Acute Template
Table of Contents
Introduction
- A brief definition of the condition
Epidemiology (optional)
Presentation
- The symptoms the patient will usually present with
History
- Important history points that the patient may not readily volunteer (e.g. past medical history, travel history, sexual history, etc)
Vital signs / observations
- HR, BP, RR, SpO2, temp
Examination
- What you might expect to find on examination
Bedside tests
- e.g. ECG, ABG, VBG, PEFR, urine dipstick
Laboratory investigations
- Recommended relevant blood tests
- Describe the expected abnormality / rationale for investigation
Radiological investigations
- Similarly, explaining the rationale and expected findings
Management
Immediate management
- Urgent / first-line therapies
Second line
- Should there be an inadequate response to initial management
Ongoing management
- Describe care for the patient's hospital stay
- May include indications for stepping down therapy
Prior to discharge
- eg education / medication review
Follow up
- Monitoring blood tests, imaging or clinic follow up
page revision: 4, last edited: 26 Apr 2017 18:07