The PEA Paradox - Henry Mallamat
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Transcript of The PEA Paradox - Henry Mallamat
PEAthe
#SMACCFAIL
#SMACCFAILa way to
#SMACCFAIL
“I wish there was a way to un-see that”
comedians
#SMACCFAIL“I wish
there was a way to un-see that”
“Doctors aren’t
comedians & here’s the
proof ”
PEA
HypoxiaHypovolemiaHypothermiaThrombosisPulmonaryThrombosis
CoronaryTension PTX
ToxinsTamponadeHypoxiaHypovolemiaHypothermiaHypo / HyperK+H+ IonsHypo /
HyperK+H+ IonsThrombosisTraumaTension PTXToxinsTamponadePEA
Hypoxia
Hypovolemia
Hypothermia
Hypo / HyperK+
H+ Ions
ThrombosisPulmonary
ThrombosisCoronary
Tension PTX
Toxins
Tamponade
PEA
Hypoxia
Hypovolemia
Hypothermia
Hypo / HyperK+
H+ Ions
ThrombosisPulmonary
ThrombosisCoronary
Tension PTX
Toxins
Tamponade
PEA
Hypoxia
Hypovolemia
Hypothermia
Hypo / HyperK+
H+ Ions
ThrombosisPulmonary
ThrombosisCoronary
Tension PTX
Toxins
Tamponade
PEA
Hypoxia
Hypovolemia
Hypothermia
Hypo / HyperK+
H+ Ions
ThrombosisPulmonary
ThrombosisCoronary
Tension PTX
Toxins
Tamponade
PEA
HypoxiaHypovolemiaHypothermiaThrombosisPulmonaryThrombosis
CoronaryTension PTX
ToxinsTamponadeHypoxiaHypovolemiaHypothermiaHypo / HyperK+H+ IonsHypo /
HyperK+H+ IonsThrombosisTraumaTension PTXToxinsTamponadePEAParadox
The
Suicidal Ideation?
Cancer?
JVD? Muffled Sounds?
Crepitus?
WTF?
HypoxiaHypovolemiaHypothermiaThrombosisPulmonaryThrombosis
CoronaryTension PTX
ToxinsTamponadeHypoxiaHypovolemiaHypothermiaHypo / HyperK+H+ IonsHypo /
HyperK+H+ IonsThrombosisTraumaTension PTXToxinsTamponadePEAAlternative
approaches to
#EPIC FailPseudoH+ IonsThrombosisPulmonaryThrombosisCoronaryTension PTXToxinsTamponadeHypoxiaHypovolemiaHypothermiaHypo / HyperK+TruePEA
#EPIC FailPseudoTru
e
Pseud
o
True
Pseudo
Pseudo#EPIC Fail
#EPIC Fail
?
?
10 seconds
No Pulse
Pulse
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
PEA
Time for a
Shift?Paradigm
WideNarrow
WideNarrow
WideNarrowMechanical
WideMetabolic
Pseudo PEA
Tamponade
PTX Hyperinflation
PulmonaryEmbolism
Look for the cause
True PEA
HyperK+
SevereAcidosis
PumpFailure
Na+Blocker
Time for a
Shift?Paradigm
Tim
e fo
r a
Shift
?
Para
digm
PREMPRES
&
PREMPRES
&
Pulseless with a Rhythm & Echo MotionPREM
1,000 mcg
Courtesy: @EMRESUS
Pulseless with a Rhythm & Echo StandstillPRES
AsystoleTreated the same?
PRES
Asystole
WhatShould I Do?
WhatShould I Do?
WhatShould I Do?
Narrow Wide
Mechanical
Tips for
Ultrasound
Only Experts Scan
10, 9, 8…
Countdown
“I didn’t train with
Ultrasound”
Managed the same?
HypoxiaHypovolemiaHypothermiaThrombosisPulmonaryThrombosis
CoronaryTension PTX
ToxinsTamponadeHypoxiaHypovolemiaHypothermiaHypo / HyperK+H+ IonsHypo /
HyperK+H+ IonsThrombosisTraumaTension PTXToxinsTamponadePEAParadox
The
Thank [email protected]@criticalcarenow
![[Model names] PEA-RP200GAQ PEA-RP250GAQ PEA-RP400GAQ PEA …H]-RP/2016-2015/PEA... · PEA-RP200GAQ Fan Performance Curve 50Hz PEA-RP250GAQ Fan Performance Curve 50Hz PEA-RP400GAQ](https://static.fdocuments.net/doc/165x107/5f80bcbd06056748830d6182/model-names-pea-rp200gaq-pea-rp250gaq-pea-rp400gaq-pea-h-rp2016-2015pea.jpg)
