Handover
CVVH bag change. Someone cracked the return limb and it hissed. Now he is blue, EtCO₂ 12, MAP 50. RA 19, PCWP 7, CO 1.9. The return limb is still open to the room.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals