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| ''All protocols are hospital dependent, please check with your hospital administration for existing protocols''
| | #REDIRECT[[COVID-19]] |
| ==Hospital/ED Readiness==
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| ''See [[COVID-19: Example hospital protocols]] for example hospital protocols from various institutions.''
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| *Resources
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| **ASPR Tracie ED Resources <ref>https://asprtracie.hhs.gov/technical-resources/123/covid-19-emncy-department-resources/99</ref>
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| **PAHO readiness
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| ***Checklist <ref>https://www.paho.org/hq/index.php?option=com_docman&view=download&alias=51716-hospital-readiness-checklist-for-a-novel-coronavirus-ncov&category_slug=scientific-technical-materials-7990&Itemid=270&lang=en</ref>
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| ***Instructions <ref>https://www.paho.org/hq/index.php?option=com_docman&view=download&alias=51761-hospital-readiness-checklist-for-covid-19&category_slug=scientific-technical-materials-7990&Itemid=270&lang=en</ref>
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| **MGH Hospital ToolKit <ref>https://www.massgeneral.org/assets/MGH/pdf/disaster-medicine/SARS-CoV-2%20(COVID-19)%20Toolkit%20Version%203.pdf (2)</ref>
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| **ACEP ED Readiness <ref>https://www.acep.org/globalassets/sites/acep/media/by-medical-focus/covid-19-national-strategic-plan_0320.pdf</ref>
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| ==Prehospital Care==
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| *ET-3 model
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| *Treat Onsite
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| *Resources
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| **EMS Resources - ASPR <ref>https://asprtracie.hhs.gov/technical-resources/114/covid-19-pre-hospital-emncy-medical-services-ems-resources/99</ref>
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| ==Evaluation Pathways==
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| *Divide the ED into different sections based on risk of having/transmitting COVID-19
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| **Red/Dirty/Hot zone
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| **Yellow/Intermediate/cool zone (optional)
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| **Green/Clean/Cold zone
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| *Set PPE levels for each section [[Prevention of COVID-19 transmission in the healthcare setting|IPC for COVID]]
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| *Control movement between sections by limiting ingress/egress routes.
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| *Consider having all patients wear surgical masks and perform hand hygiene despite symptoms.
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| ===Screening<ref>https://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99</ref>===
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| *Preferably outside of the ER
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| *Goal is to prevent them from being cohorted with non-COVID patients
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| *Funnel into each of your zones
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| *Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED
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| **Exposure to COVID patient recently with symptoms
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| **Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue
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| **Signs
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| ***toxic appearance, AMS
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| ***If performing vitals at screening - fever, hypoxia, tachypnea
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| *All those without the above go to Yellow/Green
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| ===Triage/Risk Stratification===
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| *Mild illness
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| **Well appearing
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| **No hypoxia (SPO2 ≥94%)
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| **No tachypnea (RR≥22)
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| **No concerning GI or Other symptoms
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| *Moderate/Severe illness
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| **Hypoxia
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| **Tachypnea
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| **Ill-appearing + [[Template:COVID Risk Factors|COVID Risk Factors]]
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| **Other reasons needing admission
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| ===Evaluation for Disposition===
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| *Mild illness
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| **Discharge as appropriate
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| **Consider Exertional O2Sat
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| ***1 minute walking in place briskly.
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| ***Failure = 02Sat<90 OR inability to complete test
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| *Moderate illness
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| **02 via NC Sat>90%
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| **Attempt bronchodilator use
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| **Antipyretics
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| **CXR
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| **Evaluate for non-COVID causes of illness as indicated
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| ***Re-evaluate for discharge if improved
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| *Severe illness - Admission
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| ==Surge Capacity==
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| *ASPR TRACIE Surge resources <ref>https://asprtracie.hhs.gov/technical-resources/113/covid-19-critical-care-surge-resources/99</ref>
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| ==SARS-CoV2 Testing Strategies==
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| [[Testing+Surveillance: COVID]]
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| ==Telehealth==
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| * For information on telehealth, see [[Alternative Care Sites: COVID-19]]
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| ==Resource Allocation==
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| ==Personnel==
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| *Exposed Healthcare workers - CDC <ref>https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html</ref>
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| *Return to work for Healthcare providers - CDC <ref>https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html</ref>
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| *Sustaining Healthcare workforce - ASPR <ref>https://asprtracie.hhs.gov/technical-resources/120/covid-19-workforce-protection-sustainability-resources/99</ref>
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| ==See Also==
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| {{Special:Prefixindex/COVID-19 |hideredirects=1}}
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| ==References==
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| [[Category:COVID-19]]
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