Clinical flags Adult Flashcards
what are elderly/frail pts more of a risk?
increased diagnostic uncertanty’communication barriers
challenges in accepting health services
increased risk of deterioration
when is a red flag excepted from mandated ED transport?
VEDL for pts that are otherwise elegablep this may be appropriate. this is not approriate for specific red flag conditions
transient or treatable vitals- treat and reassess
paramedic judgement or refusal- consult clinician
who should be considered to have a high risk of ectopic pregnancy?
women of reproductive age with any combination of abo pain, shoulder/pelvis pain, PV bleeding or dizziness/syncope
what is mandated for yellow flags?
medical reveiw within two hours if transport not required
VED
Emergency department self-presentation
GP
transport vi non-emerge
what is immunocompromised in yellow flags?
chemo or radiotherapy for cancer
organ transplant
HIV/AIDS
rheumatoid athritis therapies - pther than NSAIDs
what increases the risk of diagnostic error?
diagnostic uncertanty
bias/human factors
elderly/frail
communication difficulties
current intoxication
history of mental health problems
ABoriginal or torris straight islanfer
multiple co-morbidities
rare medical condition
highly emotive scene
when should you consider a hogher risk of dterioration?
excpected clinical course/trajectory
boarderline vitals
past kistoru of falls, stroke, TIA, AF anticoagulation
failure to respond to community based treatement
when shpuld you consider increased socal or envornmental risks?
risks to pt saftey
poor health literacy
adequate shelter and warmth
when should you consder greater risks assocated with acess to care?
to supply required medcatuons
ability to acess health services if required
what are the red flags?
HR >120 RR >30 BP <90 SPO2 <90 unless chronic GCS <13
if pt under 15 then <15
what are the specific conditions that are red flags?
stridor, first presentation seizure
anaphylaxis
acute coronary syndrome
ectopic pregnancy
primary obstertric issues
Stroke or TIA
sudden onset headache
unable to walk
post toncilectomy bleeding up to 14 days
what are the yellow flags?
ongoing pt or carer concern
infection not responding to community care - oral antibiotics
immunocmpormised with suspected infection
surgical procedure within 14 days
significant unexplained pain >5
syncope (asymptomatic, normal vital signs and normal ECG)
Abdominal pain
and pt must have capailty to attend hospital/GP and read referal advice
what is the referal advice script?
our assesmnt shows not currently needing to be transported to hopsital in an emergency ambulance. However we belive you need to be revewied by a medical doctor withing the next two hours and would recommend that you attend your GP or attened the hospital in your own vehicle. if you are uable to do so we will asssist you
