You are treating a 42‐year‐old construction worker who susta…

You are treating a 42‐year‐old construction worker who sustained a penetrating injury to the left upper quadrant of the abdomen from a rebar stake. The patient is conscious but confused with pale, cool, clammy skin. Vital signs are HR 135, BP 84/52, RR 28, SpO2 94% on room air. You suspect internal hemorrhage. Select the three ﴾3﴿ findings that most strongly indicate this patient is transitioning from compensated to decompensated hemorrhagic shock.