Carl Hennigan

I think they're going to die.

He can't see the patient.

He doesn't know who I am.

Doesn't trust me.

Might never have spoke to me.

Might think it's my first day on the job and I'm having to convince him.

Now, when I'm talking to a colleague of mine who's just as experienced, I can have a discussion that sort of communicates that information.

But sometimes I've got to parcel it right down and go, this person's new score is six.

And in this situation, the person goes, oh, they're at high risk of death.

I better send an ambulance in the next 10 minutes.

That's what they're useful for.

I am going to put that out there for the actual initial decision of what to do.

They're not as useful because that's where you've got to take in the range of clinical experience, expertise and experience.

You've got to take in the range of patients.

There isn't a one size fits all here, is there?

You can't just produce a single score for a 95-year-old and a 60-year-old and one in a nursing home and one at home.

So radically different.

What's really interesting to me is what I find the most useful information is what's changing.

And we've seen that within COVID is, it's not just the number there, it's what's happening over a period of time.

So you might have saturations of 94% and that might be incredibly important if you started at 100 baseline and you've been going for five or six days trending down and you're getting really tired and you're getting confused.