Cases/

Case 06 — Unexpected wedge

Technicalintermediate00:00Score 100
Technicalintermediate6 min

Case 06 — Unexpected wedge

Handover

The overnight note says “wedge 34, diurese.” He is sitting up, talking, lungs quiet. PA is 36/16. The wedge tracing looks damped.

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

Goals

  • · Wedge confirmed
  • · True PCWP ≤ 16
  • · Overwedge cleared