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Fifteen-minute consultation: Safety netting effectively.

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journal contribution
posted on 29.04.2019, 09:25 by Sebastian Jason Gray, Ian D. Wacogne, Damian Roland
The incidence of life-threatening illness in children is at an all-time low while presentations and admissions to hospital increase.1 Healthcare professionals who have first contact with children and young people have a challenging job in judging who needs referral to secondary services and who can continue to be safely managed out of hospital. While the vast majority of children presenting for medical assessment have minor illnesses requiring little or no intervention, diseases evolve and early symptoms and signs may be very non-specific. Analysis of primary care records and retrospective questionnaires showed only half of meningococcal disease was detected at first presentation to primary care physicians.2 However, as evidence suggests that serious illness can superimpose on self-limiting infection3 not all returning patients could, or should, have been treated at first presentation. Given delayed or missed diagnoses can lead to catastrophic personal, societal and financial consequences; at the point of discharge, the advice given the families and carers is of critical importance.

History

Citation

Archives of Disease in Childhood.education and Practice Edition, 2018

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences

Version

AM (Accepted Manuscript)

Published in

Archives of Disease in Childhood.education and Practice Edition

Publisher

BMJ Publishing Group

eissn

1743-0593

Acceptance date

07/10/2018

Copyright date

2018

Available date

29/04/2019

Publisher version

https://ep.bmj.com/content/early/2018/11/13/archdischild-2018-315991

Language

en

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