Pediatric Respiratory Care Order Set (protocol) Templates

 
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery
Pediatric Respiratory Care
Resource–variable settings

These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients. Separate Adult and Pediatric ARDS order sets are included, whereas other included respiratory care order sets are combined for adult and pediatric patients. These order sets should be modified to adhere with local practice guidelines and must be reviewed and implemented by appropriately trained and certified clinicians. Protocols also include ARDS Net lung protective ventilation as well as orders for spontaneous breathing trials (SBTs), difficult to wean patients and cuff leak tests.

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Oxygen therapy escalation algorithm

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply
Monitoring and Diagnostics
Pediatric Respiratory Care
Resource–variable settings

Please use the contact us form at the bottom of this page to receive modifiable version of this algorithm for download.

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Pediatric oxygen therapy escalation

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Pediatric Respiratory Care

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

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Neonatal oxygen therapy escalation

 
Respiratory Failure
Adult Respiratory Failure
Neonatal care
Non-invasive oxygen delivery
Oxygen supply

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

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Common non-invasive O2 devices

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

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Adult oxygen therapy escalation

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply

This visual aid was created by the OpenCriticalCare.org Project with input from multiple stakeholders and support from USAID-STAR.

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Concentrateur d’oxygène: installation et utilisation

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

Cette infographie de deux pages fournit un bref aperçu des conseils courants sur la configuration, l'utilisation et la maintenance d'un concentrateur d'oxygène portable. Consultez toujours le manuel du fabricant pour obtenir des instructions spécifiques, car celles-ci varient selon les appareils. Ces dispositifs doivent toujours être utilisés sur ordonnance et sous la direction d'un clinicien agréé.

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Concentrador de oxígeno: configuración y operación

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

Esta infografía de dos páginas proporciona una breve descripción general de consejos comunes sobre cómo configurar, operar y mantener un concentrador de oxígeno portátil. Siempre consulte el manual del fabricante para obtener instrucciones específicas, ya que varían entre dispositivos. Estos dispositivos siempre deben usarse con receta y bajo la dirección de un médico autorizado.

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Configuración de circuito y filtros para el ventilador

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation

Esta ilustración muestra diferentes configuraciones para filtros de ventilador, circuitos y sistemas de humidificación.

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Oxygen concentrator: setup, operation & maintenance (quick guide)

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

This two-page infographic provides a brief overview of common tips on how to setup, operate and maintain a portable oxygen concentrator. Always check the manufacturer's manual for specific instructions as these vary among devices. These devices must always be used with prescription and under direction of a licensed clinician.

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Tips for combining oxygen concentrators to increase flow to one patient

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

This series of infographics reviews tips for choosing a concentrator, setup, splitting concentrators and combining concentrators.

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Tips for splitting an oxygen concentrator to multiple patients

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

This series of infographics reviews tips for choosing a concentrator, setup, splitting concentrators and combining concentrators.

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Oxygen concentrator infographics

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

This series of infographics reviews tips for choosing a concentrator, setup, splitting concentrators and combining concentrators.

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COVID19 Case Series: Bedside Care (Part II)

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply
Monitoring and Diagnostics
Resource–variable settings

-These slides are part of a framework for ongoing medical and nursing education and not a clinical practice guideline or clinical consultation.
-Clinicians should adapt these recommendations to their specific context and incorporate local resources and practice guidelines.
-The recommendations in these slides do not replace clinical decision-making based on each individual patient’s needs or medical condition.
-The recommendations in these slides do not necessarily reflect the views of the collaborating institutions
-COVID-19 practice guidelines and protocols are continuously evolving and should be re-referenced directly from the literature prior to the clinical care for each new patient.

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Facility (ward) oxygen demand calculator

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

Use this online calculator to understand oxygen consumption for different hypothetical scenarios (e.g. different patient numbers, severity of condition, delivery devices and duration of care)

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By OpenCriticalCare.org
English
Español

Oxygen delivery graphics toolkit

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply

Make your own oxygen delivery infographics and algorithms with these images created by OpenCriticalCare.org (Holly Sullivan), designed to help providers create educational material tailored to the local context.

Please use these images as Creative Commons SA-BY-NC and attribute "by The OpenCriticalCare.org Project & Holly Sullivan at sulscientific.com"

Please check back as we are adding more images soon!

