BAYGround CCT — wet, hypertensive, crushing pain
Diane Cole · 62F · 78 kgno dx
00:00
ETA 20:00
RADIO · THE CALL
Ground CCT — wet, hypertensive, crushing pain
ground · ETA 20 min · 800 ft
62-year-old woman, crushing chest pain, sudden severe dyspnea. ALS: wet, BP 170s, they think they saw ST elevation. 18 minutes to a PCI center.
Tripod on the stretcher, pink froth at the lips, diaphoretic. Pads on. Aspirin given. No printed 12-lead in your hand.
ARRIVAL HR 118, BP 172/96, RR 32, SpO2 86% NRB, ETCO2 28, GCS 15.
GROUND · 20 min · 800 ft
Name the problem before you open the formulary.
400 ftO2 55mhands
CABIN 400 ftfield 400on deckO2 55 minhands
Practice Patient · 55M
GCS 3 (111)ETT 8@22 · VENT
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
Practice Patient · 55M
GCS 3 (111)ETT 8@22 · VENT
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
ZOLL X SERIESPADS OFF
Adult · MONITOR00:00
ECG II
SpO2
CO2
HRbpm
88
NIBPmmHg
—
press NIBP
SpO2%
98
CO2mmHg
36
BR 18
T1°C
36.8
HAMILTON-T1IBW 73 kg · O2 55 min
ASV · recognize, don't flyAdult M · Circuit OK
Ppeak
0
Pplat
0
ΔP
0
VTE
0
f
0
Auto
0
Ppeak cmH2O
0
Pplat cmH2O
0
ΔP cmH2O
0
PEEP cmH2O
8
Auto cmH2O
0
VTE mL
0
fTotal /min
0
I:E
1:2.0
ExpMV L/min
0.0
Cstat ml/cm
45
ORANGE = selected / pending · BLUE = in the breath · APPLY sends orange to the lung
PAPER ARDSNet / PALICC-2 / HOUSE LINE Te
ABC now
Face sheet
Diane Cole · 78 kg · GCS 15
- Allergies
- NKDA
- PMH
- Stable ICU transfer — skill bay
- Meds / given
- Propofol / fentanyl. Practice anything.
- Position / cabin
- supine · 400 ft
i-STAT
Pick a cartridge. Wrong cart = wrong panel. No hospital lab.
No result yet. Labs are not free.
eFAST
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