Coughing up blood from a perforated bowel?? :dubious:
#1 Most people wouldn’t recognize vomited blood from a bleeding ulcer as blood (it looks kinda like coffee grounds unless its really flowing).
#2 IIRC usually the blood is coming out the other end for most bowel bleeds.
#3 More than a few drug seekers will do things like bite their tongue trying to simulate bigger problems.
#4 From the picture she looks a little on the hefty side. If she normally has high blood pressure a sloppy triage, like failure to ask for a brief past medical history, she could have a perfectly reasonable looking blood pressure and be deemed a lower priority even though she was in trouble…
#5 Drug seeking behavior is far from isolated to inner city crack-ho types. MANY people especially those coming off of recent surgery confuse narcotic withdrawl with a “problem” needing medical intervention.
I was involved with quite a few back in the day, at the time we were providing NICU transfer services to the local childrens hospital from. Hour+ code-3 runs all the time from all over central CA back into Fresno. Zooom!
Still we are talking like 1% of local call volume, our NICU transfer coverage was for something like 17 counties.