Assessment of a patient presenting to hospital

In the assessment of a patient with suspected COVID-19, proceed with the following steps:

  1. Check for symptoms typical of COVID-19; in particular, fever, dry cough, breathlessness, loss of sense of smell.
  2. Perform physiological checks – pulse, BP, SpO2, temperature. In particular, the patient’s oxygen saturations because hypoxaemia is a cardinal feature of COVID-19.
  3. If the oxygen saturations are abnormal, administer oxygen therapy until the patient meets the target saturations (94-98%, or 88-92% in severe chronic lung disease).
  4. Perform a chest x-ray. If the chest x-ray is normal but there is a strong index of suspicion for COVID-19, perform a chest CT scan.
Mark as Understood

© Institute of Clinical Science and Technology (ICST) 2020