Source avec lien : Journal of Geriatric Emergency Medicine, 1(4), 3/18/2020.
Ce manuscrit présente deux cas courants des scénarios pour illustrer le rôle central de l’urgence Département (ED) dans le diagnostic, la prise en charge aiguë, et la coordination des soins de proximité des personnes âgées complexes adultes dans cette situation en évolution rapide.
As of noon March 18, 2020, 7,038 cases of COVID19 have been reported in America.1 Numbers are predicted to increase dramatically due to increases of testing. There have been 116 deaths, mostly in older adults. There are 106 patients now reported as fully recovered. Twenty-three older adult deaths were a cluster from one nursing facility in Washington state.2 Currently, 49 states have reported cases of COVID-19 infection, and President Trump has declared a National State of Emergency. Without widespread containment measures, the number of cases is projected to double every 6.4 days.3 COVID-19 differs from other viral URI’s because of virulence. The virus lives on surfaces for up to 9-days and is more contagious than influenza. There also exists no herd immunity for this novel infection, and to date no vaccine exists.4 This manuscript presents two common case scenarios to illustrate the central role of the Emergency Department (ED) in the diagnosis, acute management, and community care coordination of complex older adults in this rapidly changing situation.