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Emerg Med Australas ; 32(5): 883-889, 2020 10.
Article in English | MEDLINE | ID: covidwho-656772

ABSTRACT

Australian hospitals have prepared for a major surge in patients due to the infectious respiratory pandemic COVID-19. In other nations, patient presentations have overwhelmed resources. Ultrasound has been shown to be an effective tool to exclude significant life-threats in resource poor settings. In this article, we will describe three lung ultrasound algorithms for the emergency diagnosis of patients presenting with respiratory symptoms during a COVID-19 pandemic: (i) LUSC19: lung ultrasound to assess the severity of COVID-19; (ii) LUSAC: lung ultrasound to exclude alternative causes of respiratory distress; and (iii) LUSI: lung ultrasound following intubation. We anticipate that emergency physicians will use these algorithms during the upcoming respiratory pandemic to rapidly determine the severity of COVID-19 infection, to seek and treat significant alternative diagnoses and ensure endotracheal intubation.


Subject(s)
Coronavirus Infections/diagnosis , Lung/diagnostic imaging , Pneumonia, Viral/diagnosis , Point-of-Care Systems/organization & administration , Severe Acute Respiratory Syndrome/diagnostic imaging , Severe Acute Respiratory Syndrome/epidemiology , Ultrasonography, Doppler/methods , Australia , COVID-19 , Coronavirus Infections/epidemiology , Emergency Service, Hospital/organization & administration , Female , Humans , Intubation, Intratracheal , Lung/physiopathology , Male , Pandemics/statistics & numerical data , Pneumonia, Viral/epidemiology , Severity of Illness Index , Thoracic Cavity/diagnostic imaging
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