"19:25 Pt in and out of consciousness BP 78/52, HR 72
19:28 BP 50/28, no further"
"Can suction the cheeks as they continue to fill with coffee ground emesis, but that's it" Decompensating, probably descending down the decomp curve at a very steep rate.
With head repositioned BVM breath goes in Airway patent enough, although disregrding aspiration for that moment
OK, stepping around shingles and unknown causes, just these say "big GI bleed, pt going downhill very rapidly". Was the pt taking NSAIDS?
Trismus? What pain meds was she getting, exactly? Were psych meds or antiseizure meds being given off-label for chronic pain relief? Was the pt self-dosing?
The sidetracks are fascinating, but we haven't gotten a firm set of possibilities for the trismus. Also, although in a pt with their bloody stomach contents mysteriously issuing (vomiting, or just slipping up the esoph?), what measures were needed for an airway with a pt whom a BVM was ventilating but had this pro-pharyngeal junk? Nasophryngeal suctioning as low suction? Slipping an old-fashioned thin suction catheter behind some molars and trying to do that? (And do either of those without causing gagging?).