Abhilash Kundavaram P P, David Sandeep, St Joseph Emma V, Peter John V
Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Radiodiagnosis, Mid and South Essex NHS Foundation Trust, NHS Foundation, United Kingdom.
J Family Med Prim Care. 2022 Feb;11(2):424-433. doi: 10.4103/jfmpc.jfmpc_1309_21. Epub 2022 Feb 16.
Coronavirus disease (COVID-19) has been relentlessly battering the world wave after wave in different countries at different rates and times. Emergency departments (EDs) around the globe have had to constantly adapt to this ever-changing influx of information and recommendations by various national and international health agencies. This review compiles the available evidence on the guidelines for triaging, evaluation, and management of critically ill patients with COVID-19 presenting to the ED and in need of emergency resuscitation. The quintessential components of resuscitation focus on airway, breathing, and circulation with good supportive care as the cornerstone of acute management of critically ill COVID-19 patients. Irrational investigations and therapeutics must be avoided during these times of medical uncertainty and antibiotic stewardship should be diligently followed.
冠状病毒病(COVID-19)在不同国家以不同速度和时间一波又一波地无情冲击着世界。全球各地的急诊科不得不持续适应各国和国际卫生机构不断变化的信息和建议涌入。本综述汇集了关于对急诊科收治的需要紧急复苏的COVID-19危重症患者进行分诊、评估和管理指南的现有证据。复苏的关键要素集中在气道、呼吸和循环,优质的支持性护理是COVID-19危重症患者急性管理的基石。在这些医疗存在不确定性的时期,必须避免不合理的检查和治疗,并且应严格遵循抗生素管理原则。