What are you thinking?

  • What life threatening features do you need to identify?

  • What are the possible causes of hypotension and oliguria here?

 

How do you approach this problem?

  • First impression - "sick" or not sick?

  • Assess ABC

  • Check vital signs including temperature, BSL, GCS and pupils

  • Treat life-threatening abnormalities

  • Systematic examination and routine / focused investigations

  • Review the notes, the "SAGO" chart and the drug chart

 

What next?