You are called to see a 92 yo woman. Her obs are shown below (1522). What do you do next?
Follow the Survive Sepsis protocol: http://www.survivesepsis.org/#/sepsis-six/3525187
Give a fluid challenge and reassess
Look for "one on the floor, and four more" as a source of a bleed, cross match 6 units and take Hb and coag, start O neg blood
Take an ECG/Troponin, assess carefully for evidence of heart failure, start aspirin 300mg whilst awaiting confirmatory tests for ACS
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