That's why I said I wanted more information in this case. All I have to go on is hypotension so right off the bat I'm leaning towards earlier treatment since that's all I have to go on. I was just playing a little devil's advocate since you had taken more of the opposite stance with the same limited information.
It's hypothetical anyway since we would have more information than just what was presented so its kind of a mute point.
I wasn't trying to take the opposite stance, I was attempting to point out that it is important to consider why and the potential outcomes of deciding on a specific course of action.
In a a patient not deteriorating, in a short transport, it may sometimes be a better choice to let the hospital handle it and just drive the pt in.
If the patient is unstable by multiple clinical signs, then I think the need for action is obvious.
I agree with you, it takes more than a number, If this is an elderly person, it is possible this person normaly has a systolic in the 90s. Which would make 80x not a considerable drop.