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OK. So our presentation will be on gynecology emergencies. Um Of course, we would love if you could um feedback in the chat. Um just to have more of a, you know, um a type of, you know, uh teaching session where it's interactive. Um So the very first case is something about this seems to. So, mm I am trying to, there we go, there we go. So, a 32 year old female has been referred to the Gynecology Assessment unit from the emergency department for abdominal pain, bleeding, um query miscarriage. Um This is very typical in the in the UK anybody presents with uh bleeding and abdominal pain. Uh The ed department will uh refer to the registrar um for a possible miscarriage. So your Gyne registrar and sho are called away to the theater, but they have debriefed you prior to the arrival of this patient. At this point, there are a few more patients waiting to be seen in G AU as well. So on arrival to G AU, the P the patient is triaged by the nursing team. So G AU is Gyne assessment unit. It is normally um uh probably a little tucked away assessment area on a ward um where the gynecologist will be able to review patients. Um The patient will come in and they'll be seen by the nursing team. Now on arrival, um with this patient, her vital signs, she's scoring about a news for her BP is 91/60. Her heart rate is 100 and 10 BPM. Her rest rate is 18, her breaths, 18 breaths per minute and her the temperature is 37.5 °C oxygen saturation. She's 100% on room air. Now from her vital signs. What can you determine? Um based on just her her vital signs alone, what can you tell just based off her vital signs? AXR can anyone hear me? Axo? Um I'm sorry I'm I'm beginning to realize that you can't see my screen at all. I am sorry for that. That's fine. Ok thank you so much. Um let me just try to fix that really quickly guys I am sorry um can anyone hear me? Mm. Ok let's see. Yeah we can hear you very nicely. It's just the screen is not perfect. Yeah. No I'm I'm sorry I'm I'm beginning to realize that you can't see my screen at all. Ok. Um one moment let's see if you can um see it. Now see there we go. Ok. Um let's see um I don't think that um it's allowing need to show my screen so I will bear with me one second. Right? Ok. It seems as though. Um. Mhm. See if that is working at all? Aa can you try from your side? Let me have a give it a try. Yeah. Thank you. Mm. Anything coming up? No one moment. The hi, sorry to interrupt. My name is Jing Jing. I'm medical support team. I know you had some issue sharing your slides. I was gonna help. Yes. Can you please? Um I'm trying to share my slides but unfortunately, it doesn't seem to um I see. So I do my screen allow and then do you click share entire screen. Yep. Yep. And then what happens when you, when you click that and then share. Yep. So my window comes up. Mhm. Yeah. Are we working? Yeah, that's all working. Ok. Thank you so much. No problem at all. Ok. All right. So, ok, so the life support seems to be working now. Ok. So sorry about that everyone. So we're back on track. So as you were saying, there's a 32 year old female that has been referred to the G AU from the emergency department for abdominal pain plus bleeding, query, miscarriage, your Gynae registrar and sh are called way to theater, but they have debriefed you prior to the arrival of this patient and there are a few more patients waiting to be seen in G AU. So on arrival, we have this patient that's come in with these vital signs and from her vital signs, what can you determine, um, about this patient immediately? You can answer in the chat. I can see the chat if anyone wants to volunteer any, any answers. And again, nothing is wrong guys. You know, it's just to, she's in shock. Ok. That's a, a gray pulse that she's in shock. Ok. That's, that's a good, um, it's a good statement. Um.