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New PDF release: Adult Medical Emergencies Handbook

By Graham Robert Nimmo

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Extra info for Adult Medical Emergencies Handbook

Example text

I If the patient is not improving consider: 1. Is the diagnosis secure? 2. Is the illness severity so great help is needed? 3. Is there something else going on? adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11 55 SHOCK Definition & Classification • Shock is an acute metabolic emergency where compromised oxygen transport leads to cellular oxygen utilisation which is insufficient to sustain normal aerobic metabolism. • The aim of therapy in shock is to optimise tissue oxygen delivery in relation to oxygen requirements, whilst making a specific diagnosis and treating the underlying problem.

Ensure that both the counter foil and the death certificate proper have the patient’s name written legibly on them. • Ensure the date is correct, and that it is neat, legible and signed. • When speaking to the family explain what the technical terms mean, if this is appropriate. • Document what has been written on the certificate in patient case record. adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11 33 CHECKLIST OF REQUIREMENTS This checklist is used at ward level to ensure that all important steps are taken to document timing and responsible individuals.

FULL EXAMINATION & SPECIALIST INVESTIGATIONS • Get a good history: useful information is always available. • Relatives, GP, neighbours, ambulance staff may all be helpful. i If the patient is not improving consider: 1. Is the diagnosis secure? 2. Is the illness severity so great help is needed? 3. Is there something else going on? adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11 55 SHOCK Definition & Classification • Shock is an acute metabolic emergency where compromised oxygen transport leads to cellular oxygen utilisation which is insufficient to sustain normal aerobic metabolism.

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Adult Medical Emergencies Handbook by Graham Robert Nimmo


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