210 – Xray of hope

“…so can you please do this urgently? He’s really unwell” you plead to the radiographer.

The radiographer says the patient sounds too unwell to come down to the department. She can instead come up to the ward.

The patient’s daughter has just swung by. She’s a friendly neighbourhood gastroenterologist and was just wondering if a PPI might be worth trying.

Insert NG tube whilst awaiting xray

Give pantoprazole IV whilst awaiting xray

Forget the xray, crossmatch 4-6 units RBCs and get a VBG