the 5 minutes huddle*
TRALI (Transfusion-Related Acute Lung Injury) and TACO (Transfusion-Associated Circulatory Overload) are two major reasons people sometimes get into trouble after a blood transfusion, both leading to breathing issues that can arise within about 6 hours. What are the differences? TRALI is non-cardiogenic pulmonary edema, which basically means the lungs get messed up due to an... Continue Reading →
Background: 69 Yo female was activated for a rapid response for a sustained HR in the 40's. EKG shows non specific T wave changes. Potassium 5.8. Pt a has decreased urine output the last few hours with signs of shock. Lactate is elevated and her POCUS revealed collapsible IVC, normodynamic heart, absent Blines. History shows... Continue Reading →
57 year old male was brought in to resus bay with acute dyspnea, hypoxemia, diaphoretic. Hx significant for HTN, DM, HFpEF. HR of 156, SBP 189 mmHg, Sa02 85% on high flow 02. ECG revealed atrial fibrillation with RVR, nonspecific ST changes. Sympathetic Crashing Acute Pulmonary Edema SCAPE: distinguishing features is vasoconstriction secondary to sympathetic... Continue Reading →
Code Team Pearls 