Rotation 2 Case 2

70 year-old lady admitted with shortness of breath after calling the GP to see her this afternoon. The day team have ordered a chest x-ray but done nothing else before you get called to see her because of a high NEWS (National Early Warning Score)

What does this mean, what are you going to do.....what do you want to know about her shortness of breath.....what do you review first the patient or the x-ray??

Part 2

She's just come in so no trend in NEWS, but that is a good idea normally......agree that looking at the individual elements is important.....scoring 3 for a bit of O2 and sats of 94 is very different to scoring 3 for high resp rate
Always remember that any scoring system will over and under score in certain circumstances
So.....
A: patent
B: rate 30, sats 85 on 15l, bilateral AE with crepitations at  both bases
C: cold and clammy, HR130, BP 150/85
D: conscious

Here is the X-ray.....what are you going to do next??