Cases/

Case 19 — After the line pull

Obstructiveadvanced00:00Score 100
Obstructiveadvanced8 min

Case 19 — After the line pull

Handover

They sat him up to pull the IJ. He took a breath as the hub opened, then gasped. EtCO₂ is 14, MAP 52. RA 20, PA 40/18, PCWP 8, CO 2.0. The hub is still open.

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

Goals

  • · Hub occluded / line clamped
  • · Durant maneuver
  • · 100% oxygen
  • · RA / CVL aspirated
  • · MAP ≥ 64