Case 2: Presentation

Mr Jamieson

Observations:

Respiratory Rate: 24 breaths/min 24 breaths/min, rising respiratory rate, coupled with shallow breathing

SpO2: 96% on air

Heart Rate: 119 bpm 119 bpm, body is trying to compensate for the drop in BP

Blood Pressure: 87/56 87/56, dropped in circulatory volume

Temperature: 36.2

GCS: 13/15 (E3V4M6) 13/15 (E3V4M6), decreased perfusion to the brain

If the patient presented differently..

  • Mr. Jamieson reported that the bleeding started 3 hours ago and he was not able to control the bleeding
  • Furthermore, he mentions that he has gone through around 4-5 fresh towels that he brought along
  • On examination, blood can be seen actively dripping from his right nostril and you are unable to clearly identify a bleeding point
  • His observations are shown below:

Question:

In this presentation, which signs are of concern if any?
(select all that apply)

Respiratory rate     green tick
SpO2    
Heart rate     green tick
BP     green tick
Temperature    
GCS     green tick
No concerns    
Well done. You have scored 7 out of 7.