Emergency Medicine Journal 2005;
22:200-204; doi:10.1136/emj.2004.022483
Emerg Med J 2005; 22:200-204
© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine
The ABC of community emergency care
10 Nausea, vomiting and fever
J Hall1,
P Driscoll2
1 GP Bromsgrove, Hon Lecturer in Emergency Care, Department of Anaesthetics, University of Birmingham, Birmingham, UK
2 Consultant in Emergency Medicine, Hope Hospital, Manchester, UK
Correspondence to:
Correspondence to:
John Hall
fjh999@aol.com
| The first 150 words of the full text of this article appear below. |
Nausea, vomiting, and fever are extremely common presenting complaints in pre-hospital medicine. They are often symptoms of a minor, self-limiting illness but can also be an early, or only, marker of an underlying, potentially life-threatening medical condition.
BOX 1 Article Objectives- Perform a primary survey to identify and treat any life-threatening problem
- Identify key factors in the history and examination (as part of the secondary survey), which will be needed to identify the severity of the underlying condition as well as its possible cause
- To consider a list of differential diagnoses
- To introduce the concept of ‘little sick/big sick’
- Discuss treatment based on likely diagnoses and whether home or hospital management is appropriate
- Consider the need and practicality of follow up if not admitted
PRIMARY SURVEY
On first contact with the patient an assessment needs to be made as to whether they are Primary Survey Positive. If so the person requires immediate appropriate treatment . . . [Full text of this article]
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