Assessment of Unwell Patient (CCrISP – Care of the Critically Ill Surgical Patient)

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We are currently living in unprecedented times. As doctors, nurses and allied healthcare workers, we all want to help our patients while supporting each other to the best of our abilities. The emerging evidence from the COVID-19 pandemic is that, in the absence of any curative option, the best outcome for our patients will be prompt, organised, systematic supportive care.

To that end, we would like to share some materials with you from the START (Systematic Training in Acute Illness Recognition and Treatment) and CCrISP (Care of the Critically Ill Surgical Patient) courses, which teach a common algorithm for assessing unwell patients. We believe making this algorithm publicly available will help us all to provide prompt, organised, systematic supportive care in these difficult times.

Systematic Training in Acute Illness Recognition and Treatment

Advice in the treatment of patients of Covid-19 is rapidly changing. We strongly advise in addition to the material in this resource bank, you refer to the latest guidance by PHE and NICE guidelines.

Whilst the advice and information in this Resource Bank are believed to be true and accurate at the date of publishing, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.

The START course and all associated materials are copyright of the Royal College of Surgeons of England

The Human factors

You may be a medical student, a retired medical returning to support the NHS at this challenging time, or a clinician stepping up to an unfamiliar environment. We will ALL be anxious, and personal reflection will inevitably lead you to question your own abilities, in these testing times. The Human Factors section from START will help with this