Handover
Nursing-home pneumonia, fever 39.2, bounding pulses, warm hands. MAP 54 on no pressor. 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.”
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals