COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020



(v2.7) incorporating newer published data, and more info about ventilator weaning.

(v2.6) on caring for people with #COVID19 in the ICU, now reflecting new data from @matthewarentz et al JAMA paper as well as data on new treatment options.

(v2.5) It reflects new data on mortality rate in the US and updated treatment recommendations.

(v2.4) added more details and clarified the treatment section (several investigational therapies; steroids NOT recommended)

(v2.3) updated to reflect newer info and with references. 



Nomenclature (NOT "Wuhan Virus")

 • Infection: Coronavirus Disease 2019 a.k.a. COVID-19

 • Virus: SARS-CoV-2, 2019 Novel Coronavirus

Epidemiology

 • Attack rate = 30-40%

 • Ro = 2-4 (similar to influenza)

 • CFR = 3.4% (worldwide numbers)

 • Incubation time = 4-14 days typically (up to 24 days)

Timeline:

 • China notifies WHO 2019-12-31

 • First US case in Seattle 2020-1-15

 • WHO Declared pandemic 2020-3-11

 • National emergency 2020-3-12

Diagnosis/Presentation

Symptoms

 • 65-80% cough

 • 45% febrile on presentation (85% febrile during illness)

 • 20-40% dyspnea

 • 15% URI symptoms

 • 10% GI symptoms

Imaging

 • CXR: hazy bilateral peripheral opacities

 • CT: ground glass opacities (GGO), crazy paving, consolidation, *rarely may be unilateral*

 • POCUS: numerous B-lines, pleural line thickening, consolidations w/ air bronchograms



Nick Mark MD @nickmmark



#COVID19 #Cheatsheet #Diagnosis #Management #Summary #SARSCoV2 #Coronavirus #CriticalCare



** GrepMed Recommended Text: Marino's The ICU Book - https://amzn.to/2WUVUwA