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Key issues in emergency department management of COVID-19: proposals for improving care for patients in Latin America




Juli√°n-Jim√©nez A, Garc√≠a DE, Gonz√°lez Del Castillo J, Penna Guimaraes H, Garc√≠a-Lamberechts EJ, Men√©ndez E, Candel Gonz√°lez FJ, Cort√©s Mar√≠n CE, Nilsa Romina EA, Pi√Īera Salmer√≥n P, Gonz√°lez Bascu√Ī√°n U, Correa Schubert DU, Maldonado Gangotena A, L√≥pez Tapia JD, Camargo G, Rosas Romero FA, Laica Sailema NR, Doldan Otazo C, Buitrago Carazo OE, L√≥pez Ter√°n P



GT-LATINFURG: Grupo de Trabajo Latinoamericano para la mejora de la atenci√≥n del paciente con infecci√≥n en Urgencias, promovido por la Federaci√≥n Latinoamericana de Medicina de Emergencias (FLAME) y la Sociedad Espa√Īola de Medicina de Urgencias y Emergencias (SEMES). Complejo Hospitalario Universitario de Toledo, Universidad de Castilla La Mancha, Toledo, Spain. INFURG-SEMES (Grupo de trabajo de Infecciones de la SEMES). Hospital de Alta Complejidad El Cruce, Florencio Varela, Buenos Aires, Argentina. SAE (Sociedad Argentina de Emergencias). Hospital Cl√≠nico San Carlos, IDISSC, Universidad Complutense, Madrid, Espa√Īa. Hospital Israelita Albert Einstein-HIAE, Sao Paulo, Brasil. ABRAMEDE (Asociaci√≥n Brasile√Īa de Medicina de Emergencias). Servicio de Emergencias. Hospital Churruca, CABA, Argentina. Hospital Cl√≠nico Universidad de Chile, Santiago de Chile, Chile. SOCHIMU (Sociedad Chilena de Medicina de Emergencias). Hospital Rigoberto Caballero, Asunci√≥n, Paraguay. SPEM (Sociedad Paraguaya de Emergencias M√©dicas). Hospital General Universitario Reina Sof√≠a, Murcia, Spain. Instituto D‚ÄôOr de Pesquisa e Ensino-RJ, Rio de Janeiro, Brasil. SEMED (Sociedad Ecuatoriana de Medicina de Emergencias y Desastres). Hospital General Docente de Calder√≥n, Universidad San Francisco de Quito, Quito, Ecuador. Hospital General de Zona 17 de Monterrey, Universidad de Monterrey, Nuevo Le√≥n, M√©xico. SMME (Sociedad Mexicana de Medicina de Emergencia A.C). Sanatorio de la Trinidad Ramos Mej√≠a, CABA, Argentina. Cl√≠nica La Colina, Bogot√°, Colombia. ACEM (Asociaci√≥n Colombiana de Especialistas en Medicina de Urgencias y Emergencias). Hospital General del Instituto Ecuatoriano de Seguridad Social, Ambato, Ecuador. Universidad Cat√≥lica Nuestra Se√Īora de la Asunci√≥n, Paraguay. Hospital La Cat√≥lica, Goicoechea, San Jos√©, Costa Rica. ASOCOME (Asociaci√≥n Costarricense de M√©dicos Emergenci√≥logos). Hospital Santa In√©s, Ambato, Ecuador..



The incidence of the coronavirus disease 2019 (COVID-19) in Latin America and Spain and its impact particularly on hospital emergency departments have been great, sustained, and unpredictable. Unfortunately, this situation will continue in the medium term, regardless of the diverse concepts and definitions used to identify cases or hypotheses about the role of staff. In the context of the worldwide pandemic, a multinational group of experts from the Latin American Working Group to Improve Care for Patients With Infection (GT-LATINFURG) has drafted various opinion papers for use by emergency care systems in the member countries. The GT-LATINFURG is comprised of representatives from the 13 scientific associations affiliated with the Latin American Federation for Emergency Medicine (FLAME). Experts from the Spanish Society of Emergency Medicine (SEMES) also participated. The present consensus statement offers protocols and recommendations to facilitate the work of hospital emergency departments with regard to key issues the group identified, namely, the need for reorganization, triage, and routine test availability. Additional issues discussed include biomarkers; clinical, laboratory, radiologic, and microbiologic criteria for identifying patients with COVID-19; and risk and prognostic factors for mortality that emergency staff can use to quickly detect severe cases in our settings.


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