Critical Care Scenarios Episode 98: Running rapid responses
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Jan 28, 2026 Practical tips for running rapid responses on the wards. Crowd and scene management strategies to keep teams effective and calm. How to gather and synthesize fast diagnostic data like chest x‑rays, ABGs, and bedside ultrasound. Decision points for choosing respiratory support and whether to transfer to higher care. Communication techniques for negotiating with primary teams and updating families.
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Match Respiratory Support To Gas Results
- Use ABG/venous gas to check CO2 and guide mode selection before placing a mask.
- Choose high-flow for oxygenation-dominant cases and CPAP/BiPAP for pulmonary edema or hypercarbia.
Use Ultrasound And PEEP For Edema
- Use portable lung ultrasound to look for diffuse B-lines when x-ray is delayed.
- Start CPAP/low-pressure BiPAP for suspected pulmonary edema to provide PEEP and symptom relief.
Decide Disposition Early
- Decide disposition early: many centers require ICU for noninvasive pressors or CPAP/BiPAP.
- Discuss transfer options with the primary team and ICU policies immediately.