A 37-year-old female presents with cough, fever, dyspnea, and myalgias for five days after recent contact with a family member with confirmed 2019 coronavirus disease (COVID-19). Her vital signs include T 38.3° C, HR 108, BP 118/70 mm Hg, RR 26 breaths per minute, and oxygen saturation 67% on room air. She is not in respiratory distress currently and is protecting her airway. Her chest X-ray reveals bilateral airspace opacities. You plan to immediately intervene and address her hypoxia.
Subject(s)Coronavirus Infections/therapy , Noninvasive Ventilation/methods , Oxygen Inhalation Therapy/methods , Oxygen/blood , Pneumonia, Viral/therapy , Severe Acute Respiratory Syndrome/therapy , Adult , Airway Management/methods , COVID-19 , Canada , Coronavirus Infections/diagnosis , Emergency Service, Hospital/statistics & numerical data , Female , Humans , Oxygen Consumption/physiology , Pandemics , Pneumonia, Viral/diagnosis , Risk Assessment , Role , Severe Acute Respiratory Syndrome/diagnosis , Treatment Outcome , Vital Signs
Emergency medical services (EMS) is called for a 65-year-old man with a 1-week history of cough, fever, and mild shortness of breath now reporting chest pain. Vitals on scene were HR 110, BP 135/90, SpO2 88% on room air. EMS arrives at the emergency department (ED). As the patient is moved to a negative pressure room, he becomes unresponsive with no palpable pulse. What next steps should be discussed in order to protect the team and achieve the best possible patient outcome?
Subject(s)Cardiopulmonary Resuscitation , Coronavirus Infections/complications , Emergency Service, Hospital/organization & administration , Infection Control/organization & administration , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Out-of-Hospital Cardiac Arrest/therapy , Pneumonia, Viral/complications , Betacoronavirus , COVID-19 , Humans , Pandemics , Patient Care Team/organization & administration , Personal Protective Equipment , Risk Factors , SARS-CoV-2
A 53-year-old male presents with cough, fever, and myalgias for 7 days. Vitals include temperature, 38.0°C; heart rate, 110; blood pressure, 118/70 mm Hg; respiration rate, 28; and oxygen saturation 83% on room air. His only past medical history is hypertension. Your community is in the midst of the coronavirus disease 2019 (COVID-19) pandemic. The patient is hypoxic but responds to oxygen supplementation with nasal cannula and a face mask. His chest x-ray demonstrates multifocal infiltrates. Are there any therapeutic agents currently available for COVID-19?