The First Impression

  • Martin W. DünserEmail author
  • Daniel Dankl
  • Sirak Petros
  • Mervyn Mer


The moment when a patient is first seen during acute or critical illness is crucial. It passes by quickly, but it conveys so much information that it deserves to be specifically addressed. Only when the clinician is aware of the importance of this first encounter can the mind be sharpened and all relevant information collected. The first impression of the patient and their surroundings, on the one hand, sets the basis to have a better comprehension of the disease and may render important information to help identify the correct diagnosis.


  1. 1.
    Rylance J, Baker T, Mushi E, Mashaga D (2009) Use of an early warning score and ability to walk predicts mortality in medical patients admitted to hospitals in Tanzania. Trans R Soc Trop Med Hyg 103:790–794CrossRefPubMedGoogle Scholar
  2. 2.
    Cardona-Morrell M, Hillman K (2015) Development of a tool for defining and identifying the dying patient in hospital: Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL). BMJ Support Palliat Care 5:78–90CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Martin W. Dünser
    • 1
    Email author
  • Daniel Dankl
    • 2
  • Sirak Petros
    • 3
  • Mervyn Mer
    • 4
  1. 1.Department of Anesthesiology and Intensive Care MedicineKepler University Hospital, Johannes Kepler University LinzLinzAustria
  2. 2.Department of Anesthesiology, Perioperative Medicine and General Intensive CareSalzburg University Hospital and Paracelsus Private Medical UniversitySalzburgAustria
  3. 3.Medical Intensive Care Unit and Centre of Haemostaseology, University Hospital LeipzigLeipzigGermany
  4. 4.Divisions of Critical Care and Pulmonology, Department of MedicineCharlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences University of the WitwatersrandJohannesburgSouth Africa

Personalised recommendations