Spontaneous Heterotopic Pregnancy Associated with Massive Intraperitoneal Haemorrhage and a Normal Heart Rate, Illustrating the Concept of Relative Bradycardia
Table 1
Observations/vital signs.
Time
1105
1120
1150
1230
1230
1255
1320
1445
1450
1505
1720
1745
Location of patient
On scene
En route to hospital
Emergency department
Emergency department
Emergency department
Emergency department
Emergency department
Early pregnancy unit
Early pregnancy unit
Early pregnancy unit
Early pregnancy unit
Anaesthetic room
Respiratory rate (breaths per minute)
20
20
16
25
N/R
16
16
N/R
20
N/R
21
N/R
Oxygen saturation in air (%)
100
100
99
97
N/R
100
100
94
98
N/R
N/R
N/R
Heart rate (bpm)
70
70
112
69
N/R
71
69
71
62
73
82
86
Blood pressure (mmHg)
108/71
106/61
115/59
93/57 (right)
94/61 (left)
105/68
101/79
100/63
117/72
97/68
102/68
108/62
Colour
Normal
Normal
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Conscious level
Alert
Alert
Alert
Alert
Alert
Alert
Alert
Alert
Alert
Alert
Alert
N/R
Blood sugar level (mmol/L)
5.7
5.7
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Temperature (°C)
36.5
N/R
36.1
35.6
N/R
35.2
36.2
N/R
N/R
36.2
36.7
N/R
Pain score (0-10 scale)
10
8
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
National Early Warning System (NEWS) score
N/A
N/A
2
6
U
U
1
U
U
U
U
U
Key N/A = not applicable (colour not routinely recorded on NEWS chart; blood sugar level not routinely recorded on NEWS chart; pain score not routinely recorded on NEWS chart; NEWS score only used in hospital). N/R = not recorded. U = Unable to calculate due incomplete documentation of observations.
