Clinical reasoning - case study Author Note: Part 1: Clinical deterioration in Mr. X

The fall led to a fractured neck of femur and a considerable skin tear laceration on the lower part of his leg. The fall led to a fractured neck of femur and a considerable skin tear laceration on the lower part of his leg. The reports handed over from the previous shift observed his vital signs, as supine:135/76, 69; sitting: 116/76, 75; standing: 112/75 compared to the initial reports stating supine:150/78, 69