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By OpenCriticalCare.org
English
Español
Français
монгол хэл

Portable oxygen concentrators: Top considerations when buying an oxygen concentrator

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

Below is a top 10 list of tips and considerations when procuring a portable oxygen concentrator. We are also building a database of common specifications and highlighting which are in line with WHO recommendations. Both can be accessed below:

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Top 10 ways to conserve oxygen supply

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

There are many low or no cost ways to conserve oxygen supply. Check out our top 10 list below:

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Ventilator Circuit, filters and humidification setup

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation

This visual aid provides a quick reference for common circuit, humidification system, and bacterial viral filter combinations for dual and single limb circuits and both mechanical ventilation and non-invasive ventilation (CPAP/BIPAP). UPDATE April 19 2021 - additional information on CPAP/NIPPV circuit setups added.

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Referencia de Bolsillo para Atención Respiratoria v2021.4

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
Non-invasive oxygen delivery
Monitoring and Diagnostics
Resource–variable settings

Nueva versión el 16 de abril de 2021 (v2021.4). Esto incluyen nueva información sobre destete y extubación del ventilador.

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Protocolo sobre la fuga del manguito

 
Respiratory Failure
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Pruebas de despertar y respiración espontáneas por protocolo (SAT/SBT)

 
Respiratory Failure
Adult Respiratory Failure
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Lista de comprobación de rondas diarias de la UCI

 
General Intensive Care
Respiratory Failure
Charting Tools & Order Sets
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Plantillas de orden de atención respiratoria

 
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Charting Tools & Order Sets
Pediatric Respiratory Care

Esta plantilla de pedido se puede modificar y utilizar para el manejo del ventilador de pacientes adultos con SDRA. Incluye ventilación protectora pulmonar ARDS Net, así como órdenes para pruebas de respiración espontánea (SBT), pacientes difíciles de destetar y pruebas de fugas del manguito.

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Anesthesia Pocket Guide

 
Airway Assessment and Management
Airway Equipment
Airway Techniques & Management
General Intensive Care
Respiratory Failure
Monitoring and Diagnostics
Chest imaging

This pocket guide contains quick reference for airway management, common induction and sedation agents and more.

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STAR-UCSF Webinar: Optimizing the impact of oxygen scale-up

 
COVID-19
Supplementary Resources

Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar and question and answer on optimizing the impact of oxygen scale-up.

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By OpenCriticalCare.org
English
Español
Français

STAR-UCSF Clinical TA Webinar Series: Pulse oximetry – devices, accuracy and uncertainty

 
COVID-19
COVID-19 Diagnostics
Respiratory Failure
Monitoring and Diagnostics
Pulse oximetry

These presentations and discussion are part of the COVID19 clinical updates webinars hosted by USAID’s Sustaining Technical and Analytic Resources and UCSF, with support from USAIDs O2 Ecosystem Initiative.

This webinar discusses Pulse oximetry - including the fundamentals of how it works, limitations in the technology (including skin pigmentation effects), and practical aspects of implementation including implications for oxygen consumption in resource-variable settings.

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By OpenCriticalCare.org
English
Français
Español

Orientation to OpenCriticalCare.org

 
General Intensive Care
Respiratory Failure

This brief slide deck provides an overview of the OpenCriticalCare.org portal key features, including how to navigate the site and find resources.

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COVID-19 oxygen therapy by COVIDprotocols.org

 
Respiratory Failure
Supplemental Resources
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Checklist for routine bedside care for intubated patients

 
Respiratory Failure
Adult Respiratory Failure
Monitoring and Diagnostics
Daily ICU Assessment: Intubated Patients
Resource–variable settings

See column 6 for routine "respiratory care, setup & monitoring"

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COVID-19 Case Series for Teachers – Bedside Charting

 
Respiratory Failure
Adult Respiratory Failure
Charting Tools & Order Sets
Monitoring and Diagnostics

The series of teaching slides decks is intended to serve as a framework of content to be modified, updated and used by local instructors supporting healthcare workers caring for COVID19 patients.

