|LETTER TO EDITOR
|Year : 2020 | Volume
| Issue : 10 | Page : 5392-5393
Foreseeing the COVID in the emergency department: The 4 “C” s
KP Singaravelu, M Hadar Basha
Department of Emergency Medicine and Trauma, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
|Date of Submission||15-Jul-2020|
|Date of Decision||19-Aug-2020|
|Date of Acceptance||03-Sep-2020|
|Date of Web Publication||30-Oct-2020|
Dr. K P Singaravelu
Senior Medical Officer, Department of EM and Trauma, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry
Source of Support: None, Conflict of Interest: None
|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
Triage is a key function of any Emergency Department (ED). COVID pandemic has emerged as a major threat. Identifying COVID-infected patients even before they enter the emergency department is extremely important. 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.
These are as follows
- C ontact: Contact with a confirmed case of COVID-19
- C luster: identifiable subpopulation with an aggregation of positive cases
- C OVID warrior: health care worker, police, and others involved in COVID-related works
- 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
Conflicts of interest
There are no conflicts of interest.
| References|| |
FitzGerald G, Jelinek GA, Scott D, Gerdtz MF. Emergency department triage revisited. Emerg Med J 2010;27:86-92.