As we know COVID-19 is putting an incredible burden on resources, especially for higher level respiratory support. It is important to target those resourses in the most effect way, hence the development of the “Respiratory Flow Chart”
This is going be very difficult for us all, but is something we need to do early. As unfortunately there are no magic bullets, mortality for patients requiring ventilatory support through any modality is high. CPAP has increasing evidence for its use however, it may have little effect on clinical course for many patients. Read more
To improve management and maintain protection for staff and patients we have created a RespED at both sites, much of the flow chart is based on information from the Italian society of emergency medicine
As time more information becomes avalible this will inevitably change
British Society of Thoracic Imaging (BSTI) have released a free learning resource containing CXR and CT of confirmed Covid-19 cases, will short history including time image was taken from onset of symptoms.
From the China experience CXR/CT doesn’t seem to be a rule out strategy in ED at the moment – However, its a useful resource to help recognition of Covid-19 CXR’s