“Warm, Wet, and Failing Forward”—Managing Mixed Shock at the Bedside
Clinical snapshot 70-year-old man with heart failure and diabetes.BP 86/52, HR 110, RR 28, SpO₂ 92% on 4 L NC, T 38.8°C, lactate 6.1, urine 10 mL/hr.POCUS: IVC full/non-collapsing, LV small & hyperdynamic, bilateral B-lines, VExUS 3, LVOT VTI 14 cm. The original discussion also describes warm, flushed skin. These findings warrant urgent treatment for […]