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Red Flags & Referral Guide
Urgent referral priorities include hemodynamic instability, severe respiratory distress, acute neurologic deficit, sepsis, high-risk chest pain, surgical abdomen, major hemorrhage, severe electrolyte disturbance, toxic ingestion, and danger to self or others.
How to use this resource
Apply this guide during case practice, Study Mode review, and post-exam remediation. Always integrate the patient’s clinical condition, preferences, contraindications, current medications, and need for conventional medical assessment.
NPLEX exam approach
- Identify the safest priority before selecting a treatment.
- Distinguish urgent referral from routine follow-up.
- Choose the most appropriate next step, not every possible step.
- Check interactions, contraindications, and monitoring requirements.
- Reassess response and define escalation criteria.