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What is the initial management for this patient?
On review an hour later, the patient has continued to vomit and appears drowsy. Clinically, her GCS is now 14, heart rate 122bpm and BP 92/68. Her blood results include Na 131, K 5.0, Ur 7.0, Creat 78, Glucose 2.7
With the patient’s presentation and initial investigation results, where would be the most suitable location for her continuing care?
The same patient is involved in a road traffic collision, paramedics stated that she seemed well at the scene, however, on presenting to ED, she appeared slightly shocked by the events and complaining of abdominal pain. At triage, she had a slight tachycardia of 118bpm, everything else was normal.
How should she be managed at triage?