COVID-19 form

Open and/or protect Airway first if needed

Age<1yr: Nasal wash if nasal obstruction

Measure SpO2 and RR
Look skin colour and work of breathing

*Child: Fast breathing + any of: nasal flaring, grunting, severe chest indrawing or abdominal breathing

*Adult: Increased work of breathing, Difficulty speaking full sentence

GIVE Oxygen AND Continue the assessment

Measure Heart Rate and Blood Pressure

Look for signs of Shock:

• Capillary Refill Time
• Extremities temperature
• Skin mottling

SHOCK - REFER in EMERGENCY ROOM

• Give O2 for SpO2 ≥94%
• Insert IV catheter or IO
• Look for dehydration
• Measure Hb & Glucose
• Refer to Ped guidelines for blood transfusion and IV fluids
• Reassess vitals every 15 min until 1h stable

Circulatory impairment

• Give O2 for SpO2 ≥94%
• Insert IV catheter or IO
• Look for type of choc (hypovolemia, haemorrhage, septic)
• Measure Hb and consider blood transfusion
• Begin IV fluids: 250-500ml Ringer Lactate in 15-30 min
• Reassess vitals every 15 min until 1h stable

Possible Shock

REFER URGENTLY in EMERGENCY ROOM

• Give O2 for SpO2 ≥94%
• Insert IV catheter
• Look for type of choc (hypovolemia, haemorrhage, septic)
• Measure Hb and consider blood transfusion
• Begin IV fluids: 250-500ml Ringer Lactate in 15-30 min
• Reassess vitals every 15 min until 1h stable

Altered level of consciousness

REFER URGENTLY in EMERGENCY ROOM

• Check blood glucose and correct hypoglycaemia
• If Shock: pursue ttt for MAP>65
• If Hypoxia: Give O2 for SpO2 ≥94%
• Look for other cause of altered consciousness
• Consider need for convulsion prophylaxis