Coronavirus Disease (COVID-19): A primer for emergency physicians
Identifieur interne : 000D58 ( Pmc/Curation ); précédent : 000D57; suivant : 000D59Coronavirus 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
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Coronavirus Disease (COVID-19): A primer for emergency physicians</title><author><name sortKey="Chavez, Summer" sort="Chavez, Summer" uniqKey="Chavez S" first="Summer" last="Chavez">Summer Chavez</name><affiliation wicri:level="1"><nlm:aff id="af0005">Department of Emergency Medicine, MedStar Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC 20007, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Emergency Medicine, MedStar Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC 20007</wicri:regionArea></affiliation></author><author><name sortKey="Long, Brit" sort="Long, Brit" uniqKey="Long B" first="Brit" last="Long">Brit Long</name><affiliation wicri:level="1"><nlm:aff id="af0010">Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234</wicri:regionArea></affiliation></author><author><name sortKey="Koyfman, Alex" sort="Koyfman, Alex" uniqKey="Koyfman A" first="Alex" last="Koyfman">Alex Koyfman</name><affiliation wicri:level="1"><nlm:aff id="af0015">The University of Texas Southwestern Medical Center, Department of Emergency Medicine, 5323 Harry Hines Boulevard, Dallas, TX 75390, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas Southwestern Medical Center, Department of Emergency Medicine, 5323 Harry Hines Boulevard, Dallas, TX 75390</wicri:regionArea></affiliation></author><author><name sortKey="Liang, Stephen Y" sort="Liang, Stephen Y" uniqKey="Liang S" first="Stephen Y." last="Liang">Stephen Y. Liang</name><affiliation wicri:level="1"><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. 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Liang</name><affiliation wicri:level="1"><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></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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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Emerg Med</journal-id><journal-id journal-id-type="iso-abbrev">Am J Emerg Med</journal-id><journal-title-group><journal-title>The American Journal of Emergency Medicine</journal-title></journal-title-group><issn pub-type="ppub">0735-6757</issn><issn pub-type="epub">1532-8171</issn><publisher><publisher-name>W B Saunders</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32265065</article-id><article-id pub-id-type="pmc">7102516</article-id><article-id pub-id-type="publisher-id">S0735-6757(20)30178-9</article-id><article-id pub-id-type="doi">10.1016/j.ajem.2020.03.036</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Coronavirus Disease (COVID-19): A primer for emergency physicians</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0005"><name><surname>Chavez</surname><given-names>Summer</given-names></name><degrees>DO, MPH</degrees><xref rid="af0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au0010"><name><surname>Long</surname><given-names>Brit</given-names></name><degrees>MD</degrees><email>brit.long@yahoo.com</email><xref rid="af0010" ref-type="aff">b</xref><xref rid="cr0005" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="au0015"><name><surname>Koyfman</surname><given-names>Alex</given-names></name><degrees>MD</degrees><xref rid="af0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au0020"><name><surname>Liang</surname><given-names>Stephen Y.</given-names></name><degrees>MD, MPHS</degrees><email>syliang@wustl.edu</email><xref rid="af0020" ref-type="aff">d</xref></contrib></contrib-group><aff id="af0005"><label>a</label>Department of Emergency Medicine, MedStar Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC 20007, United States</aff><aff id="af0010"><label>b</label>Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States</aff><aff id="af0015"><label>c</label>The University of Texas Southwestern Medical Center, Department of Emergency Medicine, 5323 Harry Hines Boulevard, Dallas, TX 75390, United States</aff><aff id="af0020"><label>d</label>Divisions of Emergency Medicine and Infectious Diseases, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110, United States</aff><author-notes><corresp id="cr0005"><label>⁎</label>Corresponding author at: 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. <email>brit.long@yahoo.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>24</day><month>3</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>24</day><month>3</month><year>2020</year></pub-date><history><date date-type="received"><day>22</day><month>3</month><year>2020</year></date><date date-type="rev-recd"><day>22</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>22</day><month>3</month><year>2020</year></date></history><permissions><license><license-p>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.</license-p></license></permissions><abstract id="ab0005"><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></abstract><kwd-group id="ks0005"><title>Keywords</title><kwd>Coronavirus Disease</kwd><kwd>COVID-19</kwd><kwd>Infectious disease</kwd><kwd>Pulmonary</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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