Handover
Night float calls you to a 64-year-old with a duodenal bleed. Two units are hanging; the third is not in the room yet. He is cool, thirsty, and oliguric. The PA catheter shows RA 3, PCWP 6, CO 3.4, SVR high. MAP 58, lactate 3.6. The intern wants dobutamine because CPO looks low.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals