BAYGround CCT — sine wave then arrest
Rajesh Mehta · 61M · 79 kgno dx
00:00
ETA 18:00
RADIO · THE CALL
Ground CCT — sine wave then arrest
ground · ETA 18 min · 700 ft
61-year-old man, ESRD, missed two dialysis sessions, weakness and nausea. Clinic BP 70s. You are 18 minutes from the receiving ICU with dialysis.
Fistula in the left arm. He is grey. The sending 3-lead looks 'wide.'
ARRIVAL HR 42, BP 72/40, RR 10, SpO2 91%, GCS 11, K last week 5.9.
GROUND · 18 min · 700 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
Rajesh Mehta · 79 kg · GCS 12
- 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
One view at a time. A missed window stays missed.