Triage Management of Patients during the Outbreak of Coronavirus Disease 2019 (COVID-19)

Letter to Editor


1 Clinical Research Development Center, Nekouei-Hedayati-Forghani Hospital, Qom University of Medical Sciences, Qom, Iran,

2 Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom, Iran.


Coronavirus disease 2019 (COVID-19), as a rapidly growing pandemic, was first reported in Iran on February 19, 2020 (1). Following the pandemic, with the spread of fear by social media, people rushed to stock up on goods, and even many rushed to hospitals and clinics. Triage of patients in emergency departments is of particular importance, as these departments have always been on the front line of care for patients. Therefore, if the triage system is not efficient, it can lead to overcrowding in hospitals (2). This overcrowding can result in the exhaustion of the medical staff, loss of patients, missing the required tests for patients, and anxiety in patients.
Overcrowding caused by erroneous triage decisions may predispose uninfected patients with contagious diseases to COVID-19 (3, 4). Accordingly, specific hospitals were initially designated to patients with COVID-19 in every city so that patients with severe conditions, such as myocardial infarction (MI), cerebrovascular accidents (CVAs), traumas, and other diseases, could be referred to other hospitals to prevent the spread of infection. Overall, the greatest challenge was the large number of patients, referred to the designated hospitals with symptoms of common cold, flu, and COVID-19.