Published 31/08/2023

Info Sheet For Faculty

  • Initial settings:   
    • SpO2 94% on FiO2 0.45
    • PC-SIMV, Pinsp15, PEEP 8, RR 16
    • EtCO2 4.5kPa
    • Bilateral air entry
    • HR 105 bpm, SR
    • BP 110/62 on 0.1 mcg/kg/min noradrenaline

 

  • Progress to:
    • SpO2 92% on FiO2 0.45
    • PC-SIMV, Pinsp15, PEEP 8, RR 16
    • EtCO2 4.5kPa
    • Bilateral air entry
    • HR 115 bpm SR
    • BP 90/50 on 0.25 mcg/kg/min noradrenaline

 

  • Progress to:
    • SpO2 90%  on FiO2 0.45
    • PC-SIMV, Pinsp15, PEEP 8, RR 16
    • EtCO2 3.5kPa
    • Bilateral air entry
    • Increase HR to 120 bpm SR
    • BP 95/52 on 0.35 mcg/kg/min noradrenaline

 

  • If bleeding managed and blood transfused- patient improves. If no steps taken to replace the lost blood volume- shock progresses to get worse.