There was a 43% (three patients) incidence of neurological deficit on initial presentation, while one of them had already established complete paralysis.
During the implementation period, three of the 104 patients (2.9%) at the tertiary hospital and one of the 61 patients at the community hospital (1.6%) did not undergo radiography on initial presentation and subsequently re-presented with a missed fracture.
The lumbar spine was the level of fracture in one patient who had neurological defect on initial presentation.
On initial presentation, she complained of irritation of the left eye for 2 weeks.
On initial presentation the patient was afebrile, and his vital signs were stable.
Fig. 1 Left fundus showed multiple pockets of serosanguineous detachment, underlying choroidal inflammatory foci, and a disc swelling on initial presentation Fig. 2 Normal right fundus on initial presentation.
They are most commonly seen affecting the growing apophyses of adolescents, and are often missed on initial presentation.
The authors also note transient subretinal fluid, which resolved before treatment, in about half of the eyes on initial presentation.
On initial presentation, he had a best-corrected visual acuity (BCVA) of 20/20 in both eyes.
Triage nurses should be educated on the importance of regular reassessment of vital signs since patients who appear stable on initial presentation may rapidly decompensate.
Although less invasive than pulmonary artery catheterization, these techniques are not ideally suited to resuscitation in the emergency room or ward or on initial presentation in the ICU.
