Evidence map›Paper›PMID 33046288›Full record

ReviewThe American journal of emergency medicine2020

COVID-19 respiratory support in the emergency department setting.

Tim Montrief, Mark Ramzy, Brit Long, Michael Gottlieb, Dan Hercz

Abstract readReview
In one paragraph

Review in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. COVID-19 Incidence After Emergency Department Visit.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Protected 911: Development, Implementation, and Evaluation of a Prehospital COVID-19 High-Risk Response Team.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tim MontriefDepartment of Emergency Medicine, Jackson Memorial Health System, Miami, Florida, United States of America.
Mark RamzyDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, United States of America.
Brit LongDepartment of Emergency Medicine, Brooke Army Medical Center, San Antonio, TX, United States of America. Electronic address: Brit.long@yahoo.com.
Michael GottliebDepartment of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.
Dan HerczDepartment of Emergency Medicine, Jackson Memorial Hospital, Miami, FL, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2), which causes the coronavirus disease 2019 (COVID-19), may result in severe complications, multiorgan dysfunction, acute respiratory failure, and death. SARS-CoV-2 is highly contagious and places healthcare workers at significant risk, especially during aerosol-generating procedures, including airway management.

objectiveThis narrative review outlines the underlying respiratory pathophysiology of patients with COVID-19 and discusses approaches to airway management in the emergency department (ED) based on current literature. DISCUSSION: Patients presenting with SARS-CoV-2 infection are at high risk for acute respiratory failure requiring airway management. Among hospitalized patients, 10-20% require intensive care unit admission, and 3-10% require intubation and mechanical ventilation. While providing respiratory support for these patients, proper infection control measures, including adherence to personal protective equipment policies, are necessary to prevent nosocomial transmission to healthcare workers. A structured approach to respiratory failure in these patients includes the use of exogenous oxygen via nasal cannula or non-rebreather, as well as titrated high-flow nasal cannula and non-invasive ventilation. This review offers several guiding principles and resources designed to be adapted in conjunction with local workplace policies for patients requiring respiratory support.

conclusionsWhile the fundamental principles of acute respiratory failure management are similar between COVID-19 and non-COVID-19 patients, there are some notable differences, including a focus on provider safety. This review provides an approach to airway management and respiratory support in the patient with COVID-19.

Indexed as

Personal Protective EquipmentCOVID-19Emergency Service, HospitalHumansInfection ControlIntubation, IntratrachealPandemicsRespiration, ArtificialRespiratory InsufficiencySARS-CoV-2AirwayCoronavirusCOVID-19Emergency medicineIntensive careIntubationSARS-CoV-2

Identifiers

PMID33046288
PMCPMC7413866

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.