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🩺 On-Call Clinical Problem Solving – A Quick Guide for Medical Students and Doctors

βœ… Standard Steps (when you have time):

  1. Talk to the patient – Take a full history (~30–40 mins).
  2. Examine the patient – Full physical check.
  3. Review tests – Labs, imaging, etc.
  4. Make a diagnosis – Include possible alternatives.
  5. Plan treatment – Start care and plan follow-up.

⚠️ In Emergencies (e.g., unconscious patient):

  • Do everything at the same time: history, exam, tests, treatment.
  • Focus immediately on:
    • Airway, Breathing, Circulation (ABCs)
    • Vital signs
    • Anything life-threatening

πŸ€” Common Medical Student Challenge:

  • You get called for problems like chest pain or fever.
  • You feel unsure without a full workup.
  • You don’t have an hour per patientβ€”must prioritize fast.

  1. Phone Call – Judge urgency, give basic orders, tell the nurse what to do until you arrive.
  2. While Walking – Think: β€œWhat are the likely and dangerous causes?”
  3. At the Bedside – Rule out life-threatening issues first.
  4. Then – Do a quick history, exam, and start management.

This system helps you stay efficient and safe when time is tight.