MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A previously independent 74-year-old woman becomes confused and markedly weak during a suspected infection. Her family asks to wait for tests planned tomorrow. She is breathing faster than usual and has passed little urine.
Should the scheduled tests precede referral?
No. Neurological, respiratory and urinary changes raise concern for organ dysfunction, including possible sepsis. Assess vital functions, activate emergency care and communicate the timeline. Available tests may accompany transfer but must not become a prerequisite for accessing urgent care.