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(This title is available on demand : expected date of dispatch will be 4-7 working days once ordered) Early recognition of the signs of deterioration in a patient has a significant impact on the rates of admission to ICU. Clear clinical warning signals become evident 6-8 hours prior to cardiac arrest. Acute care: clinical assessment and treatment of acutely ill patients details a system that identifies the patient at risk and outlines appropriate interventions to either avert admission to ICU or ensure the patient receives optimal care prior to being transferred to ICU.