Emergency Department Management of COVID-19: An Evidence-based Approach

An Evidence-Based Approach

Nicholas M. McManus, DO; Ryan Offman, DO; Jason D. Oetman, DO


Western J Emerg Med. 2020;21(6):32-44. 

In This Article


Evidence-based practice in the approach to COVID-19 is mercurial. Current literature focuses on the inpatient evaluation, treatment, and disposition of these patients. Interpretation and adaptation of current recommendations to patients in the ED is a crucial target for future literature. After our review of available literature, we have proposed an ED-specific flowsheet to assist clinicians during this time of medical ambiguity (Figure 3).

Figure 3.

COVID-19 emergency department evaluation.
SpO2 , peripheral capillary oxygen saturation; RR, respiratory rate; HR, heart rate; d/c, discharge; CXR, chest radiograph; US, ultrasound; POCUS, point-of-care ultrasound; EKG, electrocardiogram; CBC, compete blood count; NLR, neutrophil to lymphocyte ratio; ALC, absolute lymphocyte count; CMP, comprehensive metabolic panel; BUN, blood urea nitrogen; CR, creatinine; LFT, liver function test; CRP, C-reactive protein; LDH, lactate dehydrogenase; PT/INR, prothrombin time/international normalized ratio; CPK, creatine phosphokinase; ARDS, acute respiratory distress syndrome; PaO2; partial pressure of oxygen; FiO2; fraction of inspired oxygen; DM, diabetes mellitus; BMI, body mass index; CT, computed tomography.