Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 1616
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 


 
 Table of Contents 
LETTER TO EDITOR
Year : 2020  |  Volume : 9  |  Issue : 10  |  Page : 5392-5393  

Foreseeing the COVID in the emergency department: The 4 “C” s


Department of Emergency Medicine and Trauma, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India

Date of Submission15-Jul-2020
Date of Decision19-Aug-2020
Date of Acceptance03-Sep-2020
Date of Web Publication30-Oct-2020

Correspondence Address:
Dr. K P Singaravelu
Senior Medical Officer, Department of EM and Trauma, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_1457_20

Rights and Permissions

How to cite this article:
Singaravelu K P, Basha M H. Foreseeing the COVID in the emergency department: The 4 “C” s. J Family Med Prim Care 2020;9:5392-3

How to cite this URL:
Singaravelu K P, Basha M H. Foreseeing the COVID in the emergency department: The 4 “C” s. J Family Med Prim Care [serial online] 2020 [cited 2020 Dec 1];9:5392-3. Available from: https://www.jfmpc.com/text.asp?2020/9/10/5392/299350



Dear Editor,

Triage is a key function of any Emergency Department (ED).[1] COVID pandemic has emerged as a major threat.[2] Identifying COVID-infected patients even before they enter the emergency department is extremely important.[3] This can be done in a makeshift area in front of the Emergency Department (PRE-TRIAGE). This allows separation of COVID patients either by keeping them cohorted in a designated area in the Emergency Department, itself, or by transferring to COVID block [Figure 1]. Identifying of the COVID suspects is based on both symptoms as well as epidemiological links there are 4 key epidemiological links that increase the probability of a patient being COVID positive.
Figure 1: Pre traige form

Click here to view


These are as follows

  1. C ontact: Contact with a confirmed case of COVID-19
  2. C luster: identifiable subpopulation with an aggregation of positive cases
  3. C OVID warrior: health care worker, police, and others involved in COVID-related works
  4. C ontainment zone/hot spots: positive cases of coronavirus are found in a specific geographical zone.


These four can be remembered as 4 “C”s. This serves as a powerful aide-memoire to identify COVID suspects. Even though Investigation including chest X-ray, CT chest and Rapid test for COVID such as antigen test or CBNAAT have their place in the early identification of COVID suspects.

However, history remains the single most important tool which is cost-effective and readily available. In essence, the four “C”s help us to foresee COVID in the Emergency Department triage.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
FitzGerald G, Jelinek GA, Scott D, Gerdtz MF. Emergency department triage revisited. Emerg Med J 2010;27:86-92.  Back to cited text no. 1
    
2.
WHO Announces COVID-19 Outbreak Pandemic. Available from: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic. [Last accessed on 2020 June 25].  Back to cited text no. 2
    
3.
CDC. 'Coronavirus Disease 2019 (COVID-19)'. Centers for Disease Control and Prevention, 11 Feb. 2020, Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/sop-triage-prevent-transmission.html. [Last accessed on 2020 June 25].  Back to cited text no. 3
    


    Figures

  [Figure 1]



 

Top
   
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
   References
   Article Figures

 Article Access Statistics
    Viewed113    
    Printed4    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal