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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
dyspnea 20-50% • URI ... symptom 3-12% • Cardiac ... Biomarkers • WBC ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
IV's, Consider IL ... Shock - MI ... Cardiac surgery? ... Aggressive IVF , ABX ... #criticalcare #treatment
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... • Chest Xray MILD-MODERATE ... #Hypothermia #Protocol ... #management #treatment ... #algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
the critically ill ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... - Cyanide - Propofol
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... ) 48 year old woman ... What are the next POCUS ... tests are not POCUS ... MRI, CT TAP are
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