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An adapted emergency department triage algorithm for the COVID‐19 pandemic

The novel coronavirus disease 2019 (COVID‐19) pandemic, with its public health implications, high case fatality rate, and strain on hospital resources, will continue to challenge clinicians and researchers alike for months to come. Accurate triage of patients during the pandemic will assign patients...

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Autores principales: Wallace, Douglas W., Burleson, Samuel L., Heimann, Matthew A., Crosby, James C., Swanson, Jonathan, Gibson, Courtney B., Greene, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7436476/
https://www.ncbi.nlm.nih.gov/pubmed/32838392
http://dx.doi.org/10.1002/emp2.12210
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author Wallace, Douglas W.
Burleson, Samuel L.
Heimann, Matthew A.
Crosby, James C.
Swanson, Jonathan
Gibson, Courtney B.
Greene, Christopher
author_facet Wallace, Douglas W.
Burleson, Samuel L.
Heimann, Matthew A.
Crosby, James C.
Swanson, Jonathan
Gibson, Courtney B.
Greene, Christopher
author_sort Wallace, Douglas W.
collection PubMed
description The novel coronavirus disease 2019 (COVID‐19) pandemic, with its public health implications, high case fatality rate, and strain on hospital resources, will continue to challenge clinicians and researchers alike for months to come. Accurate triage of patients during the pandemic will assign patients to the appropriate level of care, provide the best care for the maximum number of patients, rationally limit personal protective equipment (PPE) usage, and mitigate nosocomial exposures. The authors describe an adapted COVID‐19 pandemic triage algorithm for emergency departments (EDs) guided by the best available evidence and responses to prior pandemics, with recommendations for clinician PPE use for each level of encounter in the setting of an ongoing PPE shortage. Our algorithm adheres to Centers for Disease Control and Prevention guidelines and supports discharge of patients with mild symptoms coupled with explicit and strict return precautions and infection control education.
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spelling pubmed-74364762020-08-19 An adapted emergency department triage algorithm for the COVID‐19 pandemic Wallace, Douglas W. Burleson, Samuel L. Heimann, Matthew A. Crosby, James C. Swanson, Jonathan Gibson, Courtney B. Greene, Christopher J Am Coll Emerg Physicians Open Infectious Disease The novel coronavirus disease 2019 (COVID‐19) pandemic, with its public health implications, high case fatality rate, and strain on hospital resources, will continue to challenge clinicians and researchers alike for months to come. Accurate triage of patients during the pandemic will assign patients to the appropriate level of care, provide the best care for the maximum number of patients, rationally limit personal protective equipment (PPE) usage, and mitigate nosocomial exposures. The authors describe an adapted COVID‐19 pandemic triage algorithm for emergency departments (EDs) guided by the best available evidence and responses to prior pandemics, with recommendations for clinician PPE use for each level of encounter in the setting of an ongoing PPE shortage. Our algorithm adheres to Centers for Disease Control and Prevention guidelines and supports discharge of patients with mild symptoms coupled with explicit and strict return precautions and infection control education. John Wiley and Sons Inc. 2020-08-10 /pmc/articles/PMC7436476/ /pubmed/32838392 http://dx.doi.org/10.1002/emp2.12210 Text en © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Infectious Disease
Wallace, Douglas W.
Burleson, Samuel L.
Heimann, Matthew A.
Crosby, James C.
Swanson, Jonathan
Gibson, Courtney B.
Greene, Christopher
An adapted emergency department triage algorithm for the COVID‐19 pandemic
title An adapted emergency department triage algorithm for the COVID‐19 pandemic
title_full An adapted emergency department triage algorithm for the COVID‐19 pandemic
title_fullStr An adapted emergency department triage algorithm for the COVID‐19 pandemic
title_full_unstemmed An adapted emergency department triage algorithm for the COVID‐19 pandemic
title_short An adapted emergency department triage algorithm for the COVID‐19 pandemic
title_sort adapted emergency department triage algorithm for the covid‐19 pandemic
topic Infectious Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7436476/
https://www.ncbi.nlm.nih.gov/pubmed/32838392
http://dx.doi.org/10.1002/emp2.12210
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