NQIL Rounds - 16 April 2020
Take away points...
For consultations on COVID+ or PUIs ask yourself: Will a face-to-face encounter or a neurological examination significantly change your impression/management? Remember, neurologists have unique examination skills that can be essential to diagnosis.
Who is best to see this patient? A junior resident exam may need to be repeated by senior or staff, increasing exposure risk. The fewest team members should be directly exposed, while balancing educational needs.
Same applied to Protected Code Stroke c/o @neuroccm: Only one team members should see patient, may be the staff, senior resident or fellow.
Before seeing patient, consider discussing case with staff or senior to develop a focused approach and identify critical questions/exam maneuvers that could influence localization.
Ways to gather info: 1) additional information from referring MD 2) Take history from patient or family by phone.
If you go to see a COVID+ or PUI patient, identify exam maneuvers essential to case ahead of time, and focus on those.