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Pruebas Clínicas de COVID-19

 
COVID-19
Supplementary Resources
Pruebas Clínicas de COVID - COVIDprotocols.org
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Prevención y Control de Infecciones

 
Infection Prevention Control
Supplementary Resources
Prevención y Control de Infecciones COVIDprotocols.org
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COVID-19 Therapeutics Update (Feb 2021)

 
COVID-19
COVID-19 Therapeutics
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Actualizaciones terapéuticas de COVID-19 (Feb 2021)

 
COVID-19
COVID-19 Therapeutics
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COVID-19 en adultos: reporte y manejo de casos

 
Airway Assessment and Management
COVID-19
COVID-19 Therapeutics
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply
Monitoring and Diagnostics
Resource–variable settings

La serie de presentaciones de diapositivas didácticas está destinada a servir como marco de contenido para ser modificado, actualizado y utilizado por los instructores locales que apoyan a los trabajadores de la salud que atienden a pacientes con COVID19.

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Tablero de Guías para la COVID-19

 
COVID-19
COVID-19 Diagnostics
COVID-19 Therapeutics
Supplementary Resources
Vaccine
Infection Prevention Control
Supplementary Resources

Este recurso agrega directrices de las principales autoridades sanitarias a nivel mundial para la atención de pacientes con la COVID-19 y las consolida en una única recomendación basada en la concordancia.

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COVID-19 Case Series for Teachers

 
Airway Assessment and Management
COVID-19
Supplementary Resources
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply
Monitoring and Diagnostics
Resource–variable settings

The series of teaching slides decks is intended to serve as a framework of content to be modified, updated and used by local instructors supporting healthcare workers caring for COVID19 patients.

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Oxygen Supply Calculator

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply
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Daily ICU Rounding Checklist Template

 
General Intensive Care
Respiratory Failure
Charting Tools & Order Sets
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Endotracheal Cuff Leak Algorithm

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
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Spontaneous Breathing Trial (SBT) Algorithm

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
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Aide mémoire des soins respiratoires

 
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply
Pediatric Respiratory Care
Resource–variable settings

Dernière mise à jour avril 2021

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Quick Guide to Oxygen Concentrators

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
Resource–variable settings

Want to learn about oxygen concentrator setup, operation and maintenance? Check out this new infographic.

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Respiratory Care Pocket Card v2021.4

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
Resource–variable settings
Supplemental Resources

Last updated April 2021. This card is also available in Spanish & French. The 7x17 inch version below is intended to be used on mobile devices or printed on cardstock and then folded. 8.5x11 inch versions are available upon request.

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Facility Level Respiratory Care Commodity Quantification Framework (Beta)

 
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation
Non-invasive oxygen delivery
Oxygen supply

This tool in development and is shared for the purposes of feedback. This tool is intended to served as a framework (which is to be locally modified by the user) for understanding the types and quantities of select respiratory care supplies needed to care for patients with respiratory failure.

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Tools for Interfacility Transfer

 
COVID-19
General Intensive Care
Clinical Assessment & Triage
Respiratory Failure
Resource–variable settings
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Calculadora para duración del cilindro de oxígeno

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply
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Respiratory Care Order Set (protocol) Templates

 
Respiratory Failure
Adult Respiratory Failure
ARDS management
Mechanical Ventilation
Non-invasive oxygen delivery

These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients. Separate Adult and Pediatric ARDS order sets are included, whereas other included respiratory care order sets are combined for adult and pediatric patients. These order sets should be modified to adhere with local practice guidelines and must be reviewed and implemented by appropriately trained and certified clinicians. Protocols also include ARDS Net lung protective ventilation as well as orders for spontaneous breathing trials (SBTs), difficult to wean patients and cuff leak tests.

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COVID-19 Guidelines Dashboard

 
COVID-19
COVID-19 Therapeutics
Supplementary Resources
Vaccine
Infection Prevention Control
Supplementary Resources
Respiratory Failure
Supplemental Resources

This dashboard summarizes the latest guidelines from select leading authorities and institutions (WHO, CDC, NIH, IDSA, ESICM & more) and provides links directly to full guidelines and the evidence behind them.

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Calculadora de oxígeno

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

Esta calculadora calcula la cantidad de oxígeno que tiene y cuánto tiempo durará

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SpO2 a PaO2 Calculadora

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

Cuando no har 'ABG' y necesitas una relación 'P: F,' esta calculadora puede ayudar a usar los valores de SpO2 del oxímetro de pulso.

