A 79 year old presents after a car accident and is in unstab…

A 79 year old presents after a car accident and is in unstable VTach. Her exam shows jugular vein distention and tracheal deviation. Which of the following medical interventions is most warranted based on the information provided to reverse the cause of the patient’s cardiac arrest?

A 49 year male with a history of IV drug abuse presents with…

A 49 year male with a history of IV drug abuse presents with septic shock and receives 1.5L IVF in the ED. On arrival to your unit, his vital signs are the following: T 102.8F, HR 114, BP 77/52 (MAP 60), RR 24, O2 saturation 92% on 65% FiO2. An A-line and right IJ central line are placed by the ICU resident. A Flowtrac is attached to his A-line, and his hemodynamics are the following: CO 4.7, SV 97, SVR 638, and SVV 6. A bedside ultrasound shows his IVC is 35% collapsible. Based on this data, what is the appropriate intervention for his hypotension? Parameter Normal range Cardiac output 4-8L/min Stroke volume 60-130 ml/beat Systemic vascular resistance 770-1500 dynes/sec/cm-5 Stroke volume variation