RV resuscitation! screen for RV failure with POCUS (and records if you have em) #thepeoplesventricle #StoweEM20 by @mattroginski
incorrect probe rotation can cause RV size to be underestimated! Matt’s own echo has great TAPSE #humblebrag #StoweEM20 by @mattroginski
badness:
D sign on short axis
RV dilation in subcostal
#StoweEM20 by @mattroginski
signs of severe badness: with bubble injection:
- bubbles take forever to clear (CO is aweful, blood isnt going anywhere)
- right to left shunt
#StoweEM20 by @mattroginski
- juditious volume management
- early pressor
- arrhythmia tx
- avoid intubation if possible
#StoweEM20 by @mattroginski
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