ACUTE ILLNESS MANAGEMENT
RED FLAGS-BACK PAIN
December 15, 2020
UK Guidance on COVID-19 Infection in Pregnancy
December 17, 2020
ACUTE ILLNESS MANAGEMENT AND
EARLY WARNING SCORING SYSTEM – TRACK AND TRIGGER
- Developed in 1997 by Morgan et al
- Based on five physiological parameters:
- SBP
- Pulse
- Resp. rate
- Temp
- AVPU
- Surgical patients
- Deviation from normal BP
- Urine output
- Potential benefit from critical care
The course aims to optimise the outcome for patients at risk of developing acute illness by enhancing the knowledge, confidence and performance of staff in dealing with acutely ill adults. The course is to encourage teamwork, communication, promotion of the multi-disciplinary approach to patient care and address clinical governance and risk.
- Candidates are provided with a Course Manual prior to the course date
- Candidates are required to read the manual prior to the course
- This enhances their knowledge and makes them aware of course content
- Knowledge and skills assessments at the end of the course
- Duration – One Day
- Assessment – MCQ pass marks 80%
NEWS – NATIONAL EARLY WARNING SCORING SYSTEM
- Royal College of Physicians working party July 2012
- Based on a large number of vital signs from an electronic patient database
- Read More here
How NEWS works
The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice, when patients present to, or are being monitored in hospital. Six simple physiological parameters form the basis of the scoring system:
- respiration rate
- oxygen saturation
- systolic blood pressure
- pulse rate
- level of consciousness or new confusion*
- temperature.
*The patient has new-onset confusion, disorientation and/or agitation, where previously their mental state was normal – this may be subtle. The patient may respond to questions coherently, but there is some confusion, disorientation and/or agitation. This would score 3 or 4 on the GCS (rather than the normal 5 for verbal response), and scores 3 on the NEWS system.
A score is allocated to each parameter as they are measured, with the magnitude of the score reflecting how extremely the parameter varies from the norm. The score is then aggregated and uplifted by 2 points for people requiring supplemental oxygen to maintain their recommended oxygen saturation.
This is a pragmatic approach, with a key emphasis on system-wide standardisation and the use of physiological parameters that are already routinely measured in NHS hospitals and in prehospital care, recorded on a standardised clinical chart – the NEWS2 chart.
Permissions
The RCP is keen to encourage as many people as possible to use NEWS, so there is no copyright restriction on the NEWS2 report. However, anyone who is looking to reproduce material from the report should meet the following conditions.
- The RCP should be acknowledged as follows: Reproduced from: Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.
- The material must not be modified/amended in any way.
- The NEWS2 charts must be reproduced in full colour.
- Please use the high-resolution versions of the chart attached to this page. Do not use the low-quality version in the report itself.
Accessing the original NEWS report (2012)
The original NEWS (2012) report is available to download.
Please note that the report is archived and for research purposes only. It should not be used under any circumstances in clinical practice.
ACHIEVEMENTS
- Development of Faculty
- Maintenance of standards by Faculty
- Teamwork and Communication
- Promotes multi-professional approach to patient care
- Timely Diagnosis of deteriorating patient
- Less number of Critical Care admissions
Download PDF here or read more on my blog here
After completing Medicine degree served the humanity as a Volunteer Medical Officer in remote areas of Pakistan. He moved to the UK with an aim to achieve the topmost position in the medical world. He has been working in NHS since 2005 and since last several years working as a Consultant Geriatrician/Rehab/Emergency Medicine in NHS. He was declared as an outstanding consultant in NHS in 2016 to 2019. He always believed in Learn, Earn & Return philosophy and when he was in a positon to return to his country. His people, he put his efforts & hard work from APPS UK & APPS UK Foundation platform to make a positive change in people’s lives.
Dr Shakil Malik NHS Health Consultant
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To transform your dreams into reality, the next revolution is never far away. This is a place where education is a force for positive change. Mission We are here because you have a dream: to advance or change your career, to immerse yourself in a subject you love, to meet future mentors, colleagues and friends. At The RIST EDUCATION LIMITED UK you’ll find an incredible range of opportunities to take these next steps. You’ll see your dreams take shape and become real. Our aim is to produce graduates of high Caliber distinguished for their depth of knowledge, professional competence, knack and energy to put their knowledge to practical applications, the best human being and the best professional.
