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Review
. 2021 Jun:44:220-229.
doi: 10.1016/j.ajem.2020.03.036. Epub 2020 Mar 24.

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

Summer Chavez  1 , Brit Long  2 , Alex Koyfman  3 , Stephen Y Liang  4
Affiliations
Review

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

Summer Chavez et al. Am J Emerg Med. 2021 Jun.

Abstract

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.

Keywords: COVID-19; Coronavirus Disease; Infectious disease; Pulmonary.

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Conflict of interest statement

Declaration of competing interest None.

Figures

Fig. 1
Fig. 1
Transmission electronic microscope image of COVID-19 illustrating the characteristic crown-like spikes on the outer rim.
Fig. 2
Fig. 2
This electron microscope image depicts the spikes on the outer surface of the COVID-19 in addition to several protein particles.
Fig. 3
Fig. 3
Countries with at least 1 confirmed case of COVID-19 as of March 21, 2020.
Fig. 4
Fig. 4
United States cases as of March 21, 2020.
Fig. 5
Fig. 5
Flowchart to Identify and Assess 2019 Novel Coronavirus from the CDC.
See this image and copyright information in PMC

Comment in

References

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