TY - JOUR T1 - Highlights from this issue JF - Emergency Medicine Journal JO - Emerg Med J SP - 567 LP - 567 DO - 10.1136/emermed-2022-212705 VL - 39 IS - 8 AU - Caroline Leech Y1 - 2022/08/01 UR - http://emj.bmj.com/content/39/8/567.abstract N2 - This months Editors Choice is an analysis of the CO@h programme. In November 2020, NHS England recommended that patients with symptomatic confirmed COVID-19 who were over 65 years or clinically vulnerable be provided with a pulse oximeter and to call emergency services if the reading was ≤92% or primary care if the reading was 93%–94%. During the study period of October 2020 to May 2021, 217K patients were within the inclusion criteria but only 2.5% of these were enrolled into the programme and there was considerable variation between the definition/inclusion of clinically vulnerable, start dates and take up in each region. Analysing data pre and post implementation, there was no significant difference in 28 day mortality. There was a small increase in both ED attendances and a similar increase in emergency hospital admissions, which may reflect that pulse oximetry was effective at detecting early deterioration?Assessing all vital signs to calculate a NEWS2 score may not be possible for patient’s being reviewed remotely (eg, primary care consultations or virtual COVID-19 wards) so which elements are most useful? The Reader’s Choice is a retrospective study of … ER -