BAYGround CCT — cardiogenic shock, IABP already in
Marco Voss · 64M · 94 kgno dx
00:00
ETA 28:00
RADIO · THE CALL
Ground CCT — cardiogenic shock, IABP already in
ground · ETA 28 min · 700 ft
64-year-old man, anterior MI yesterday, IABP 1:1, transferring to a VAD center. Sending MAP 62 on norepi 12. This is not a vendor-simulator. Map the balloon to the patient.
Augmentation 1:1. Helium OK. No transport console alarms they can explain.
Sedated, art line, balloon in the left groin, urine dark.
ARRIVAL HR 108, Art 92/54, MAP 62, SpO2 94%, IABP 1:1.
GROUND · 28 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
Marco Voss · 94 kg · GCS 3
- 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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