I am about a decade into my current ER doc job. I don’t quite have a Gibbs’ rules yet, but I do have a few rules for the ER. For instance:
If a patient was walking recently, and can’t walk out of the ER, you’d damn better know why.
If a patient or family member asks “could it be ___”, you better realllllly think it through.
If your immediate reaction to a patient is bad, check your bias by being more thorough than usual.
Always read your own imaging studies before reading the radiology report