Related Experiment Video

Updated: Dec 23, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED's Experience During the

Nicholas D Caputo1, Reuben J Strayer2, Richard Levitan3

  • 1From the, Department of Emergency Medicine, NYC H+H/Lincoln, Bronx, NY, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|April 23, 2020
PubMed

Insights

Early awake proning in the emergency department significantly improved oxygen saturation in COVID-19 patients. This intervention showed promise for managing hypoxia in non-intubated patients.

Area of Science:

  • Emergency Medicine
  • Critical Care Medicine
  • Pulmonology

Background:

  • Hypoxia in COVID-19 patients can lead to poor outcomes.
  • Proning is a recognized intervention for Acute Respiratory Distress Syndrome (ARDS).
  • Early intervention is crucial for managing hypoxemia.

Purpose of the Study:

  • To describe the use of early proning in awake, non-intubated COVID-19 patients in the ED.
  • To assess the impact of proning on oxygen saturation.
  • To evaluate intubation failure rates within 24 hours.

Main Methods:

  • Pilot study in a single urban Emergency Department (ED).
  • Included patients with suspected COVID-19 and hypoxia.
  • Measured SpO2 before and after 5 minutes of proning with supplemental oxygen.

Main Results:

  • Median SpO2 improved from 80% at triage to 94% after proning (P=0.001).
  • Supplemental oxygen alone increased SpO2 to 84%.
  • 24% of patients required intubation within 24 hours.

Conclusions:

  • Early self-proning in the ED improved oxygen saturation in COVID-19 patients.
  • This intervention shows potential for managing hypoxemia in awake patients.
  • Further research is needed to confirm causality and impact on mortality.
Abstract

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