💡 4 Practice Shifts That Save Lives

Old → Evidence-Based:

❌ Wait for labs to worsen → ✅ Escalate on clinical presentation
❌ Diagnose gastroenteritis → ✅ Diagnosis of exclusion in elderly
❌ Expect classic signs → ✅ Expect atypical in elderly (80%)
❌ Soft abdomen = reassurance → ✅ Pain out of proportion = escalation

When in doubt, escalate. The cost of delay far exceeds the cost of a consult.