Inclusion Criteria:  Age >18 Presenting to the ED with symptoms suggestive of COVID-19 Assessed by ED attending physician to not require emergent intubation Normal mental status and ability to communicate symptoms/distress Able to follow instructions independently  Exclusion Criteria:  Severe respiratory distress requiring immediate intervention Unable to follow verbal instructions Unable to communicate their needs, symptoms, or distress Inability to tolerate prone positioning due to mental status or habitus