case_images: PMC6699354_01
case_images: Patient's blood pressure measurements over the time (hours) since arrival to the emergency department. Systolic blood pressure measurements are displayed above diastolic blood pressure measurements.
case_images: CRIEM2019-2470592.001.jpg
case_images: PMC6699354_01_CRIEM2019-2470592.001.jpg
case_images: fig1
case_images: On reevaluation approximately 4 hours after initial presentation due to a nurse appropriately contacting a physician, the patient was found to be persistently hypotensive with consistent blood pressure recordings hovering around 80/30 mm Hg (Figure 1). Despite aggressive resuscitation, the patient's blood pressure dropped to 40/20 mm Hg (Figure 1).