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Clinical Pearls Covid 19 for ER practitioners

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  • JDoe
    CGN/CGSSA Contributor - Lifetime
    CGN Contributor - Lifetime
    • Jul 2008
    • 2420

    Clinical Pearls Covid 19 for ER practitioners

    This is a pretty good post (going viral) from an ED doc attending to COVID patients in New Orleans. There are some informative posts later on in the thread re research.

    I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.

    Clinical course is predictable.
    2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

    Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.

    Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.

    81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical...
    More at: https://texags.com/forums/84/topics/3102444/1
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