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The primary approach to a patient in the emergency department is an essential part of the patient's care. Its main objective is to make an initial assessment of vital functionsand stabilize them. The emergency context makes primary assessment more difficult. The medical team's fear is to miss a lesion that could jeopardize vital or functional prognosis in the short or long term, thus increasing morbidity and mortality. An overlooked lesion is defined as a lesion that has not beenor reported during the initial phase of management, and which may be life- or function-threatening. Hence the need for a standardized approach, with reassessment of the efficacy of therapeutic actions implemented at the same time as clinical reasoning and diagnosis progress.
Über den Autor / die Autorin
Dr Maaroufi Neila, Associate Professor of Emergency Medicine, Head of the Emergency Department at a general hospital in north-west Tunisia. With several university degrees in medical pedagogy, research methodology, medical ethics, acute pain and palliative care, hospital governance and management.
