Meloy Patrick, Howell Lauren, Armstrong Emily, Bromberek Elaine
Emergency Medicine, Emory University School of Medicine, Atlanta, USA.
Pharmacy, Emory University School of Medicine, Atlanta, USA.
Cureus. 2022 Apr 6;14(4):e23874. doi: 10.7759/cureus.23874. eCollection 2022 Apr.
Emergency departments (EDs) in the United States are the primary drivers of hospital admissions. As the nation continues to experience unrestrained spread of the severe acute respiratory syndrome coronavirus 2, causing coronavirus disease 2019 (COVID-19), EDs, hospitals, and testing centers are overwhelmed with patients. The consequence of "boarding" admitted patients in EDs leads not only to longer ED wait times for all patients but also delays the medical practice of intensivists and internists while patients await an inpatient bed. Here, we describe the case of an ED boarder with severe COVID-19 who developed refeeding syndrome while boarding in the ED, ultimately requiring in-depth electrolyte and renal management by the ED team before intensive care unit admission.
美国的急诊科是医院住院治疗的主要推动因素。随着该国继续经历严重急性呼吸综合征冠状病毒2不受控制的传播，引发了2019冠状病毒病（COVID-19），急诊科、医院和检测中心都不堪重负。在急诊科“收留”住院患者的后果不仅导致所有患者在急诊科的等待时间延长，还会在患者等待住院床位时延误重症医学专家和内科医生的医疗工作。在此，我们描述了一名患有严重COVID-19的急诊科收留患者的病例，该患者在急诊科收留期间发生了再喂养综合征，最终在入住重症监护病房之前需要急诊科团队进行深入的电解质和肾脏管理。
