EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety
Emergency Medicine Cases
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How to Treat Hypoperfusion
Norepinephrine and epinephrine are the agents that I pretty much reach for in all situations with hypoperfusion. Dobutamine is an I know dilator so it may increase the contractility but it might cause more vasodilation which could be a problem. VA ECMO is an option here if you have it available in your place or in your transfer center as it can replace the heart and act as a bridge to either transplant or LVAD.
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