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    The COAT & Review Approach: How to recognise and manage unwell patients
    The COAT & Review Approach: How to recognise and manage unwell patients
    The COAT & Review Approach: How to recognise and manage unwell patients
    Ebook55 pages25 minutes

    The COAT & Review Approach: How to recognise and manage unwell patients

    By Nicholas Chrimes

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    About this ebook

    This manual provides junior healthcare workers with a simple structured approach which can be used to assist them in the early recognition of the deteriorating patient. It also provides a format for approaching the unwell patient which prioritises identifying and correcting immediately life-threatening problems.

    LanguageEnglish
    PublisherNicholas Chrimes
    Release dateJan 24, 2013
    ISBN9781301796519
    The COAT & Review Approach: How to recognise and manage unwell patients
    Author

    Nicholas Chrimes

    Nicholas Chrimes is a specialist anaesthetist in Melbourne, Australia and an experienced simulation instructor. He has particular interests in education of junior healthcare staff and in simplifying clinical reasoning in emergency situations.

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    Book preview

    The COAT & Review Approach - Nicholas Chrimes

    The COAT & Review Approach:

    
How to recognise and manage unwell patients

    By Nicholas Chrimes & Julia Harrison

    Smashwords Edition

    Copyright Nicholas Chrimes & Julia Harrison 2013

    Smashwords Edition License Notes

    Although this is a free manual, it remains the copyrighted property of the authors, and may not be reproduced, copied or distributed for commercial or non-commercial purposes. If you found this manual useful please encourage your friends to download their own free copy. Thank you for your support.

    Click HERE to view COAT & Review related resources, including a video demonstrating the COAT & Review Approach in action.

    Table of Contents

    Foreword

    Identifying the Deteriorating Patient

    Overview of the COAT & Review Approach

    Confirm

    Optimise

    Assess

    Treat

    Review

    Acknowledgements

    About the Authors

    Other Publications by these Authors

    Monash Simulation

    Clinical Cred

    References

    Foreword

    by Stuart Marshall

    The clinical complexity of patients in hospital environments is becoming greater. Patients are generally older, have more co-morbidities and are taking more medications prior to admission than ever before [1]. Given this change in demographic it would be reasonable to expect that hospital patients have fewer physiological reserves before they suffer any clinical deterioration and become critically ill.

    Deteriorating patients are common on the wards. A recent survey showed that 1 in 25 patients breach physiological criteria for activating systems for more help, however less than half of these patients receive such help [2].

    Identifying, stabilising and treating clinically ill patients is a key concern of all health professionals. All too often patients on the ward deteriorate without adequate assessment or basic supportive measures being implemented [3]. The recognition and subsequent care of the deteriorating patient has been a concern of many professional groups in the last few years, including international groups such as the World Health Organization [4].

    Physiological criteria are available in most hospital settings to help remind staff what the danger signs are. Some hospitals have adopted observation charts that have these abnormal physical signs displayed prominently to visually represent what requires action (Fig 1).

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