English, French, Arabic, Chinese, Spanish and Russian to ensure the course can reach a wider global health care audience.

Along with multiple hours of training, the course includes a series of downloadable checklists to guide health professionals through decision-making at the patient’s bedside.

WHO and ESICM are working closely to identify and enrol the first participants in the new multilanguage learning platform.

What does the course include?

The course consists of 24 hours of training for both nurses and doctors. Enrolled participants can engage in self-paced learning online at home. The course includes:

This include 8 online modules: 

  • Personal safety, donning and doffing of personal protective equipment (PPE)
  • Introduction to ICU
  • The ICU patient: general aspects and admission sequence
  • Basics of respiratory support
  • Basics of haemodynamic monitoring
  • Sepsis and infections in ICU
  • Other aspects of ICU care
  • Team care

This include:

  • Basics of Respiratory Support
  • Basics of Haemodynamic Monitoring
  • Sepsis and Infection
  • Sedation in the ICU: Applied Clinical Pharmacology

This includes:

  • ICU tour (organizational aspects of ICU, ICU care principles: multidisciplinary care team, roles and tasks, ICU care pathway: short- and long-term planning, patient room specifications)
  • Exploration tour
  • Admission sequence of the ICU patient, bundles of care, decision-making pathways
  • Two master cases which reinforce the fundamentals studied during the online component regarding respiratory and haemodynamic monitoring, sepsis and infections, and other important aspects to be considered such as sedation and nutrition in ICU patients.

Master case 1: Deteriorating patient

  • Admission and line-up
  • Daily routine
  • Troubleshooting ventilation
  • Troubleshooting haemodynamically unstable patient

Master case 2: Stabilized patient

  • Daily routine
  • Troubleshooting ventilation

A series of translated checklists are available for easy use at the local level on the most relevant ICU activities/actions.

  • ABCDEFG: daily checklist
  • Hypoxaemia in the ventilated patient
  • Ventilator troubleshooting: bronchospasm, asthma exacerbation
  • Ventilator troubleshooting: circuit obstruction
  • Ventilator troubleshooting: worsening of ARDS
  • Physiology of prone positioning
  • Management of undifferentiated hypotension
  • Recommendations for sepsis: the 1-hour sepsis bundle

Upon the successful completion of the course, participants will obtain a certificate with 24 CME/CE credits.

The C19_SPACE programme does not replace comprehensive training in intensive care, nor does it confer the qualification of Intensivist.

The programme offers an introduction or review of the fundamentals of Intensive Care.

Clinical Management and Operations Unit contact
Vanessa Cramond cramondv@who.int

John Appiah appiahj@who.int