the 5 minutes huddle*
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: You are responding to a code blue. Patient went bradycardic in the 30's; unresponsive. Atropine 1 mg was given but did not improve heart rate. Previous EKG showed sinus bradycardia with discernable P waves. You are manning the monitor; 1 epi given and after just one round of CPR there is ROSC. You... 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 →
Case report: Hey guys, we had a patient that came in for acute AMS with neural focal deficit- activated as a code stroke. Patient was found to have acute infarct, acute subarachnoid hemorrhages on the CT non contrast. Patient was also positive for SIRS with significant infectious process, increased WBC and lactate. History of recent... Continue Reading →
Hi guys here is a step by step set up on the Belmont Rapid infuser in slide form. User manual can be loaded here for more detailed product description. Click image and scroll right. credits to: Belmont medical technologies Names, dates, and personal identifying details have been changed throughout this website to comply with the... Continue Reading →
Case report: Hey guys we had a patient with a complex surgical problem involving acute liver injury. The patient was actively bleeding internally and requiring MTP with initial vasopressor support. We needed to run TEG analysis to guide resuscitation and treatment efforts. Here are compiled information I gathered from the internet to simplify this topic... Continue Reading →
Case report: Hi guys, we had a patient come in with a massive head bleed. Intubated prior to CT. Neurosurgery came by to assess the patient after 40 min of (RSI) intubation. MD wanted to reverse Rocuronium with Sugammadex to do a full neurologic assessment for possible neurosurgical intervention. What is Sugammadex SUGAMMADEX (soo GAM... Continue Reading →
Hey guys, first post! On this site we will bring up different clinical scenario(s) and breakdown the most important and relevant information just like we do a quick five minute report/huddle as a team. I hope you find this helpful! Case report: We had a patient come in for a chief complaint of sudden onset... Continue Reading →
Code Team Pearls 