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What should be your first question in case a patient is referred to you? Where is the patient now? _________________________ How old is the patient? _________________________ What is the gender of the patient? _________________________ Who brought the patient to the medical emergency room? _________________________ What brings you to this location? _________________________ What seems to be the problem? _________________________ Did someone else brought you to this location or did you come on your own? _________________________ If someone else brought this individual to this location, is it a genuine referral? _________________________ Can the patient talk? _________________________ Patient-focused history and physical exam. Focused medical assessment Focus on the area of complaint and those associated with it. If the complaint is nonspecific, then perform the head-to-toe rapid medical assessment. Here are further guidelines. Conscious means able to hear, see, and talk. Unconscious means unable to hear, see, and talk. In pediatric patients younger than six months of age, the ability to make any verbal noise or cry is equivalent to talking. Is the patient conscious or unconscious? _________________________ Conscious patient diagnosis and treatment guidelines. What seems to be the problem? _________________________ Have you been here before? _________________________ Where is your photo identity card? _________________________ Unconscious patient diagnosis and treatment guidelines. Who brought the patient to the medical emergency room? _________________________ When was the patient conscious (able to see, hear, and talk)? _________________________ How do you do a quick assessment, diagnosis, and treatment of an unconscious patient? If the patient is unconscious, these questions need to be answered. How long has he/she been unconscious? _________________________ What do you think is the likely cause of the problem? _________________________ Does he/she have any existing medical condition? _________________________ Did he/she have any previous medical condition that does not exist now? _________________________ Does he/she take any medications now? _________________________ Did he/she take any medications in the past that he/she is not taking now? _________________________ Can the patient respond to verbal questions accurately? _________________________ Can the patient do spontaneous eye opening? _________________________ Does the patient respond to painful stimulus? _________________________ Is the patient conscious, oriented in time, space, and person? _________________________ Do you have any existing medical condition? _________________________ Did you have any previous medical condition that does not exist now? _________________________ Do you take any medications now? _________________________ Did you take any medications in the past that you are not taking now? _________________________ Do you think any health care details need to be added? _________________________ Are you the person reporting a medical emergency of another person? _________________________ What do you have to do while reporting a medical emergency of another person? _________________________ What details should be ready? _________________________ How are you related to the person? _________________________ How do you know him or her? _________________________ Can you count from 1 to 10? _________________________ Can you count backwards from 10 to 1? _________________________ Does the patient have any known medical allergies? _________________________ Where and when did the patient last see a medical doctor? _________________________ Is it a medical emergency or medicolegal emergency? _________________________ What type of medical emergency or medicolegal emergency is it? _________________________ Female Patient Do the symptoms, signs, statements, questions, issues, and histories fit in trauma, human pregnancy, cardiology, pulmonary, renal, gastroenteritis, neurology, ophthalmology, ear, nose & throat, pediatric, endocrinology, psychiatry, non traumatic orthopedic, or non traumatic surgical medical emergency? _________________________ Is it a trauma, human pregnancy, cardiology, pulmonary, renal, gastroenterology, neurology, Ophthalmology, ear nose and throat, pediatric, Endocrinology, psychiatry, non-traumatic orthopedic, or non-traumatic surgical medical emergency? _________________________ What will happen if you do not treat or manage this medical condition? _________________________ What will happen if you do not diagnose and treat a medical emergency properly? _________________________ What is the diagnosis? _________________________ What is the treatment? _________________________ How could this be prevented? _________________________ What is the conclusion in ER from the doctor? _________________________ Does this individual need admission to the hospital, observation in the emergency room, or discharge instruction? _________________________ |
| How do you do a quick assessment, diagnosis, and treatment of a conscious patient? |
| What should you enclose with the referral of the patient? |
| New Patient Consultation |
| What are the reasons patients are not satisfied with services of medical doctors? |
| How do you do a quick assessment, diagnosis, and treatment of pediatric cases under the age of 28 days, six months, one year, and five years? |
| How do you do a quick assessment, diagnosis, and treatment of a person who is deaf and mute? |
| How do you do a quick assessment, diagnosis, and treatment of a person under anesthesia, sedation, or asleep? |