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Hb dropped

Bleep triage

How fast

Within 30 minutes

Sooner if anything on the go-now list applies.

Go now if

  • Low BP or tachycardic
  • Visible bleeding or melaena
  • Hb fallen 20 g/L or more

Ask on the phone

  1. Value now and before?
  2. Any bleeding, melaena, drains? Anticoagulants?
  3. Obs?
Every bleep: the basics
  • Name, ward, bed, age, why they're in hospital.
  • Full set of obs and the NEWS2 score — and what it was before.
  • Resuscitation status (DNACPR / ReSPECT) and ceiling of care.

Ask the nurse to start

  • Group and save; repeat FBC if unexpected.
  • Hold anticoagulants pending review if bleeding.

Call your senior if

  • Active bleeding or haemodynamic compromise — major haemorrhage protocol.

When you get there

Sources (1)

For healthcare professionals, as an aid to clinical judgement — not a substitute for it. Follow your local policy and ask a senior when in doubt.