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Beyond the trigger: recognising and responding to deteriorating patients
Track-and-trigger scores have reshaped how we recognise deterioration — but the score only tells us when to look, not what we're seeing. Physiological reserve, masked deterioration, and cognitive bias, all remind us that clinical judgement remains our sharpest tool for reading the patient behind the number.
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Post-operative fall - using an ABCDE assessment to identify risks
Susan Helmrich
Marjory is a 68 year old in-patient who is 2 days post hip replacement. She is on rivaroxaban (xarelto) for VTE prophylaxis. You find her sitting on the floor of the bathroom, alert but in pain.