{"id":81,"date":"2010-01-21T06:40:54","date_gmt":"2010-01-21T01:10:54","guid":{"rendered":"http:\/\/www.snake-scorpion.com\/?page_id=81"},"modified":"2010-01-21T06:40:54","modified_gmt":"2010-01-21T01:10:54","slug":"2-6-referral-aspects","status":"publish","type":"page","link":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/section-ii-scorpion-sting\/2-6-referral-aspects\/","title":{"rendered":"2.6 Referral aspects"},"content":{"rendered":"<p>The medical offi cer who is treating the cases of scorpion sting should take meticulous<br \/>\ncare to look into the patient\u2019s status and provide fi rst aid as well as supportive measures<br \/>\nbefore referring the cases to higher centre \/ specialist(s). The details are furnished in<br \/>\nTable 24 below.<br \/>\nTable No. 24: Referral aspects for scorpion sting<br \/>\nWho needs<br \/>\nPatient requiring<br \/>\n\u2022 Respiratory support<br \/>\n\u2022 Cardiac failure\/shock<br \/>\n\u2022 Surgical intervention<br \/>\n\u2022 Spontaneous<br \/>\npersistent bleeding<br \/>\n\u2022 Co-morbid diseases<br \/>\n\u2022 Acute impending<br \/>\nkidney failure<br \/>\n\u2022 Multi-system<br \/>\ninvolvement<br \/>\nWhen to refer<br \/>\nRefer the patient after<br \/>\nstabilising the case and<br \/>\nafter giving Tab.Prazosin<br \/>\nand other supportive<br \/>\nmeasures (refer to<br \/>\nAnnexure VIII and X)<br \/>\nWhere to refer<br \/>\nRefer to higher institution<br \/>\nhaving ventilator and other<br \/>\nmeasures to provide<br \/>\nfurther supportive<br \/>\ntreatment.<\/p>\n<p>Instructions while referring<br \/>\n\u2022 Inform the need for referral to the patient and \/ care giver [family member or<br \/>\nthe accompanying attendant]<br \/>\n\u2022 Give prior intimation to the receiving center<br \/>\n\u2022 Arrange for an ambulance<br \/>\n\u2022 Transfer in a vehicle to Secondary Care Hospital or Tertiary Care Hospital<br \/>\nwhere facilities are available for further management<br \/>\n\u2022 Continue life support measures<br \/>\n\u2022 Provide airway support with the help of an accompanying staff<br \/>\n\u2022 Send the referral note with details of treatment given<br \/>\n\u2022 Instruct one staff to accompany the patient during transportation if required<br \/>\n\u2022 Hand over the referral form (Annexure V) with details regarding treatment<br \/>\ngiven<br \/>\n\u2022 Mention the clinical status at the time of referral clearly in the referral form<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The medical offi cer who is treating the cases of scorpion sting should take meticulous care to look into the patient\u2019s status and provide fi rst aid as well as supportive measures before referring the cases to higher centre \/ specialist(s). The details are furnished in Table 24 below. Table No. 24: Referral aspects for [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":63,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-81","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/pages\/81","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/comments?post=81"}],"version-history":[{"count":0,"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/pages\/81\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/pages\/63"}],"wp:attachment":[{"href":"https:\/\/doctorbruno.info\/snake-bite-scorpion-sting-protocol\/wp-json\/wp\/v2\/media?parent=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}