the 5 minutes huddle*
Case study: Mr. J. is a 76 year old gentleman who came in with left sided weakness associated with dizziness and visual changes. He was recently started on an anti-amyloid therapies Lecanemab a few weeks back to help slow down his Alzheimer's disease progression. He is AO x 3 at baseline. He is currently a... 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 →
Rapid response call: 05:20 am, A rapid response was called towards the end of the shift for a 56-year-old patient in the tele department for an acute desaturation event. He had a significant PMHX of colon cancer, DM 2 and COPD. The primary RN noted that the patient was on room air prior to NGT... Continue Reading →
Rapid response call, 02:30 am. A 45 year old female was admitted for syncopal episode after eating high fatty food who suddenly became bradycardic on her third hospital day. She was diagnosed with acute calculous cholecystitis awaiting laparoscopic cholecystectomy. She became bradycardic in the 40's with a sustained SBP of 77 mmHg. A POCUS was... Continue Reading →
Background: At 19:25 just after the ED huddle my partner and I get a consult call from the emergency department regarding a 56 YO female who came in for SOB 15L 02 via NRM by ambulance. She has audible expiratory wheezing and has coarse crackles upon auscultation. She is a frequent to the emergency department... Continue Reading →
Hadoff at 06:00, Septic activation; SIRS X 3, lactate 4.. Fluid resuscitated at hour three, completed 3L LR bolus. Hemodynamics; SV 89, CO 7L/min, SVR 856 after second vasopressor support. Patient is intubated and sedated. Background: Patient was a trauma activation 7 days prior with multiple surgical intervention including spleenectomy persisted to be hypotensive despite... Continue Reading →
Case study: 59 male came in with wound abscess; Pt map is 60 mmHg with 2 positive SIRS criteria; HR 100, Tmax 100.9F. Pt was placed on a non invasive hemodynamic monitoring. CO has been getting worse but SBP is maintaining at 110 mmHg. What's going on with this patient? Flow decrease before pressure decrease... Continue Reading →
Code Team Pearls 