Thursday, January 12, 2006

Triage Tales 1

Disclaimer: The following story is a work of fiction. All similarities to people, places, things and events are coincidental by nature.

Patient comes into the ER accompanied by her mother. She fell from a height of three feet three weeks ago. She had no vomiting, dizziness, or any deficits afterward until 7 days prior to consult, where she was noted to have high grade fever with weakness of the lower extremities.

How would you triage the patient?

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If you answered Pediatrics, the Pedia triage officer would shout "What are you thinking! Sending us this patient with a clear history of trauma?"

If you answered Surgery, the Surgeon on duty will say: "We will not do anything to the patient, so why send her to us?"

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How often is it that you get pissed at "bantays"? The closest English equivalent term would be "responsible companions". But they are anything but responsible. They have been the source of much anguish:

The bantay who got lost sending the blood up to the laboratory
The bantay who ate her lunch along the way to the laboratory
The bantay who does not care about what his patient has, and leaves him in the ER

I think patient education will have to go a long way before everybody can follow simple rules in an emergency room, or a hospital for that matter.

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