Handover
Anterior STEMI, door-to-balloon three hours ago, stent in the mid-LAD. Cool from the knees down, lungs wet, urine 15 mL in the last hour. RA 14, PCWP 26, CO 2.6, CPO 0.37 W. The fellow has a fluid bag in hand “for the kidneys.”
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals