Yep. Sometimes, especially when gestalt/"6th sense" doesn't pick up on any non-medical overtones, I take heed with run-of-the-mill average people who become slightly concerned about themselves, especially after tolerating their symptoms for a couple of days. Not talking about the one who can't endure the average sniffles anymore, but the guy who figured he should find out why his FACE and LIPS feel swollen - I'm sure many here can imagine the scenario/patient I'm trying to describe! Angioedema of course has other triggers, so I might even persist in my concern after clearing his med list....the potential trigger I'd think of would be his report of recent likely-viral illness (by his description)
BTW, I find it interesting and validating that the ESI manual mentions "sixth sense"!!!
Is This a High-Risk Situation?
Based on a brief patient interview, gross observations, and finally the “sixth sense” that comes from experience, the triage nurse identifies the patient who is high risk. Frequently the patient's age and past medical history influence the triage nurse's determination of risk.