Abstract
During an evolving public health emergency, a simple algorithm for initial patient identification and management is essential for providers on the front lines. This article recommends a 3-pronged system of Identify, Isolate, Inform to describe the actions necessary in the first few minutes of encountering a potential Ebola patient. Application of the "vital sign zero" triage concept of early recognition of potential threats coupled with this novel algorithm will optimize protection of health care workers and the public health while concurrently providing a safe method for individual patient care.
Highlights
Used in some airports and health care facilities, fever screening alone is inadequate
If a potential Ebola patient is identified via epidemiological screening and has suggestive signs and symptoms, the second step in the algorithm is to isolate
Exposure to other patients must be avoided. This can be accomplished in many ways, including moving the patient to an alternate care site or directly to an isolation unit without exposing others
Summary
Used in some airports and health care facilities, fever screening alone is inadequate. If a potential Ebola patient is identified via epidemiological screening and has suggestive signs and symptoms, the second step in the algorithm is to isolate. We must be prepared to isolate patients in every setting where they are identified. This could include the prehospital setting, a clinic or doctor’s office, or a hospital.
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