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Revue médicale suisse · May 2020
[Emergency department : COVID-19 crisis and organizational aspects].
- François-Xavier Ageron, François Sarasin, Mathieu Pasquier, and Pierre-Nicolas Carron.
- Service des urgences, CHUV, 1011 Lausanne.
- Rev Med Suisse. 2020 May 6; 16 (692): 924-929.
AbstractEmergency departments are on the front line in the management of COVID-19 cases, from screening to the initial management of the most severe cases. The clinical presentation of COVID-19 range from non-specific symptoms to adult acute respiratory distress syndrome (ARDS). Diagnosis is based on PCR from a nasopharyngeal swab and emergency treatment rely on oxygen therapy. Patient's orientation (home, hospitalization, admission in intensive care unit) is a central aspect of emergency management. The shift from a strategy of systematic recognition of potential cases to the one of epidemic mitigation required hospital emergency medicine services to implement crisis management measures, to guarantee admission and hospitalization capacity.
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