AEC referrals

COVID-19 and Ambulatory Emergency Care referrals

In these unprecedented times we are changing the way we work over the next few months and in particular who we see in the Acute Medicine Unit and Ambulatory Emergency Care.
Please continue to refer patients in whom you believe that same day emergency care is appropriate
Considering a patient for Same Day Emergency Care? Please calculate the AMB score.

If the Amb score ≥5, consider referral to Same Day Emergency Care if:
• The patient does not have COVID-19 criteria (fever ≥37.8°C and at least one of the following which must be of acute onset: persistent cough (with or without sputum), hoarseness, nasal discharge or congestion, shortness of breath, sore throat, wheezing, sneezing)
• The patient has no need for isolation (‘flu, diarrhoea/vomiting, risk of CPE OR the patient is immunocompromised)
• The patient has no need for oxygen – unless on home O2
• The patient is not bedbound (this can be discussed)
• There is no other existing outpatient or community service that could more appropriately meet the patients ‘needs? (for example the rapid access chest pain clinic is suitable to assess new onset of cardiac chest pain within the last 4 weeks prior to referral)

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