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Diagnosis: an overlooked procedure in intensive care

  • By

  • Damien Contou

  • October 29, 2026

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  • 1

    Critical care can fail when a diagnosis is missed, delayed, or not reconsidered, even if physiological management is technically proficient.

  • 2

    Physiological optimization and sophisticated monitoring cannot compensate for failure to recognize the underlying diagnosis.

  • 3

    Diagnostic reasoning may require repeated examinations, review of records and medications, recovery of prior tests, and information from families or primary care physicians.

  • 4

    The article emphasizes curiosity, persistence, humility, and continued questioning as essential to diagnosis in intensive care.

  • 5

    Critical care medicine requires technical expertise and diagnostic reasoning, with equal rigor devoted to both.

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