University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Emergengy Medicine


Dr. Tom Colletti, DHSc, PA-C, DFAAPA



Purpose: The purpose of this article is to review the treatment for Coronavirus disease 2019 (COVID-19) in conscious patients with proning in the emergency department.

Method: A PubMed literature search was conducted with search terms COVID-19, proning, conscious, and emergency department. Seventeen pertinent articles were retrieved and served as the basis for this clinical review.

Results: Evidence-based research to demonstrates proning of hypoxic patients in the emergency department produces a positive outcome and may decrease mortality.

Conclusion: Emerging evidence that patients diagnosed with COVID‐19, who are not intubated and mechanically ventilated, may benefit from the prone position, this strategy should not be isolated to only those with critical conditions. Given present concerns about resource limitations because of the pandemic, prone positioning has especially demonstrable value as a technique to delay or even prevent intubation.


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