This review article provides ED clinicians with recommendations for the evaluation and management of patients presenting with suspected COVID-19.

Care for potentially infected patients in the emergency department during the COVID-19 pandemic requires significant consideration, as the virus is primarily transmitted person-to-person through close contact by respiratory droplets. The symptoms are similar to other viral upper respiratory illnesses. Three major trajectories include:

1. Mild disease with upper respiratory symptoms
2. Non-severe pneumonia, and
3. Severe pneumonia complicated by acute respiratory distress syndrome (ARDS).

Emergency physicians should focus on:

• Identifying patients at risk
• Isolating suspected patients, and
• Informing hospital infection prevention and public health authorities.

Other recommendations include:

• Patients with suspected COVID-19 should be asked to wear a facemask.
• Respiratory etiquette, hand washing, and personal protective equipment are recommended for all healthcare personnel caring for suspected cases.
• Disposition depends on patient symptoms, hemodynamic status, and patient ability to self-quarantine.