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Systematic assessment, early warning scores, and patient escalation 

Systematic assessment, early warning scores, and patient escalation
Systematic assessment, early warning scores, and patient escalation

Fiona Creed

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date: 21 April 2021

The need to rapidly assess and understand signs and symptoms of a patient whose condition is deteriorating is an essential skill for all health care professionals. The use of an A–E assessment approach and use of a standardized handover tool is emphasized throughout the literature. This chapter explores the systematic, accurate assessment, treatment, and escalation of the patient whose condition is deteriorating. It focuses upon the use of A–E methodology linked to standardized track-and-trigger scoring systems (NEWS2) and explains the significance of changes in observation findings during episodes of acute illness. The need for urgent escalation and the use of response teams is discussed.

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