Identify-Isolate-Inform (“3I system”) Tools used by the Emergency Department or Acute Respiratory Assessment Service for assessment and management of cases (patients under investigation). Identify-Isolate-Inform (“3I system”) Tools used by the Emergency Department or Acute Respiratory Assessment Service for assessment and management of cases (patients under investigation). Identify-Isolate-Inform (“3I system”) Tools used by the Emergency Department or Acute Respiratory Assessment Service for assessment and management of cases (patients under investigation).
Identify Identify Identify
Exposure history (within 14 days) Symptoms Symptoms
Travel or residence in Wuhan and surrounding areas or other communities with case reports
Suspected case: Any one epidemiological factor and any two clinical manifestations without epidemiological history -Fever and/or respiratory symptoms -Imaging features consistent with COVID-19 -During early-stage disease: decreased/normal leukocyte and lymphocyte counts
Contact with SARS-Cov-2 infected persons
Exposure to patients with fever or respiratory symptoms from Wuhan and surrounding areas, or from communities with case reports.
Confirmed case: Suspected case with pathogenic or serological evidence of infection -Detection of SARS-Cov-2 by PCR -Gene sequencing suggests SARS-Cov-2 or highly homologous virus -SARS-Cov-2 specific lgM antibody and lgG antibody, or the SARS-Cov-2 specific IgG antibody changed from negative to positive or was 4-times or more higher than during the recovery period than the acute period
Aggregative disease*
Isolate Isolate Isolate
-Put a surgical mask on the patient -Transfer the patient to a designated isolation ward -Use a face shield, eye protection, and other protection standards to prevent contact and air transmission -Use a tested N95 mask or device when entering a patient’s room -Put a surgical mask on the patient -Transfer the patient to a designated isolation ward -Use a face shield, eye protection, and other protection standards to prevent contact and air transmission -Use a tested N95 mask or device when entering a patient’s room -Put a surgical mask on the patient -Transfer the patient to a designated isolation ward -Use a face shield, eye protection, and other protection standards to prevent contact and air transmission -Use a tested N95 mask or device when entering a patient’s room
Inform Inform Inform
Report to the following organizations immediately: -Hospital: take measures to prevent infection in time -Local health department Report to the following organizations immediately: -Hospital: take measures to prevent infection in time -Local health department Report to the following organizations immediately: -Hospital: take measures to prevent infection in time -Local health department