He also recommends using ultrasound. “We are not expected to be experts in cardiology. The goal is for us to use ultrasound to determine if the patient has a wimpy heart or a strong heart,” he said.
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ACEP16 Monday Daily News“CVP [central venous pressure] is worthless. The evidence does not support it,” Dr. DeBlieux said. The study is based on 12 horses, not humans, he noted.
For the treatment of spinal shock, Dr. DeBlieux recommends dopamine. “Push those pressors,” he said.
To adequately treat patients in shock, Dr. DeBlieux stressed the need to treat each as a unique case. When administering IV pressor agents use the minimum dose required and evaluate the need for ongoing treatment. Finally, utilize ultrasound early and often.
Teresa McCallion is a freelance medical writer based in Washington State.
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