Medicine is an evolving, mobile and fluctuant creature. It is never finished, and neither is your assessment of your patient.

What it is not: See patient, diagnose, start treatment

What it is: See patient, form likely differential, begin most useful treatment, reassess, tweak and alter treatment to optimise response, reassess, reassess, reassess!

The old ABCDE assessment is really:

A, try something, A,B, try something, A, B, C, try something, A, B, C….. etc

If in any doubt, go back and start again.

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