Key Points to Remember Perform an ‘End-Of-The-Bed-O-Gram’: Look at the patient. Look at the observation chart. Speak to the nurse. Use the ‘system of 5′: History Examination Onset Progression Duration Associated Symptoms Risk Factors Consent Inspection Palpation Percussion Auscultation Investigations Management Bedside tests Blood tests Microbiology Imaging Specialist tests Does the patient need oxygen? Fluid balance: IV fluids? Urinary catheter? Drugs: Analgesia, Anti-emetic, Antibiotics VTE prophylaxis Escalation Rate This Article