Critically Low Hemoglobin Levels : Key Triage Considerations

Anemia is a commonly encountered condition in primary care, impacting patients across various age groups and clinical backgrounds. Timely diagnosis and appropriate management of anemia—which may stem from iron deficiency, chronic disease, or acute blood loss—are vital to ensure patient safety and optimal outcomes. In settings where results may be communicated late (e.g., from pathology labs after hours), a structured and patient-friendly approach is crucial. By confirming result accuracy, engaging in clear communication with patients (and carers), and collaborating with the on-call team, clinicians can make prompt, informed decisions—whether that involves further diagnostic testing such as a faecal immunochemical test (FIT) or referral for specialist evaluation. This streamlined process helps identify the root cause of anemia and guides evidence-based treatment, ultimately improving patient care and satisfaction.

Key First Step: Confirm Result Accuracy
Check hospital, GP records, or previous encounters to verify the lab details (patient identifiers, date/time of sampling) and rule out technical errors. Compare the new reading with any past Hb levels to determine if the drop is chronic or acute.