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ExampleMedical chronology · Medical malpractice · Defense

Emergency department triage and sepsis recognition

EmergencyICU / Critical care

Brief

Patient triaged as ESI 3 waited four hours before antibiotics and later required ICU admission for septic shock. We need a chronology from arrival through ICU transfer, focused on triage, reassessments and when sepsis criteria were first met.

What we need

  • Minute-by-minute chronology from arrival to ICU
  • When each SIRS/qSOFA criterion appears in the record
  • Summary of nursing reassessments

Records

ED record, triage notes, vital sign flowsheet, lab results with times, ICU admission note.

On a real case, records open in the encrypted workspace only to the consultant the firm hires.