Efficient management procedure for suspected or mild novel coronavirus-infected patients at mobile cabin hospitals

Abstract

At the end of 2019, a pulmonary epidemic caused by a novel coronavirus (SARS-CoV-2) broke out in Hubei Province, China. In the epidemic area, a large number of patients with suspected novel coronavirus-infected pneumonia (NCIP) or only mild symptoms are hospitalized in the makeshift hospitals, isolation point after first diagnosis and mobile cabin hospitals. However, because our medical staffs are unfamiliar with the disease and the workflow of makeshift and cabin hospitals, and these may reduce the efficiency of diagnosis and treatment. In addition, the condition of NCIP changes rapidly, and the hospitalized patients may develop in a rapid deterioration, from mild, ordinary to severe or even critical. Therefore, with an aim of reducing the rates of critical illness and mortality in the epidemic area, it is of great significance to sort out the diagnosis, treatment and rescue processes, early identify the patients at high-risk for severe or critical deterioration, actively carry out targeted treatment, and timely transfer critical or suspected critical patients to hospitals with treatment conditions. In this article, we sort out our practical experience in optimization of diagnosis and treatment procedure under the cabin hospital-like condition, summarize the clinical features of the patients at high-risk for severe or critical deterioration, so as to help medical staffs getting familiar with their work quickly, promote the efficiency of diagnosis and treatment, and improve the ability of identifying the high-risk patients as early as possible.

Keywords

• sars-cov-2
• pneumonia
• mobile cabin hospitals