Principles for clinical care of patients with COVID-19 on medical units

Frost et al considered available evidence and drew on their local experiences in Madrid and Toronto to propose an approach to the development of COVID-19 units and care teams. They discuss the layout of COVID-19 units, structure of the physician care team, clinical assessment and rounding protocols,...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2020-06, Vol.192 (26), p.E720-E726
Main Authors: Frost, David W, Shah, Rupal, Melvin, Lindsay, de Juana, Miguel Galán, MacMillan, Thomas E, Abdelhalim, Tarek, Lai, Alison, Rawal, Shail, Cavalcanti, Rodrigo B
Format: Article
Language:English
Subjects:
Analysis
Auscultation
Betacoronavirus
Checklist
Clinical decision making
Clinical Protocols
Coronavirus Infections - diagnosis
Coronavirus Infections - psychology
Coronavirus Infections - therapy
Coronavirus Infections - transmission
Coronaviruses
COVID-19
Cross Infection - prevention & control
Decision making
Disease control
Disease transmission
Evidence-based medicine
Hospital Units - organization & administration
Humans
Infectious Disease Transmission, Patient-to-Professional - prevention & control
Intensive Care Units - organization & administration
Nosocomial infections
Nursing
Organizational Culture
Pandemics
Patient care
Patient Care Team - organization & administration
Patient Isolation
Patients
Personal Protective Equipment
Physical Examination
Physicians
Pneumonia, Viral - diagnosis
Pneumonia, Viral - psychology
Pneumonia, Viral - therapy
Pneumonia, Viral - transmission
Point-of-Care Testing
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Teams
Ultrasonic imaging
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Description
Summary:Frost et al considered available evidence and drew on their local experiences in Madrid and Toronto to propose an approach to the development of COVID-19 units and care teams. They discuss the layout of COVID-19 units, structure of the physician care team, clinical assessment and rounding protocols, evidence-based methods to foster culture change and ways to mitigate the adverse effects of isolation for patients.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.200855