Table 4.

Qualitative data on the 13 cases upgraded to red priority grade

Case	Age	Sex	Initial priority	Clinical status when examined	Clinical diagnosis	Reason for upgrading	Possible learning implication
1	90	M	Green	Dyspnea, pulmonary congestion	Pulmonary edema	Clinical examination needed	Beware of acute dyspnea in elderly patients
2	83	M	Yellow	Chest pain, ECG shows ST-elevation	Myocardial infarction	Clinical examination needed	Beware of long-lasting “angina”
3	67	F	Yellow	Cardiac arrest	Cardiac arrest	Impairment between assessments	Acute cardiac symptoms may develop into cardiac arrest
4	72	M	Yellow	Pallor, tachycardia, sweating, ECG: ventricular tachycardia	Ventricular tachycardia	Clinical examination needed	Acute tachycardia is not necessarily of pre-ventricular origin
5	33	M	Yellow	Abdominal pain, abdominal wall tenderness	Acute abdominal pain	Clinical examination needed	Beware of confusion by information of familiar gastroenteritis
6	73	F	Yellow	Pre-shock because of gastrointestinal hemorrhage	Gastrointestinal hemorrhage	Information not collected or initially unavailable	Beware of signs of GI hemorrhage by call receipt
7	90	M	Yellow	Pre-shock because of gastrointestinal hemorrhage	Gastrointestinal hemorrhage	Information not collected or initially unavailable	Beware of signs of GI hemorrhage by call receipt
8	31	M	Yellow	Chest pain, dyspnea, tachypnea	Pulmonary embolism?	Clinical examination needed	Beware of combination of acute dyspnea and chest pain
9	41	F	Green	Drooling, unable to swallow, near-obstruction of fauces	Acute epiglottitis?	Clinical examination needed	Beware of excessive swallowing problems and hyperpyrexia
10	45	M	Green	Somnolence/stupor	Somnolence	Information not collected or initially unavailable	Beware of information of multiple consciousness absences
11	89	M	Green	Respiratory insufficiency. Parkinson’s disease and pneumonia	Pneumonia and Mb Parkinson	Impairment between assessments	Parkinson’s disease and pneumonia: Increased risk of respiratory failure
12	62	M	Yellow	Patient was drowned because of boat accident, resuscitation failed	Drowning	Information not collected or initially unavailable	Correct information gathering is essential in trauma
13	37	M	Yellow	Same boat accident, had swam to land. Hypothermia	Drowning	Information not collected or initially unavailable	Correct information gathering is essential in trauma