By Advanced Life Support Group

Emergency Triage: mobilephone Triage and recommendation enhances the hugely winning Emergency Triage. The algorithms are rooted within the Manchester Triage approach (MTS), that is utilized in hospitals all over the world and that's stated as an efficient technique of scientific prioritisation. This mobile generation of a triage procedure which prioritises hundreds of thousands of sufferers every year offers a powerful, secure, evidence-based Read more...

summary: Emergency Triage: mobilephone Triage and suggestion enhances the hugely winning Emergency Triage. The algorithms are rooted within the Manchester Triage method (MTS), that's utilized in hospitals world wide and that's stated as an efficient technique of medical prioritisation. This mobilephone generation of a triage procedure which prioritises hundreds of thousands of sufferers every year presents a strong, secure, evidence-based approach for handling the medical chance in sufferers who're at a distance from healthiness care companies. the elemental rules that force the MTS stay, yet this ebook addresses the sp

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Extra resources for Emergency Triage : Telephone Triage and Advice

Sample text

Although accurate measurement of temperature may be difficult to achieve in practice, many parents employ various types of temperature measuring device to assess temperature in children. Clinical impression of skin temperature is important and is crucial where ­immediate assessment of core temperature is not possible. This cannot be ascertained by telephone but only by very careful questioning and should be used with caution where an actual temperature is not available. Other signs of pyrexia such as rigors and feeling very cold should be taken into account when assessing ­temperature by telephone.

A number of general discriminators have been used including Life Threat and Conscious Level. Specific discriminators are used and in particular the concepts of risk of harm to others and risks of self‐harm are introduced Specific discriminators Explanation New neurological deficit less than 24 hours Any loss of neurological function that has come on within the previous 24 hours. This might include altered or lost sensation, weakness of the limbs (either transiently or permanently) and alterations in bladder or bowel function The potential of the patient to actively attempt further self‐ harm.

A failure to improve with bronchodilator therapy given by the GP or paramedic is equally significant A cough which is productive of phlegm, whatever the colour Significant respiratory history Wheeze No improvement with own asthma medications Productive cough 47 48 Presentational flow charts Back Pain Advice Airway compromise, inadequate breathing or shock: if unconscious place in the recovery position, if conscious try to reassure Airway compromise Inadequate breathing New neurological deficit less than 24 hours Abdominal pain Significant mechanism of injury Severe pain Known abdominal aortic aneurysm Provide Life Support Advice if required Take available analgesia for pain control FtF Now Advice If direct trauma, keep patient still Take available analgesia for pain/temperature control New neurological deficit more than 24 hours Direct trauma to the back Unable to walk Hot Call back if symptoms worsen, concerned or new symptoms develop FtF Soon Advice Take available analgesia for pain control Keep mobile within limits of pain control Call back if symptoms worsen or new symptoms develop Unresolved pain Recent problem FtF Later Advice only Advice Keep mobile Take paracetamol qds for pain control Take ibuprofen tds if required See GP if stronger analgesia required Lifestyle advice – weight, posture, kinetics, mattress, sit comfortably Hot and cold compress Call back if symptoms worsen or concerned Presentational flow charts 49 Back pain See also Chart notes Abdominal pain Neck pain This is a presentation‐defined flow diagram.

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