Vnitr Lek 2019, 65(3):166-169 | DOI: 10.36290/vnl.2019.032

An unstable patient in first contact with a doctor in hospital: how to recognize the risk?

Vladimír Šrámek

Anesteziologicko-resuscitační klinika LF MU a FN u sv. Anny v Brně

The primary triage of patients on first contact with a physician is crucial for its further direction and it essentially influences the prognosis. In addition to the physician's experience and given the proper stratification, an important role is played by medical history, basic clinical examinations and laboratory tests. The level of established risk affects the indication for hospital admission or possibly admission to a monitored bed. For each new patient, it is advisable to monitor the development of the overall condition and response to the initiated therapy within the first hours of hospitalization. Team cooperation often helps to get a complete picture of the disease. This article mainly focuses on a situation where a patient comes to a health facility with basic medical equipment.

Keywords: hypoperfusion; lactate; shock; triage

Received: July 8, 2018; Accepted: January 28, 2019; Published: March 1, 2019  Show citation