Red flags, uncertainty and escalation

Red flags are agreed triggers that tell you to stop routine routing and follow the practice escalation process; they are not a test of clinical knowledge.
If the patient gives worrying information, does not fit the template, sounds acutely distressed or cannot safely use the suggested route, escalate rather than attempt to resolve the problem alone.
Escalate when
- The protocol says to escalate.
- The patient may need urgent help.
- The patient mentions severe distress, deterioration or immediate risk.
- There is a safeguarding concern.
- The route is unclear, blocked or unsafe.
- You are unsure what the safe next step is.
Uncertainty is a valid reason to escalate; it is not a personal failure.
What happens when you call 999 and how you can help us help the patient
Video: 2m 49s · Creator: London Ambulance Service. YouTube Standard Licence.
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