Published in:
01-11-2014 | Editorial
Echography is mandatory for the initial management of critically ill patients: Yes
Authors:
Anthony McLean, Massimo Lamperti, Jan Poelaert
Published in:
Intensive Care Medicine
|
Issue 11/2014
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Excerpt
“The perfect nightmare”: Late on a Friday afternoon a 76-year-old man presents to the emergency department after a syncopal episode where he crashed his car into a stone wall. On arrival he was complaining of acute dyspnoea and is found to be tachypnoeic, cyanotic and hypotensive with cool extremities. Both the clavicle and femur on the right side appear to be fractured. He has a past history of COPD, ischaemic heart disease and prostate cancer. His blood pressure is 65/30 mmHg, heart rate 120 beats per min and regular, SpO2 84 %, respiratory rate of 20 per min with rales, marked peripheral cyanosis and a rectal temperature of 38.50 °C. …