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The cardiac monitor showed sinus rhythm but the automatic bloodpressure cuff was not reading. While calling for some help and arranging to have her transported to our criticalcare zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.
On arrival in the ED, he was hypotensive with a systolic bloodpressure in the 70s. He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. Fluid resuscitation was initiated. Here is the initial ED ECG: What do you think?
However, the usefulness of an ICU-based model to predict latent shock risk in an emergency department (ED) setting remains unclear. An adult noninvasive model was constructed based on the MIMIC-IV-ICU v3.0 Multiple regression analysis of the MIMIC-IV-ICU and MIMIC-IV-ED datasets showed mostly similar characteristics.
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