ACEP COVID-19 Field Guide

Table of Contents

ACEP COVID-19 Field Guide
Publisher’s Notice
The COVID-19 Pandemic
Introduction
General Information on COVID-19
Home Safety
Preparing for Work
Returning From Work
Self-Isolation
Return-to-Work Criteria
Work Safety
ACEP Statements on PPE for COVID-19
Appropriate PPE
Aerosolization
Facility Changes
EMS
Personnel Safety
Cardiac Arrest Resuscitation in the COVID-19 Era
Air Method Guidelines for the Care of Patients With Suspected or Confirmed COVID-19
Triage
How COVID-19 and Other Infectious Diseases Move Within a Hospital
Vaccinations
Vaccinations and Prevention
Characteristics of COVID-19 Variants and Mutants
Characteristics of COVID-19 Variants and Mutants
Patient Presentation
Signs and Symptoms
Assessment
Laboratory Abnormalities
Chest X-ray and CT
Ultrasound
Ultrasound Cleaning
Diagnosis
Testing
Severity and Progression of Disease
Long-Term Sequelae of COVID-19: Post–COVID-19 or Long COVID Syndrome
Risk Stratification and Evaluation
Populations at Risk
Evaluation Pathway for Patients With Possible COVID-19
Isolation and Precautions for People With COVID-19
Treatment
Management of Patients With COVID-19
Critical Issues in the Management of Adult Patients Presenting With Community-Acquired Pneumonia
Alternative Treatments
Acute Cardiomyopathy or Heart Failure
Cardiac Arrest
Discharge: Expected Recovery
Discharge to Home Palliative Care
ICU Care in the Emergency Department
Ventilators
Special Populations
Health Care Workers
Law Enforcement
Racial and Ethnic Minority Groups
Elderly Patients
Immunocompromised Patients
Pregnant Patients and Pregnancy
Pediatric Patients
Homeless Patients
Dialysis Patients
Psychiatric Patients
Behavioral Health Patients
Patients With Substance Use Disorders
Immigrants
Incarcerated Population
Financial Guidance and Information
Billing and Coding for COVID-19 Care
Regulations and Liability
EMTALA Enforcement During Disasters and Public Health Emergencies
Personal Well-Being and Resilience
ACEP Offers, Wellness, and Counseling Services
Burnout, Self-Care, and COVID-19 Exposure for First Responders
Critical Incident Stress Information
Managing Patient and Family Distress Associated with COVID-19 in the Prehospital Care Setting
ACEP Policy on Visitation and Custody
Historical Information from the First Edition of the ACEP COVID-19 Field Guide
Interim Infection Prevention and Control Recommendations for Health Care Personnel During the COVID-19 Pandemic
Impact on Research
Change to Education Policies
Licensure and Credentialing
Telehealth and Tele-Triage
Quick Guide to a Basic Tele-Triage Program

Cardiac Arrest

Treatment

Reprinted with permission

Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians

Page 13, Figure 1. Summary of adjustments to CPR algorithms in suspected or confirmed COVID-19 patients.

Page 14, Figure 2. BLS Healthcare Provider Adult Cardiac Arrest algorithm for suspected or confirmed COVID-19 patients.

Page 15, Figure 3. ACLS Cardiac Arrest algorithm for suspected or confirmed COVID-19 patients.

Page 16, Figure 4. BLS Healthcare Provider Pediatric Cardiac Arrest algorithm for 2 or more rescuers for suspected or confirmed COVID-19 patients.

Page 17, Figure 5. BLS Healthcare Provider Pediatric Cardiac Arrest algorithm for the single rescuer for suspected or confirmed COVID-19 patients.

Page 18, Figure 6. Pediatric Cardiac Arrest algorithm for suspected or confirmed COVID-19 patients.

Acute Cardiomyopathy or Heart Failure

Discharge: Expected Recovery

Treatment

Discharge to Home Palliative Care

Palliative care guide Figure 10.1 Emergency department code status conversation guide. Credit: ACEP ...

Treatment

ICU Care in the Emergency Department

Authors: Jamie Allen, DO, Chief Resident, Emergency Medicine Residency, Lehigh Valley Health Network...

Treatment

Ventilators

Author: Sandra Schneider, MD, FACEP, Associate Executive Director for Clinical Affairs, American Col...

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ACEP COVID-19 Field Guide

Cardiac Arrest

Discharge to Home Palliative Care

ICU Care in the Emergency Department

Ventilators