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COVID-19 Lung Ultrasound Algorithm

Intensive Care Society @ICS_updates

#Lung #Ultrasound #Algorithm #POCUS #COVID19 #SARSCOV2 #Diagnosis #Management
COVID-19 Lung Ultrasound ... Algorithm Intensive ... #Algorithm #POCUS ... #COVID19 #SARSCOV2 ... #Diagnosis #Management
COVID-19 Diagnosis and Management Summary
Clinical and laboratory testing
Lung Ultrasound
HRCT scan
In-hospital treatment
Severity assessment and respiratory support 
Post-mortem
COVID-19 Diagnosis ... and Management ... Summary Clinical ... testing Lung Ultrasound ... @Revivan75 #COVID19
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... X-ray - Lung ultrasound ... Nasopharyngeal PCR for COVID ... diagnostics as clinically ... #algorithm #schema
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Society of Critical ... #management #schema ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... filter • N95 mask ... Internet Book of Critical ... #management #schema ... hypoxia #failure #algorithm
QTc Flow chart to minimize TdP in COVID-19 inpatients on Chloroquine/Azithromycin

Flow chart to manage effects on
minimize TdP in COVID ... K-Serum Potassium; ms ... dobutamine #COVID19 ... Prolongation #Torsades #Algorithm ... #Management #hydroxychloroquine
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... likelihood and clinical ... impact of basic management ... • Difficult mask ... Difficult #airway #algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... Internet Book of Critical ... Care @iBookCC #COVID19 ... Checklist #SARSCoV2 #Management
Checklist for removing PPE, using a tear-away gown here (this type of gown is preferred)
Inside the
- Front of the mask ... straps of the mask ... Internet Book of Critical ... Doffing #Checklist #Management ... #COVID19 #SARSCoV2
COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore
COVID-19 - Subpleural ... POCUS LUS for ICU COVID ... Helps with management ... #clinical #lung ... #ultrasound #pulmonary