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==Management==
==Management==
*Supportive care is mainstay of therapy
===Airway Managment===
Due to the risk of viral spread via droplets, early intubation is preferred over noninvasive ventilation
===Mild Cases===
*Supportive care is mainstay of therapy for patients with mild viral symptoms
*Most patients will do well enough for discharge home
*Most patients will do well enough for discharge home
*Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home
*Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home

Revisión del 01:35 15 mar 2020

Background

  • Also known as "2019 Novel Coronavirus"
  • First detected in Wuhan, China

Specific Coronavirus Sub-Types of Clinical Importance

Clinical Features

Broad Testing Recommendations

The CDC has expanded testing beyond the initial travel to china recommendations[1]

  • Test any person who has fever or respiratory illness AND had close contact with a known COVID-19 patient
  • Test any person who has fever or respiratory illness AND a history of travel to CDC-classified high risk areas or areas with recent significant community spread
  • Test any person who has severe respiratory illness AND is being admitted to the hospital
  • Test any hospitalized person who has respiratory illness AND no alternative diagnosis
  • Consider testing any person who has respiratory illness AND lives in a residential facility such as a nursing home or recently returned from a cruise

Differential Diagnosis

PPE

The video below indicates the proper order for donning and doffing PPE {{#widget:YouTube|id=exV5hEG62CY}}

Evaluation

  • BIOFIRE RESP PANEL Corona Virus assay does NOT detect this subtype - DO NOT USE

Management

Airway Managment

Due to the risk of viral spread via droplets, early intubation is preferred over noninvasive ventilation

Mild Cases

  • Supportive care is mainstay of therapy for patients with mild viral symptoms
  • Most patients will do well enough for discharge home
  • Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home

Disposition

  • Usually home, but decision needs to be made in conjunction with the local Public Health Dept
  • If admitting, needs to be placed in negative pressure isolation room with airborne and droplet precautions

See Also

External Links

References

  1. Criteria to Guide Evaluation and Laboratory Testing for COVID-19 https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html