Telephone triage and medical advice protocols. Acute vertigo is the most common symptom of posterior circulation stroke (47%), and isolated vertigo, nausea, and unsteadiness can be the sole presenting symptoms, making it hard to differentiate from a benign inner ear disorder: one of the reasons that these strokes are often missed.14 In many posterior circulation strokes there will be associated neurological signs, such as an occipital . Place the child in the left lateral head-down position. PDF Acute Stroke Practice Guidelines for the Emergency Department The elderly and immunosuppressed patients may present with atypical symptoms. BMC emergency medicine. Background Vital signs play a critical role in prioritizing patients in emergency departments (EDs), and are the foundation of most triage methods and disposition decisions. These include: Check Hb (when possible, blood clotting should be assessed). Triage. Start with assessment and stabilization of the airway, assess breathing, circulation and level of consciousness, and stop any haemorrhage. If the nurse can accurately diagnose the patient with these criteria and mark as a Level 1 trauma patient, the patient will need immediate life-saving therapy. Monitor with a pulse oximeter, but be aware that it can give falsely high readings. European journal of public health. Check for low blood pressure or raised blood pressure and treat if there are signs of heart failure. The use of telephone triage has been used by patients to simply ask general questions, review physician orders, receive assistance with outpatient care, order supplies and to have new or worse symptoms triaged. One difference between the SALT and START triage is that Salt asks an internal question to differentiate between immediate or expectant. For management of specific injuries, see section 9.3. (2013) and later expanded by Gratton et al. For example, a patient may call to report a severe headache however the expertise of the telephone triage nurse requires to utilize their best nursing judgment and knowledge to assess the patient for neuro deficits that may correlate with symptoms of a stroke instead of assuming the patient has a tension headache due to stress, lack of sleep, fatigue, hunger, caffeine withdrawal as mentioned in Harvard Health Publishing in February 3, 2021.
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