Hypotension caused by primary pump failure eg post MI, arrhythmia..

ABCDE assessment

Call for senior help

Urgent investigations – ECG/CXR/ABG/FBC/U&Es/Echo (on-call cardio)

Pulmonary oedema?


ABCDE assessment

Call for senior help

Urgent investigations – ECG/CXR/ABG/FBC/U&Es/Echo (on-call cardio)

Pulmonary oedema?

Present? Consider… IV 50mg furosemide GTN infusion CPAP |
Absent? Consider… Fluid challenge eg 250ml stat of colloid |
Patient will likely require transfer to HDU/CCU/ICU for further management including inotropic support.
Ensure senior medical advice is sought.