Cases/

Case 04 — Sudden shock, clear lungs

Obstructiveintermediate00:00Score 100
Obstructiveintermediate7 min

Case 04 — Sudden shock, clear lungs

Handover

POD 3 after a hemicolectomy. She stood up, clutched her chest, and desatted. Lungs are clear. RA 22, PA 52/32, PCWP 10, CO 2.2, PAPi 0.91. Fluids are already running.

Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.

Goals

  • · PE pathway started
  • · CO ≥ 3.2 L/min
  • · MAP ≥ 65