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The issue that intensivists should discuss is whether a patient with a hypoxemic condition should be discharged with the recommendation of oxygen and NIMV support or whether the transplant choice should be brought forward.
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"But once a patient is right to be discharged, they should be discharged and cared for in accordance with Australian and international law".
The revised guidance advises that children with SAM should be discharged when they have: (a) WHZ ⩾−2 and no oedema for at least 2 weeks; or (b) MUAC ⩾125 mm and no oedema for at least 2 weeks.
Patients should be discharged only after they have been provided with the necessary medications (and educated how to use them), instructions in self-assessment (PEF, symptoms score), a follow-up appointment, and instructions for an action plan for managing recurrence of airflow obstruction [ 1].
The doctors used competitive power associated with clinical judgment to deal with uncertainties emerging as part of the explicit discharge arrangements, namely if a particular patient should be discharged.
He was discharged with no plan.
"I think we have all been discharged with minor injuries.
One patient was discharged with GCS9.
All patients were discharged with healing.
She was discharged with residual unilateral deafness.
The eyes should be clear, with no discharge or tearing.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com