Just implanted — still in shock

Handover

Anterior STEMI, shock in the lab, Impella CP just placed from the right femoral. They left it at P-2 “to confirm position.” Placement signal looks aortic. MAP is 54 on a modest pressor, lactate 5.2, CPO 0.42, urine a trickle. The implanting team has gone to the next case. Unload this ventricle.