Sample Clinical Question 1
You are the general surgical SHO on call and are fast-bleeped by the surgical ward as a patient has vomited a large volume of fresh, red blood in front of the nursing staff.
Describe how you would approach this scenario?
The patient has vomited around 500ml of fresh blood and a further 250ml since you assessed him. He is slightly tachycardic with a slightly low BP but otherwise ok at present. How will you resuscitate him?
The patient's haemoglobin comes back as 11.5. Is this an accurate reflection of his current blood volume?
Give some potential causes for the above patient's symptoms