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Coronavirus Disease (COVID-19): A primer for emergency physicians

INTRODUCTION: Rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) has resulted in a global pandemic. OBJECTIVE: This review article provides emergency physicians with an overview of the most current understanding of COVID-19 and recommendations on the evaluation and management of patients...

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Autores principales: Chavez, Summer, Long, Brit, Koyfman, Alex, Liang, Stephen Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: W B Saunders 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102516/
https://www.ncbi.nlm.nih.gov/pubmed/32265065
http://dx.doi.org/10.1016/j.ajem.2020.03.036
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author Chavez, Summer
Long, Brit
Koyfman, Alex
Liang, Stephen Y.
author_facet Chavez, Summer
Long, Brit
Koyfman, Alex
Liang, Stephen Y.
author_sort Chavez, Summer
collection PubMed
description INTRODUCTION: Rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) has resulted in a global pandemic. OBJECTIVE: This review article provides emergency physicians with an overview of the most current understanding of COVID-19 and recommendations on the evaluation and management of patients with suspected COVID-19. DISCUSSION: Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for causing COVID-19, is primarily transmitted from person-to-person through close contact (approximately 6 ft) by respiratory droplets. Symptoms of COVID-19 are similar to other viral upper respiratory illnesses. Three major trajectories include mild disease with upper respiratory symptoms, non-severe pneumonia, and severe pneumonia complicated by acute respiratory distress syndrome (ARDS). Emergency physicians should focus on identifying patients at risk, isolating suspected patients, and informing hospital infection prevention and public health authorities. Patients with suspected COVID-19 should be asked to wear a facemask. Respiratory etiquette, hand washing, and personal protective equipment are recommended for all healthcare personnel caring for suspected cases. Disposition depends on patient symptoms, hemodynamic status, and patient ability to self-quarantine. CONCLUSION: This narrative review provides clinicians with an updated approach to the evaluation and management of patients presenting to the emergency department with suspected COVID-19.
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spelling pubmed-71025162020-03-31 Coronavirus Disease (COVID-19): A primer for emergency physicians Chavez, Summer Long, Brit Koyfman, Alex Liang, Stephen Y. Am J Emerg Med Article INTRODUCTION: Rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) has resulted in a global pandemic. OBJECTIVE: This review article provides emergency physicians with an overview of the most current understanding of COVID-19 and recommendations on the evaluation and management of patients with suspected COVID-19. DISCUSSION: Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for causing COVID-19, is primarily transmitted from person-to-person through close contact (approximately 6 ft) by respiratory droplets. Symptoms of COVID-19 are similar to other viral upper respiratory illnesses. Three major trajectories include mild disease with upper respiratory symptoms, non-severe pneumonia, and severe pneumonia complicated by acute respiratory distress syndrome (ARDS). Emergency physicians should focus on identifying patients at risk, isolating suspected patients, and informing hospital infection prevention and public health authorities. Patients with suspected COVID-19 should be asked to wear a facemask. Respiratory etiquette, hand washing, and personal protective equipment are recommended for all healthcare personnel caring for suspected cases. Disposition depends on patient symptoms, hemodynamic status, and patient ability to self-quarantine. CONCLUSION: This narrative review provides clinicians with an updated approach to the evaluation and management of patients presenting to the emergency department with suspected COVID-19. W B Saunders 2021-06 2020-03-24 /pmc/articles/PMC7102516/ /pubmed/32265065 http://dx.doi.org/10.1016/j.ajem.2020.03.036 Text en Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Chavez, Summer
Long, Brit
Koyfman, Alex
Liang, Stephen Y.
Coronavirus Disease (COVID-19): A primer for emergency physicians
title Coronavirus Disease (COVID-19): A primer for emergency physicians
title_full Coronavirus Disease (COVID-19): A primer for emergency physicians
title_fullStr Coronavirus Disease (COVID-19): A primer for emergency physicians
title_full_unstemmed Coronavirus Disease (COVID-19): A primer for emergency physicians
title_short Coronavirus Disease (COVID-19): A primer for emergency physicians
title_sort coronavirus disease (covid-19): a primer for emergency physicians
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102516/
https://www.ncbi.nlm.nih.gov/pubmed/32265065
http://dx.doi.org/10.1016/j.ajem.2020.03.036
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