Intraoperative hypotension happens in everyday clinical practice. It was suggested to have a strong association with adverse postoperative outcomes. Hypotension prediction index (HPI) was developed to predict intraoperative hypotension (mean arterial pressure <65 mmHg) in real time. However, pressure autoregulation also plays an important role in maintaining adequate organ perfusion/oxygenation during hypotension. A cerebral oxygenation monitor provides clinicians with the values of organ oxygenation. We reported a case that the cerebral oxygenation monitor was used together with HPI to guide intraoperative blood pressure management. We found that cerebral oxygenation was maintained in the event of hypotension during surgery. The patient had no intraoperative or postoperative adverse outcomes despite the hypotension. We believe this can provide an individualized intraoperative blood pressure management to avoid over- or under-treating hypotension.

• People experiencing homelessness (PEH) are a vulnerable population during the COVID-19 pandemic due to preexistingcomorbidities, transience, and distrust of the medical system.• Prior work has demonstrated that The Housing First (HF) model has led to more stable housing, increased outpatienttreatment and primary care physician (PCP) visits, and fewer emergency room visits and hospitalizations.• During the COVID-19 emergency response, hotel rooms across California were re-purposed to house PEH.• The Encampment Med Team, a group of volunteer medical students sworn in as Disaster Service Workers, employed agrassroots approach through routine site visits to encampment and street sites in Sacramento.