Pregnancy. Respiratory failure.
33-year-old G2P1 pregnant at 33 weeks, comes in with shortness of breath. She has had a cough for about 3 weeks and her legs have been swollen for a few months.
Goals and Objectives
- To manage respiratory failure and cardiogenic shock in a pregnant patient.
Objectives (Medical and CRM):
- Recognize a critically ill pregnant patient in respiratory distress and shock.
- Work through the differential diagnosis of dyspnea in pregnancy.
- Manage cardiogenic shock in pregnancy.
- Facilitate safe intubation with considerations for a pregnant patient.
- Effectively lead a team through the management of a pregnant patient in shock.
- Utilize ED resources (cardiac-monitoring, bedside U/S, pCXR) to guide management.
- Prevent fixation error in a pregnant patient with dyspnea by keeping the differential wide.
- Call consultants early for a pregnant patient in shock.
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