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10.1111/acem.13994 http://scihub22266oqcxt.onion/10.1111/acem.13994 32320506!7264594!32320506     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32320506&cmd=llinks): Failed to open stream: HTTP request failed! 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Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED s Experience During the COVID-19 Pandemic |pdf=|usr=}}{{32320506}} gab.com Text Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED s Experience During the COVID-19 Pandemic JO: Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32320506 #FOAvip OBJECTIVE: Prolonged and unaddressed hypoxia can lead to poor patient outcomes. Proning has become a standard treatment in the management of patients with ARDS who have difficulty achieving adequate oxygen saturation. The purpose of this study was to describe the use of early proning of awake, non-intubated patients in the emergency department (ED) during the COVID-19 pandemic. METHODS: This pilot study was carried out in a single urban ED in New York City. We included patients suspected of having COVID-19 with hypoxia on arrival. A standard pulse oximeter was used to measure SpO(2) . SpO(2) measurements were recorded at triage and after 5 minutes of proning. Supplemental oxygenation methods included non-rebreather mask (NRB) and nasal cannula. We also characterized post-proning failure rates of intubation within the first 24 hours of arrival to the ED. RESULTS: Fifty patients were included. Overall, the median SpO(2) at triage was 80% (IQR 69 to 85). After application of supplemental oxygen was given to patients on room air it was 84% (IQR 75 to 90). After 5 minutes of proning was added SpO(2) improved to 94% (IQR 90 to 95). Comparison of the pre- to post-median by the Wilcoxon Rank-sum test yielded P = 0.001. Thirteen patients (24%) failed to improve or maintain their oxygen saturations and required endotracheal intubation within 24 hours of arrival to the ED. CONCLUSION: Awake early self-proning in the emergency department demonstrated improved oxygen saturation in our COVID-19 positive patients. Further studies are needed to support causality and determine the effect of proning on disease severity and mortality. Twit Text FOAVip Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED s Experience During the COVID-19 Pandemic ????Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32320506 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32320506 #FOAvip English Wikipedia <ref>{{Cite pmid|32320506}}</ref> Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED s Experience During the COVID-19 Pandemic #MMPMID32320506 Caputo ND; Strayer RJ; Levitan R Acad Emerg Med 2020[May]; 27 (5): 375-378 PMID32320506show ga OBJECTIVE: Prolonged and unaddressed hypoxia can lead to poor patient outcomes. Proning has become a standard treatment in the management of patients with ARDS who have difficulty achieving adequate oxygen saturation. The purpose of this study was to describe the use of early proning of awake, non-intubated patients in the emergency department (ED) during the COVID-19 pandemic. METHODS: This pilot study was carried out in a single urban ED in New York City. We included patients suspected of having COVID-19 with hypoxia on arrival. A standard pulse oximeter was used to measure SpO(2) . SpO(2) measurements were recorded at triage and after 5 minutes of proning. Supplemental oxygenation methods included non-rebreather mask (NRB) and nasal cannula. We also characterized post-proning failure rates of intubation within the first 24 hours of arrival to the ED. RESULTS: Fifty patients were included. Overall, the median SpO(2) at triage was 80% (IQR 69 to 85). After application of supplemental oxygen was given to patients on room air it was 84% (IQR 75 to 90). After 5 minutes of proning was added SpO(2) improved to 94% (IQR 90 to 95). Comparison of the pre- to post-median by the Wilcoxon Rank-sum test yielded P = 0.001. Thirteen patients (24%) failed to improve or maintain their oxygen saturations and required endotracheal intubation within 24 hours of arrival to the ED. CONCLUSION: Awake early self-proning in the emergency department demonstrated improved oxygen saturation in our COVID-19 positive patients. Further studies are needed to support causality and determine the effect of proning on disease severity and mortality. |*Prone Position[MESH] |Adult[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Cannula[MESH] |Coronavirus Infections/complications/epidemiology/*therapy[MESH] |Emergency Service, Hospital[MESH] |Female[MESH] |Humans[MESH] |Hypoxia/etiology[MESH] |Intubation, Intratracheal[MESH] |Male[MESH] |Middle Aged[MESH] |New York City[MESH] |Oximetry[MESH] |Oxygen[MESH] |Pandemics[MESH] |Pilot Projects[MESH] |Pneumonia, Viral/complications/epidemiology/*therapy[MESH] |Respiration, Artificial[MESH] |SARS-CoV-2[MESH]Early Self-Proning in Awake, Non-intubated Patients in the Emergency D(epmc).pdf DeepDyve Pubget Overpricing