TY - CHAP M1 - Book, Section TI - Initial Evaluation of The Patient: Vital Signs and Toxic Syndromes A1 - Nelson, Lewis S. A1 - Howland, Mary Ann A1 - Lewin, Neal A. A1 - Smith, Silas W. A1 - Goldfrank, Lewis R. A1 - Hoffman, Robert S. A2 - Nelson, Lewis S. A2 - Howland, Mary Ann A2 - Lewin, Neal A. A2 - Smith, Silas W. A2 - Goldfrank, Lewis R. A2 - Hoffman, Robert S. PY - 2019 T2 - Goldfrank's Toxicologic Emergencies, 11e AB - For more than 200 years, American health care providers have attempted to standardize their approach to the assessment of patients. At the New York Hospital in 1865, pulse rate, respiratory rate, and temperature were incorporated into the bedside chart and called “vital signs.”9 It was not until the early part of the 20th century, however, that blood pressure determination also became routine. Additional components of the present standard emergency assessment, such as oxygen saturation by pulse oximetry, capillary blood glucose, and pain severity, are sometimes considered vital signs. Although they are essential components of the clinical evaluation and are important considerations throughout this text, they are not discussed in this chapter. Similarly, invasive and noninvasive modalities for the bedside assessment of organ function, such as capnometry, focused ultrasonography, arterial Doppler analysis, arterial catheterization, and tissue oxygen saturation, are not discussed here but appear in relevant sections of this textbook.1 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1163006848 ER -