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Preguntas frecuentes sobre el suministro y entrega de oxígeno

 
Respiratory Failure
Monitoring and Diagnostics
Adult Respiratory Failure
Oxygen supply
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Patient Care Charting Protocols and Templates

 
COVID-19
General Intensive Care
Respiratory Failure
Charting Tools & Order Sets
Monitoring and Diagnostics
Daily Respiratory Care
Daily ICU Assessment: Intubated Patients
Resource–variable settings

This file contains 5 charting tools and templates that are intended to be downloaded and modified by local providers who are caring for patients with respiratory failure or critical illness in the intensive care unit (ICU) or non-ICU settings. This is a living document, so please check back frequently for updates.

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Oxygen Cylinder Duration Calculator

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Home Care
Oxygen supply
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Intro to oxygen delivery devices

 
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Oxygen supply
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Featured Courses: Airway Assessment

 
Airway Assessment and Management
Airway Assessment

By the end of these courses, learners should be able to:
1. Perform appropriate pre-operative airway assessment
2. Understand key factors that predict a difficult airway

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Featured Courses: Daily Airway Care

 
Airway Assessment and Management
Airway Techniques & Management
Respiratory Failure
Monitoring and Diagnostics
Daily Respiratory Care

By the end of these courses, learners will be able to:
1. Secure and evaluate an endotracheal tube
2. Suction through an endotracheal tube

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Oxygen Supply and Delivery FAQ

 
Monitoring and Diagnostics
Respiratory Failure
Oxygen supply
Supplemental Resources

This frequently asked questions (FAQ) contains peer-reviewed answers to questions posed by OCC users. Review or submit your questions here.

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Management of respiratory failure without ABGs

 
Respiratory Failure
Monitoring and Diagnostics
Arterial Blood Gases
Capnometry
Resource–variable settings

This slideset provides an overview of considerations for managing patients with respiratory failure in settings with variable access to an arterial blood gas (ABG).

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Ventilator Circuits and Filters Tutorial

 
COVID-19
Infection Prevention Control
Respiratory Failure
Adult Respiratory Failure
Mechanical Ventilation

This video provides an overview of mechanical ventilator circuit setup as well an introduction to humidification devices and bacterial viral filters.

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SpO2 to PaO2 Calculator

 
Respiratory Failure
Adult Respiratory Failure
Oxygen supply

For scenarios where an ABG is unavailable and calculation of P:F ratio is needed, this calculator can help use pulse oximeter SpO2 values.

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English

Overview of Non-Invasive Ventilation and COVID-19

 
COVID-19
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery

This video presents the evidence for and against the use of NIPPV and CPAP in treating patients with severe COVID-19 as of September 2020.

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Clinical guidelines from COVIDprotocols.org v2.0

 
Airway Assessment and Management
COVID-19
General Intensive Care
Infection Prevention Control
Respiratory Failure

The latest version of COVIDprotocols.org is a collaborative effort by Brigham and Women's Hospital, Partners In Health and OpenCriticalCare.org to ensure providers in all practice settings have access to relevant and current information to help manage COVID19 patients. (Coming soon in Español)

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Todos los IPC Resources en la biblioteca de OCC

 
Infection Prevention Control
Supplementary Resources
Todos los recursos de prevención y control de infecciones en la biblioteca de OCC
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All IPC Resources in OCC Library

 
Infection Prevention Control
Supplementary Resources
All IPC Resources on OpenCriticalCare
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Infection Prevention & Control Protocols & Reference

 
Infection Prevention Control
Supplementary Resources
IPC Chapter COVIDprotocols.org
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COVID-19 Diagnostics & Therapeutics Protocols & Reference

 
COVID-19
Supplementary Resources
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All COVID-19 Resources in OCC Library

 
COVID-19
Supplementary Resources
View all COVID19 Resources in the OpenCriticalCare Library
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FAQs on COVID-19 from around the world

 
COVID-19
Supplementary Resources
View compilation of COVID19 FAQs from leading global authorities
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COVID-19 Case Series for Teachers

 
Monitoring and Diagnostics
Respiratory Failure
Adult Respiratory Failure
Non-invasive oxygen delivery
Resource–variable settings

The series of teaching slides decks is intended to serve as a framework of content to be modified, updated and used by local instructors supporting healthcare workers caring for COVID19 patients.

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