Approach to the COVID-19 sick or suspected patient

 

Approach to the COVID-19 sick or suspected patient

 

Primary approach

·        Evaluate patients,

·        Think about the cause and severity of their illness, and

·        Begin to treat

 

Next 

·        Continue to recheck them because their condition may change.

·        When checking them, we continue to use the evaluate, think, act approach.


 

Evaluation

1.      General appearance

·        Signs of anxiety, sleepiness, respiratory fatigue,

·        Diaphoresis (sweatiness).


2.      level of consciousness

AVPU scale/categorization system.

A= Alert, clearly paying attention to their surroundings

V= Verbal (responds to voice),

P= Pain (responds only to painful stimuli)

U= Unresponsive. Don’t respond to two attempts at painful stimuli

 

3.      ABCs or

·        A= Airway, If the patient is speaking normally, consider the airway open and clear.

·        B= Breathing, rapid respiratory rate greater than 25 breaths per minute. Tripod positioning/, chest heaving, gasping, and contraction of neck musculature/ sometimes their abdomen pulling in with each respiration.

·        C= Circulation. Pulse in the wrist / pulse in the neck or the groin. If you cannot feel a pulse anywhere, call for help immediately.

 

If there is anything abnormal found on airway, breathing, or circulation assessment, categorize the patient as likely sick.

 

4.      All five vital signs

·        Heart rate >100 b/min

·        Blood pressure <90 mm/Hg (Systolic)

·        Respiratory rate >25 /min

·        Oxygen saturation  <90

·        Temperature >100 F

 

Think or categorize

 

Categorize the patient weather the patient is sick or asymptomatic or risk free.

 

1.      Healthy – Stay at home or quarantine

2.      Asymptomatic- Treatment at home

3.      Mild sick- Treatment at home or seek doctor’s help

4.      Moderate sick- Seek medical care from doctors

5.      Severe sick – Hospitalize the patient

 

 

Act to do

·        Interventions you can do to help resuscitate and stabilize the patient early on.

·        Focus on gathering resources

·        Calling for help,

·        Properly positioning the patient to improve their breathing and perfusion, providing supplemental oxygen, and establishing an intravenous line.

 

 

Remember,

 

1.      Listen carefully to the patients.

2.      Build trust by listening to them, expressing concern and care for them, and trying to be helpful.

3.      And lastly, continue to check and recheck the  patients, especially after any interventions.

 

References- Coursera, Standford Medicine

 

Thank you very much

 

Dr. Kazy Habib BHMS, MPH

General Physician, Homoeopathic Medicine

Contact: 8801738618894 (call, Imo)

Kazy Homoeopathic Treatment & Private Research Center 

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