Monitors and echo station: a damped line, a flail leaflet, a clot after bypass
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Interpretation of monitors and echocardiograms. A facilitator will play three separate scenarios, each from a different patient, and read every question aloud. Each recording plays once, you cannot go back to an earlier scenario, and the facilitator gives no extra information.6
- Scenario 1, physiologic monitor only (about 2 minutes): what changed, and the most likely diagnosis.
- Scenario 2, TEE or POCUS only (about 1.5 minutes): the findings, the most likely diagnosis, and your management plan.
- Scenario 3, combined (about 2.5 minutes): a monitor recording first, then TEE or POCUS images from the same patient; describe both and give the most likely diagnosis.
You have about 60 seconds to answer each scenario. In this station, read the waveform shape and compare the arterial line with the cuff, the central pressures, the cardiac output and the mixed venous saturation before you treat a number.
Your task: answer each question in the order it is asked, and say what you see before you name the diagnosis.