Table 3

 Investigations, primary diagnoses, treatment, and outcome from accident and emergency department notes of the 35 patients classified by at least one panellist as requiring an ambulance within 14 minutes

Case no (sex, age)InvestigationsPrimary diagnosesAnatomical siteTreatmentPrescriptionsOutcome
1 (M, 69 years) BacteriologyCNS (exclude stroke)N/AIV fluidsIV CefotaximeAdmission: Medicine
2 (F, 2 years) Urine bacteriologyUTI, CNS (exclude stroke)N/ANot recordedNot recordedAdmission: Paediatrics
3 (F, 83 years) X-ray, urine testClosed fractureHipIV fluids, parenteral analgesiaMorphineAdmission: Orthopaedics
4 (F, 65 years) X-ray, ECG, haematology, biochemistryRespiratory: COPDN/AOther parenteral drugsDoxapram, salbutamol, frusemide, ipratropiumAdmission: Medicine
5 (F, 60 years) X-ray, ECG, biochemistryUrinary tract infectionN/AOral drugsTrimethroprinAdmission: Observation ward
6 (F, 35 years) ECG, haematology, cross-match, biochemistry, urineAcute myocardial infarctionN/AObservation, oral analgesiaBuccal GTNAdmission: Medicine
7 (M, 84 years) X-ray, haematology, cross-match, biochemistryClosed fractureHipNone recordedNot recordedAdmission: Orthopaedics
8 (F, 93 years) X-ray, ECG, haematology, biochemistry, bacteriologyCollapse ?causeN/AObservationNot recordedAdmission: Orthopaedics
9 (F, 48 years) X-ray, haematology, biochemistryAcute abdominal painAbdomenNone recordedNot recordedAdmission: Surgery
10 (F, 77 years) Biochemistry, haematologyLocal infectionAbdomen rightIV fluidsOther parenteralAdmission: Surgery
11 (F, 19 years) Biochemistry, haematology, urineGynaecological conditionsAbdomenNone recordedNot recordedAdmission: Gynaecology
12 (F, 83 years) X-ray, ECG, haematology, biochemistry, urineCerebrovascular conditionN/ANone recordedNot recordedAdmission: Geriatric
13 (F, 55 years) X-ray, ECG, haematology, cross-match, urineCollapse ?causeN/AIV fluidsObservationAdmission: Medicine
14 (M, 51 years) ECG, haematology, biochemistryCollapse ?causeN/ANone recordedInsulinAdmission: Medicine
15 (F, 48 years) Haematology, biochemistryCNS conditions. (exclude stroke)N/AObservationNot recordedAdmission: Medicine
16 (M, 52 years) X-ray, ECG, haematology, biochemistry, urine, bacteriology? hepatitis, ?pulmonary embolismAbdomenIV fluidsNot recordedAdmission: Medicine
17 (F, 86 years) X-ray, haematology, biochemistry, urine, bacteriologyUTIN/AIV fluids, parenteral drugsCefuroxineAdmission: Medicine
18 (F, 86 years) Haematology, biochemistryNerve injuryNeckNone recordedNot recordedAdmission: Orthopaedics
19 (M, 74 years) NoneOther vascular conditions.Lower leg bilateralOral analgesiaNot recordedAdmission: Medicine
20 (F, 18 years) Haematology, cross-match, biochemistry, urineGynaecological conditionsAbdomenIV fluidsNot recordedAdmission: Gynae
21 (M, 79 years) X-ray, ECG, haematology, biochemistryCerebrovascular conditionsN/AGuidance: writtenNoneDischarge: Home
22 (M, 6 years) NoneAllergyN/ANone recordedNot recordedDischarge: Home
23 (M, 38 years) X-ray, ECG, haematology, biochemistryRespiratory conditions. Other non-asthmaN/ANone recordedAmoxycillin, paracetamol, salbutamol inhalerDischarge: GP
24 (M, 45 years) X-ray, ECG, haematology, biochemistryCNS conditions. Other non-epilepsy Alcoholic DTsN/AOral drugsVitamin B compound, thiamine, diazepamDischarge: GP
25 (F, 57 years) NoneAllergyN/AParenteral drugsAdrenalineDischarge: self
26 (F, 80 years) X-rayClosed fractureFoot leftBandageCodydramolDischarge: Home Outpatients clinic
27 (F, 2 years) NoneLacerationFaceSteristrips, wound glueNot recordedDischarge: Home
28 (F, 23 years) HaematologyAllergyN/AOral drugs, parenteral drugsChlorpheniramine, hydrocortisoneDischarge: Home
29 (F, 75 years) NoneLacerationHeadSutures, wound glue, tetanus boosterNot recordedDischarge: GP
30 (F, 19 years) UrineCollapse ?causeN/AObservation, guidance (verbal)Not recordedDischarge: Home
31 (F, 32 years) X-rayLaceration, contusionLower leg leftDressing, wound closure, SteristripsParacetamolDischarge: GP
32 (F, 24 years) ECG, haematology, biochemistryGastrointestinal Acute abdominal painAbdomenParenteral drugsCodydramolDischarge: GP
33 (M, 62 years) Biochemistry urineCNS conditions (exclude stroke), ?epilepsyN/AObservation, guidance (verbal)Not recordedDischarge: GP
34 (F, 2 years) N/ASwallowed coinN/AHome careN/AParent reported patient fine. No A&E or GP attendance occurred
35 (M, 19 years) X-rayClosed fractureAnkleBandage guidance (verbal)CodydramolDischarge: Home