The Modified Early Warning Score (MEWS) is a tool used to identify patients who are at risk of clinical deterioration. It helps healthcare professionals recognize early signs of deterioration in a patient’s condition, allowing for timely intervention. The score is based on a series of physiological parameters and observations that are routinely measured, such as:

Respiratory Rate (RR)

Heart Rate (HR)

Systolic Blood Pressure (SBP)

Temperature

Level of Consciousness (Glasgow Coma Scale, GCS)

Each parameter is scored, and the total score is calculated to determine the level of concern.Scoring Interpretation:
0-4 points: Low risk of deterioration.

5-6 points: Moderate risk of deterioration, needs closer monitoring.

7 or more points: High risk of deterioration, immediate intervention required.

Use in Practice:
MEWS is used as a clinical decision support tool in hospitals to guide healthcare professionals in identifying patients who might need further assessment, higher levels of care, or escalation of treatment. It is typically used in the acute care setting (e.g., emergency departments, intensive care units) and can help in making decisions about escalation of care, such as calling for urgent medical support, or transferring patients to higher levels of care.

Inadvertent
بی ملاحظه، سهو، غیر عمدی، حقوقی: سهوی

aerobic bottle for blood culture

anaerobic bottle for blood culture

#Blood_Culture Collection - #OSCE Guide

🦠 Notifiable Infectious Diseases (examples in the UK) include:
Tuberculosis

Influenza (especially novel strains like H1N1)

Swine flu (H1N1 – was especially important during the 2009 pandemic)

Tangential speech or tangentiality is a communication disorder in which the train of thought of the speaker wanders and shows a lack of focus, never returning to the initial topic of the conversation.[1] It tends to occur in situations where a person is experiencing high anxiety, as a manifestation of the psychosis known as schizophrenia, in dementia or in states of delirium.[2] It is less severe than logorrhea and may be associated with the middle stage in dementia.[1] It is, however, more severe than circumstantial speech, in which the speaker wanders but eventually returns to the topic.[3

گفتار مماسی یا مماس اختلال ارتباطی است که در آن رشته فکری گوینده سرگردان است و عدم تمرکز را نشان می دهد و هرگز به موضوع اولیه گفتگو باز نمی گردد.[1] این معمولاً در موقعیت‌هایی رخ می‌دهد که در آن فرد اضطراب بالایی را تجربه می‌کند، به عنوان تظاهرات روان پریشی معروف به اسکیزوفرنی، در زوال عقل یا در حالت‌های هذیان.[2] شدت آن کمتر از لوگوره است و ممکن است با مرحله میانی زوال عقل همراه باشد.[1] با این حال، شدیدتر از گفتار غیرمستقیم است، که در آن گوینده سرگردان است اما در نهایت به موضوع باز می گردد.[3]

reprimand /ˈrep.rɪ.mɑːnd/ US /-rə.mænd/
verb [T] FORMAL
to express to someone your strong official disapproval of them
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