BAYRotor from a clinic — glucose 780, K 2.8
Jamal Reeves · 27M · 71 kgno dx
00:00
ETA 22:00
RADIO · THE CALL
Rotor from a clinic — glucose 780, K 2.8
rotor · ETA 22 min · 4500 ft
27-year-old man, new diabetes, vomiting for two days. Clinic glucose 'high.' They started an insulin drip. He looks exhausted. 22 minutes to the ICU.
Last VBG: pH 7.08, HCO3 6, K 2.8. They did not replete potassium.
Deep, rapid breathing. Dry mucous membranes. Alert. Fruity odor. 20g in the hand.
ARRIVAL HR 124, BP 98/62, RR 32 deep, SpO2 99% RA, GCS 15, T 36.6.
ROTOR · 22 min · 4500 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
Jamal Reeves · 71 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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