BAYRADIO · THE CALL
Critical care ground — pneumonia, lactate 6.4
ground · ETA 28 min · 800 ft
Interfacility from Maple Grove SNF to ICU. 72-year-old woman, 2 days of fever and cough, now hypotensive. Sending RN: 'We gave 500 mL NS. BP is still 78/40. No cultures. No antibiotics.'
Hospitalist: suspected sepsis, no central line, 22g in the hand. Allergies: penicillin rash as a child.
She is on a facility mattress, delirious, bounding then thready pulse, hot skin, productive cough. Family wants her 'to go to the good hospital.'
ARRIVAL HR 124, BP 78/40, RR 32, SpO2 88% RA, T 38.9, GCS 13, glucose 162.
GROUND · 28 min · 800 ft
Name the problem before you open the formulary.
ORANGE = selected / pending · BLUE = in the breath · APPLY sends orange to the lung
Face sheet
Eleanor Brooks · 64 kg · GCS 13
- 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.