Ageron François-Xavier, Sarasin François, Pasquier Mathieu, Carron Pierre-Nicolas
Service des urgences, CHUV, 1011 Lausanne.
(pour l'équipe des cadres du SU), Service des urgences, HUG, 1205 Genève.
Rev Med Suisse. 2020 May 6;16(692):924-929.
Emergency 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.
急诊科处于新冠肺炎病例管理的第一线，从筛查到最严重病例的初始管理。新冠肺炎的临床表现从非特异性症状到成人急性呼吸窘迫综合征（ARDS）不等。诊断基于鼻咽拭子的聚合酶链反应（PCR），紧急治疗依赖于氧疗。患者的去向（回家、住院、入住重症监护病房）是急诊管理的核心方面。从系统识别潜在病例的策略转向疫情缓解策略，要求医院急诊医学服务部门实施危机管理措施，以保证收治和住院能力。
