4min chapter

Emergency Medicine Cases cover image

EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety

Emergency Medicine Cases

CHAPTER

The Myths of Radiation Dose in Pregnant Patients

Swami: Rapidly identify that your patient in shock is in cardiogenic shock first of all using a POCUS protocol like Rush or Highmap. Maximize oxygenation, start norepinephrine or epinephrine at the minimal effect of dose and add dopamine if necessary. If you can't do that in a timely manner consider thrombolytics once the BP is up. Finally, if you have access, speak to your intervention list about whether your patient should get ECMO or an LVAT or an impelor device.

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