BAYRotor ICU-to-ICU — obstructive shock
Claire Bennett · 48F · 74 kgno dx
00:00
ETA 24:00
RADIO · THE CALL
Rotor ICU-to-ICU — obstructive shock
rotor · ETA 24 min · 6000 ft
48-year-old woman, day 2 after hysterectomy, sudden syncope and hypoxia on the ward. Sending ICU wants ECMO center. She is on 40 L HFNC.
CT pending — too unstable. Echo: dilated RV, septal bowing. BP 70s on phenylephrine.
Anxious, grey, clear lungs, loud P2 if you listen. Abdominal dressing clean and dry.
ARRIVAL HR 128, BP 74/52, RR 36, SpO2 84% HFNC, ETCO2 22, GCS 14.
ROTOR · 24 min · 6000 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
Claire Bennett · 74 kg · GCS 14
- 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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