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      “Conscious proning: An introduction of a proning protocol for non‐intubated, awake, hypoxic Emergency Department COVID‐19 patients”

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          Abstract

          The novel coronavirus, or COVID‐19, has rapidly become a global pandemic. A major cause of morbidity and mortality due to COVID‐19 has been the worsening hypoxia which, if untreated, can progress to acute respiratory distress syndrome (ARDS) and respiratory failure. Past work has found that intubated patients with ARDS experience physiological benefits to the prone position, as it promotes better matching of pulmonary perfusion to ventilation, improved secretion clearance, and recruitment of dependent areas of the lungs. We created a system‐wide multi‐institutional (New York‐Presbyterian Hospital enterprise) protocol for placing awake, non‐intubated, Emergency Department patients with suspected or confirmed COVID‐19 in the prone position. In this piece, we describe the background literature and the approach we have taken at our institution as we care for a high burden of COVID‐19 cases with respiratory symptoms.

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          Author and article information

          Contributors
          lgj7001@med.cornell.edu
          Journal
          Acad Emerg Med
          Acad Emerg Med
          10.1111/(ISSN)1553-2712
          ACEM
          Academic Emergency Medicine
          John Wiley and Sons Inc. (Hoboken )
          1069-6563
          1553-2712
          27 May 2020
          Affiliations
          [ 1 ] NYP Weill Cornell Medical Center Department of Emergency Medicine New York United States
          [ 2 ] NYP Queens Department of Emergency Medicine Flushing United States
          [ 3 ] NYP Lawrence Hospital Department of Emergency Medicine Bronxville United States
          [ 4 ] NYC Health and Hospitals Lincoln Department of Emergency Medicine The Bronx United States
          [ 5 ] NYP Columbia University Medical Center Department of Emergency Medicine New York United States
          [ 6 ] NYP Brooklyn Methodist Department of Emergency Medicine Brooklyn United States
          Author notes
          [* ] Corresponding author

          Lynn Jiang

          Email: lgj7001@ 123456med.cornell.edu

          Article
          ACEM14035
          10.1111/acem.14035
          7283629
          32462708
          This article is protected by copyright. All rights reserved.

          This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

          Page count
          Figures: 0, Tables: 0, Pages: 12, Words: 286
          Product
          Categories
          Original Contribution
          Original Contributions
          Custom metadata
          2.0
          accepted-manuscript
          Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.4 mode:remove_FC converted:10.06.2020

          Emergency medicine & Trauma

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