You are an emergency room nurse and have just clocked in and gotten report on your four patients. Which patient should you see first?

 

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Correct

- 77 year old male with a GI bleed, pale skin and hypotension

- 26 year old female with ear drainage that is yellow. Patient has a history of eustacian tube cancer.

- 92 year old male with a fall and arm pain with obvious deformity

- 45 year old female with a typical migraine, history of migraines, home medications are not working

Rationale

Your patient the GI bleed and hypotension is a conern. They will likely go into hypovolemiv shock soon and they need to be evaluated immediately. All other patients are stable, the fall would be seen next followed by either the ear drainage or migraine.

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