By Graham Robert Nimmo
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Extra info for Adult Medical Emergencies Handbook
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.
Adult Medical Emergencies Handbook by Graham Robert Nimmo