By vgreene, 27 March, 2020 Assess severity to determine outpt vs inpt care setting Imaging may not be feasible available esp in COVID 19 settings
By vgreene, 27 March, 2020 Severe CAP requiring ICU care4 pt in septic shock requiring pressors or resp failure requiring mechanical ventilation or pts w 3 of RR 30 PaO2 FiO2 250 multilobe infiltrates AMS BUN 20 WBC
By vgreene, 27 March, 2020 Severe CAP requiring inpt care2 in setting of COVID 19 fever and or suspected resp infection PLUS 1 of RR 30 severe resp distress SpO2 93 on RA
By vgreene, 27 March, 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 Consistent evidence supports safety effectiveness of PSI but CURB 65 is simpler based on confusion urea RR BP age 65 yo doesn t
By vgreene, 27 March, 2020 In setting of COVID 19 screen and isolate pts at 1st point of contact use PPE 1 2 Assess for pneumonia s sx 3