Find Dr. Lim. Narrow pulse pressureindicates a reducedcardiac output. The inflammationis...
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Find Dr. Lim. Narrow pulse pressureindicates a reducedcardiac output. The inflammationis affecting her heart. She's in end-stageorgan failure. Yes, we can insertan intra-aorticballoon pump. That may reduce some ofthe workload on her heart, but it's failing fast.Really fast. It only needs towork overnight. The inflammatory reactionwill improve after that. What if it's failingso fast because it'snot her heart? Her haemoglobin's droppedfrom 14 to 12 between her lasttwo draws. What if the real problem isshe's bleeding somewhere? Given what she's been through,a two-point dropcould mean nothing. Or it could mean a bleed, which would accountfor the narrowpulse pressure. Her heart could be fine. If you're right,that means we'd have toopen her back up. I don't know if her bodycould handleanother operation. No, it can't. Treating heart failurewith an aortic pump is also a simple procedure. So we're going to diagnosebased on which procedureis simpler? If I'm right, there could beno more blood to pump.She'll be dead. She's crashing. We should preparethe cath lab for a pump. We should preparethe OR
Full Transcript
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Find Dr Lim
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Narrow pulse pressure indicates a reduced cardiac output
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The inflammation is affecting her heart
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She's in end stage organ failure
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Yes we can insert an intra aortic balloon pump
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That may reduce some of the workload on her heart
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but it's failing fast Really fast
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It only needs to work overnight
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The inflammatory reaction will improve after that
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What if it's failing so fast because it's not her heart
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Her haemoglobin's dropped from 14 to 12 between her last two draws
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What if the real problem is she's bleeding somewhere
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Given what she's been through a two point drop could mean nothing
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Or it could mean a bleed
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which would account for the narrow pulse pressure
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Her heart could be fine
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If you're right that means we'd have to open her back up
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I don't know if her body could handle another operation
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No it can't
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Treating heart failure with an aortic pump
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is also a simple procedure
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So we're going to diagnose based on which procedure is simpler
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If I'm right there could be no more blood to pump She'll be dead
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MACHINES BEEPING RAPIDLY
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She's crashing
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We should prepare the cath lab for a pump
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We should prepare the OR
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Movie Summary
Shaun Murphy, a young surgeon with autism and Savant syndrome, is recruited into the surgical unit of a prestigious hospital.
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