By vgreene, 18 June, 2020 Assess severity to determine outpt vs inpt care setting. Imaging may not be feasible/available, esp in COVID-19 settings
By vgreene, 18 June, 2020 Severe CAP requiring ICU care4 = pt in septic shock requiring pressors or resp failure requiring mechanical vent; or pts w/ ≥3 of: RR ≥30, PaO2/FiO2 ≤250, multilobe infiltrates, AMS, BUN ≥20, WBC
By vgreene, 18 June, 2020 Severe CAP requiring inpt care2 in setting of COVID-19 = fever and/or suspected resp infxn PLUS ≥1 of: RR >30, severe resp distress, SpO2 ≤93% on RA
By vgreene, 18 June, 2020 Use PSI rather than CURB-65 to determine outpt vs inpt setting, per ATS/IDSA;4 (PSI risk score available via epocrates search bar)
By vgreene, 18 June, 2020 In setting of COVID-19, screen and isolate pts at first point of contact, use PPE.1,2 Assess for pneumonia sx/signs:3