Distributiveintro6 min
Warm shock, wide pulse
Handover
Nursing-home pneumonia, fever 39.2, bounding pulses, warm hands. MAP 54 on no pressor. The catheter says CO 8.4, SVR 460, PCWP 10, SvO₂ 78%. Lactate 4.4 and climbing. Someone has already ordered an inotrope because ‘shock means the heart.’ It does not.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · Source control started
- · MAP ≥ 65
- · Vasopressor on