#63 Practical Tips for COVID-19 Floors

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 12 April 2020

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging patients? Show notes, transcripts and references: CME Credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Time Stamps * 02:37 Entrance and Exit strategy * 04:25 Prioritizing patient acuity * 08:14 PPE uses * 11:11 Respiratory concerns in COVID-19 patients * 16:35 Patient examination * 18:49 Family updates * 20:56 Oxygen requirements * 23:12 Medications * 24:08 Discharging patients * 31:00 What we mean by isolation tag: coronavirus, COVID, CoreIM, sars-cov-2, medicine wards Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone this episode will count for CME Credit with the American College of Physicians
0:05.2	so click on the URL in the show notes answer three questions and get CME Credit
0:10.1	and as a heads up the link will go live Monday the 13th at 9 a.m. Eastern Standard time.
0:15.6	So with that, let's get started.
0:18.0	I mean, I think the most important part that they need to know is that there's an algorithm and there are these subset of
0:25.8	meds that you're going to use depending on their symptom onset, their other factors
0:32.3	of contraindicating meds or QTC and then their O2 requirement and these are going to affect which meds you choose.
0:38.4	Yes, there is an algorithm you probably need to know and it's different based on whichever hospital you're at who gets the
0:45.0	Plaquanao, who gets the Remdesevir, what Dilly Labs your epidemiologist wants you to get.
0:50.7	And because that is so unique, what we're going to focus on today is focusing on the practical tips in terms of taking care of patients with COVID-19.
0:59.0	And to help me do this, I'm joined by...
1:01.0	Hey guys, I'm Dr. Tim Rowe, a third year resident at University of Wisconsin, Madison.
1:06.0	Go Badgers!
1:08.0	Our routines have changed so much in the past month,
1:11.0	and as we learn more about COVID, we're each going to have to adjust and
1:14.3	readjust our practice patterns.
1:16.4	And probably readjust another time as we learn more.
1:18.9	Very humbling process.
1:20.5	I think as hospitals are kind of hitting their surges now, we were initially
1:25.1	thinking of gearing this episode towards outpatient clinicians who are getting
1:29.0	called into COVID floors, but the more we produce this episode the more there were tons of inpatient clinicians who said,
1:35.0	no, this is helpful for all of us to hear how each other are organizing our days and other tips on what effective
	...

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