Difference between revisions of "Train Wreck"
| Line 1: | Line 1: | ||
| − | [[File:Train Wreck.jpg| | + | [[File:Train Wreck.jpg|600px|thumb|right]] |
A '''train wreck''' is a disaster patient that means 1 MAJOR and 2 MINOR criteria below<ref>[https://gomerblog.com/2016/04/diagnostic-criteria-for-a-train-wreck/ Diagnostic Criteria for a “Train Wreck” Patient]</ref>: | A '''train wreck''' is a disaster patient that means 1 MAJOR and 2 MINOR criteria below<ref>[https://gomerblog.com/2016/04/diagnostic-criteria-for-a-train-wreck/ Diagnostic Criteria for a “Train Wreck” Patient]</ref>: | ||
Revision as of 17:22, 16 March 2017
A train wreck is a disaster patient that means 1 MAJOR and 2 MINOR criteria below[1]:
Major Criteria
– Sign out from a colleague on the patient takes more than 5 minutes
– At least 6 consultants on board, one of which is Infectious Diseases or Palliative Care
– Someone utters “I have no clue what’s going on”
– Someone utters that the patient is a “train wreck”
Minor Criteria
– 75% of vital signs and lab results in red (or abnormal) font
– Dyad of coded and Full Code
– Triad of renal failure, atrial fibrillation requiring a drip, and anemia requiring a transfusion
– At least 5 organ systems affected, with at least one still worsening
– At least 5 hospital days spent in the ICU
– At least 3 foreign bodies in place (Foley, central line, NG tube, PICC, drain, etc.)
– At least 2 active infections, one of which is MRSA or C. diff
– Another service should really be the primary team, but are not
– Patient without decision-making capacity AND family nowhere to be found
– Patient’s length of stay > 15 days OR his/her age
– Social Services has given up on a post-hospital plan of care
Related Topics
- Hot Mess
References
|
Fun Stuff
|
