82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes!

How does AFib RVR escalate into a life-threatening situation in just 30 minutes?

Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient’s rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient's true condition became clear in hindsight.

In this episode, Sarah walks us through the case, sharing the patient's presentation and medical history, how the team treated his symptoms, and why their initial interventions failed. She delves into the pathophysiology of SCAPE, the patient’s progression into sympathetic surge, and his ultimate treatment.

Tune in to learn from Sarah’s look back at this patient story!

Topics discussed in this episode:

• Sarah’s complex A-Fib RVR patient story
• Reflecting on the patient’s treatment and hindsight lessons
• The progression of sympathetic crashing acute pulmonary edema (SCAPE)
• Causes of SCAPE and stopping the spiral towards death
• Managing SCAPE (what to and not to use)
• Case summary and key takeaways

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

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