Case Report: Disposition of Symptomatic Probable COVID-19

Author:

Jaffery Aleq1,Slakey John1,Zodda David2,Finefrock Douglas2

Affiliation:

1. Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey

2. Hackensack Meridian School of Medicine at Seton Hall University, Department of Emergency Medicine, Hackensack, New Jersey

Abstract

Introduction: The novel coronavirus disease 2019 (COVID-19) presents a challenge for healthcare providers in terms of diagnosis, management, and triage of cases requiring admission. Case Report: A 47-year-old male with symptoms suspicious for COVID-19, pulse oximetry of 93% on room air, and multifocal pneumonia was risk stratified and safely discharged from the emergency department (ED) despite having moderate risk of progression to acute respiratory distress syndrome. He had resolution of his symptoms verified by telephone follow-up. Conclusion: Various risk-stratifying tools and techniques can aid clinicians in identifying COVID-19 patients who can be safely discharged from the ED.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

Reference8 articles.

1. Centers for Disease Control and Prevention. Disposition of Non-Hospitalized Patients with COVID-19. 2020. Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html. Accessed May 18, 2020.

2. Wu C, Chen X, Cai Y, et al. Acute respiratory distress syndrome and death in patients with COVID-19 in Wuhan, China. JAMA Int Med. 2020:E1-10.

3. Tan L, Wang Q, Zhang D, et al. Lymphopenia predicts disease severity of COVID-19: a descriptive and predictive study. Signal Transduct Target Ther. 2020;5:33.

4. Wang Y, Wang Y, Chen Y, et al. [Ahead of Print]. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol. March 5, 2020.

5. Wang M, Wu Q, Xu W, et al. Clinical diagnosis of 8274 samples with 2019 novel coronavirus in Wuhan. medRxiv. 2020.

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