Abstract
The outcome of the traditional diagnostic history and physical depends entirely on the availability, ability and diligence of an individual doctor. An alternative is a team-based approach that performs the following tasks: a focused assessment, monitoring of the response to initial treatment, and then determining what further management is appropriate (calling for urgent help if it is required). This concept is based on risk prediction rather than diagnosis, and is captured by the mnemonic FAITH3 (Focused Assessment, Initial Treatment, hAssessing response, calling for Help and Handing over care).
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References
- Walker H.K. The origins of the history and physical examination. In: Walker H.K., Hall W.D., Hurst J.W. eds. Clinical Methods: the history, physical and laboratory examinations, 3rd Edition. Boston: Butterworths; 1990: 5-21
- Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 2007; 335: 1210–2.
- Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J 2002; 78: 335–8.
- Mackowiak PA. Fever: blessing or curse? A unifying hypothesis. Ann Intern Med 1994; 120: 1037–40.
- Skrastins R., Merry G.M., Rosenberg G.M., et al. Recognition and assessment of critical illness. Clinical assessment of the elderly patient. CMAJ 1982; 127: 203-206
- Pompei P, Charlson ME, Douglas RG Jr. Clinical assessments as predictors of one year survival after hospitalization: implications for prognostic stratification. J Clin Epidemiol 1988; 41: 275-84.
- Smith G.B., Prytherch D.R., Schmidt P.E., et al. Review and performance evaluation of aggregate weighted “track and trigger” systems. Resuscitation 2008; 79: 11-21.
- Kellett J. Prognostication – the lost skill of medicine. European Journal of Internal Medicine 2008; 19: 155-164.
