F3. Early Assessment | We suggest that any patient with confirmed, probable, or suspected COVID-19 and signs of respiratory deterioration during hemodialysis (such as hypoxemia or respiratory distress) has rapid assessment for transfer to the emergency room, and/or early controlled intubation by a specialized resuscitation team, as appropriate. | Principles I, II, III |
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● For patients who become unstable and have indicated they do not wish to be intubated or resuscitated, transfer to the emergency room is suggested to avoid further deterioration in the dialysis unit which may pose a risk of physical and emotional distress to others. ● For patients who become unstable and who have specified they wish to be fully resuscitated, rapid assessment for transfer to the emergency room or intensive care unit for early controlled intubation is suggested to avoid risks associated with aerosolized transmission during “crash intubation.” |