Transitioning form the world “downstairs” chaotic world of Emergency Medicine to the order and control of Intensive care has been interesting. Here some things I have learnt in the first month. 1/ Time is a better diagnosticians than any test. Much effort is made to run every serum rhubarobiliarium and scan every conceivable part of our complex patients. However time seems to be a much greater predictor than anything else. “slow to wake up” is a telling phrase. This is a luxury I did not have in the Emergency department. 2/ Positive outcomes are complicated. Researchers work hard to define these. But for us day to day clinicians this…
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