Phone Call to Service Continuity of care: "Doctor, my son is 21 and has just returned from the mountain. He skied all day and now has 38 of fever. " "The fever from the time lady?" "From a few hours and has no other symptoms, just chills." "It 's very likely to have a sweat and to cool down, gave him paracetamol?" "Yes, but the fever does not go down." "Well, these symptoms do not allow for the time being to establish a diagnosis and will continue with paracetamol if you are over 38 and with hydration. If you have news you again. " But that day, the physician, is a lucky day. From the same street, even from the same block, a lady called for her husband diabetic. The doctor, given the need for home visits for the elderly patient and the proximity of the home, call the mother of the boy announced his arrival: "Madam, I come to look even to his son." The doctor, once entered the home has a start, it sees the dark spots on the skin of the lower limbs are very similar to petechiae. "It 'must do now of the inspection, you must bring your son in hospital. " "But doctor, the fever is only an hour and as you said I would try with paracetamol." "Look, I call an ambulance immediately." "But I agree absolutely, because he wants to send my son to the hospital?. What do you think? "After an impassioned debate, the doctor manages to convince the woman. Arriva 118 and the young man was admitted initially in infectious disease gets worse in the morning and was taken to intensive care. After a few hours, despite therapy, died of DIC (disseminated intravascular coagulation). Question: What would happen if my colleague had merely suggest (as everyone seemed should do) the only paracetamol? Medicine is often a blend of science, consciousness and ass!
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