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Table 4 Qualitative data on the 13 cases upgraded to red priority grade

From: Changes of triage by GPs during the course of prehospital emergency situations in a Norwegian rural community

Case Age Sex Initial priority Clinical status when examined Clinical diagnosis Reason for upgrading Possible learning implication
1 90 M Green Dyspnea, pulmonary congestion Pulmonary edema Clinical examination needed Beware of acute dyspnea in elderly patients
2 83 M Yellow Chest pain, ECG shows ST-elevation Myocardial infarction Clinical examination needed Beware of long-lasting “angina”
3 67 F Yellow Cardiac arrest Cardiac arrest Impairment between assessments Acute cardiac symptoms may develop into cardiac arrest
4 72 M Yellow Pallor, tachycardia, sweating, ECG: ventricular tachycardia Ventricular tachycardia Clinical examination needed Acute tachycardia is not necessarily of pre-ventricular origin
5 33 M Yellow Abdominal pain, abdominal wall tenderness Acute abdominal pain Clinical examination needed Beware of confusion by information of familiar gastroenteritis
6 73 F Yellow Pre-shock because of gastrointestinal hemorrhage Gastrointestinal hemorrhage Information not collected or initially unavailable Beware of signs of GI hemorrhage by call receipt
7 90 M Yellow Pre-shock because of gastrointestinal hemorrhage Gastrointestinal hemorrhage Information not collected or initially unavailable Beware of signs of GI hemorrhage by call receipt
8 31 M Yellow Chest pain, dyspnea, tachypnea Pulmonary embolism? Clinical examination needed Beware of combination of acute dyspnea and chest pain
9 41 F Green Drooling, unable to swallow, near-obstruction of fauces Acute epiglottitis? Clinical examination needed Beware of excessive swallowing problems and hyperpyrexia
10 45 M Green Somnolence/stupor Somnolence Information not collected or initially unavailable Beware of information of multiple consciousness absences
11 89 M Green Respiratory insufficiency. Parkinson’s disease and pneumonia Pneumonia and Mb Parkinson Impairment between assessments Parkinson’s disease and pneumonia: Increased risk of respiratory failure
12 62 M Yellow Patient was drowned because of boat accident, resuscitation failed Drowning Information not collected or initially unavailable Correct information gathering is essential in trauma
13 37 M Yellow Same boat accident, had swam to land. Hypothermia Drowning Information not collected or initially unavailable Correct information gathering is essential in trauma