Missed dialysis

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

Practice Patient · 55M
ETT 8 @ 22 cm · VENT

GCS 3 (111)Pupils 3/3 brisk98°F

Perfusion

100%

Cyanosis

Mottling

Chest rise

80%

CREW X · TRANSPORT MONITOR

Adult00:00

ECG II

SpO2

CO2

HRbpm

NIBPmmHg

—

press NIBP

SpO2%

CO2mmHg

BR 18

T1°C

36.8

T1 TRANSPORT VENT · COCKPITIBW 73 kg · TRAINING

ASVAdult M · Circuit OK

Ppeak cmH2O

Pplat cmH2O

PEEP cmH2O

VTE mL

fTotal /min

I:E

1:2.0

ExpMV L/min

0.0

Cstat ml/cm

Face sheet

pH 7.18   PaCO2 40   PaO2 90
HCO3 14   BE 0.0   Lac 1.2
Na 138   K 8.4   Glu 112
Hgb 13.4   ICP 10