Coronavirus Disease (COVID-19): A primer for emergency physicians
Identifieur interne : 000786 ( 2020/Analysis ); précédent : 000785; suivant : 000787Coronavirus Disease (COVID-19): A primer for emergency physicians
Auteurs : Summer Chavez [États-Unis] ; Brit Long [États-Unis] ; Alex Koyfman [États-Unis] ; Stephen Y. Liang [États-Unis]Source :
- The American Journal of Emergency Medicine [ 0735-6757 ] ; 2020.
Abstract
Rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) has resulted in a global pandemic.
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.
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.
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.
Url:
DOI: 10.1016/j.ajem.2020.03.036
PubMed: 32265065
PubMed Central: 7102516
Affiliations:
- États-Unis
- District de Columbia, Missouri (État), Texas
- Saint-Louis (Missouri)
- École de médecine (Université Washington de Saint-Louis)
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PMC:7102516Le document en format XML
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Liang</name><affiliation wicri:level="4"><nlm:aff id="af0020">Divisions of Emergency Medicine and Infectious Diseases, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Divisions of Emergency Medicine and Infectious Diseases, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110</wicri:regionArea><placeName><region type="state">Missouri (État)</region><settlement type="city">Saint-Louis (Missouri)</settlement></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author></analytic><series><title level="j">The American Journal of Emergency Medicine</title><idno type="ISSN">0735-6757</idno><idno type="eISSN">1532-8171</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) has resulted in a global pandemic.</p></sec><sec><title>Objective</title><p>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.</p></sec><sec><title>Discussion</title><p>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.</p></sec><sec><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="News Scan For Dec" uniqKey="News Scan For Dec">News Scan for Dec 31</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Cnn Jg" uniqKey="Cnn Jg">CNN JG</name></author><author><name sortKey="Aw" uniqKey="Aw">AW</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Molinari, N A M" uniqKey="Molinari N">N.-A.M. 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Liang</name><name sortKey="Long, Brit" sort="Long, Brit" uniqKey="Long B" first="Brit" last="Long">Brit Long</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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