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Do You Know How to Pick a Vasopressor for Patients in Shock?

In this fantastic lecture from ResusX, Dr. Sara Crager emphasizes the importance of a thoughtful and organized approach to selecting vasoactive medications for critical care and emergency medicine. She argues that simply memorizing tables and relying solely on evidence-based medicine doesn't provide the best solutions for complex patients in shock. Instead, she encourages healthcare providers to address why to start pressors by focusing on tissue hypoperfusion rather than just blood pressure, decide when to initiate pressors, and carefully consider which pressor to use based on the patient's shock physiology and potential side effects. Dr. Crager's approach takes into account the importance of addressing the right problem, balancing inotropy and vasoconstriction, and being mindful of arrhythmogenicity and pulmonary vascular resistance. This video provides valuable insights for healthcare professionals navigating the complex decisions surrounding vasoactive medications in critical care situations. 00:03 Introduction to Pressors 00:55 The Limitations of Evidence-Based Medicine 01:54 Understanding the Complexity of Patients and Providers 03:10 The Evolution of Pressors in Cardiogenic Shock 04:33 The Importance of Thinking in Pressor Selection 04:57 Developing an Organized Problem-Solving Approach 05:21 Understanding Hypotension and Hypoperfusion 08:21 Deciding When to Start Pressors 12:40 Choosing the Right Pressor 12:46 Pressors 101 and 201 17:26 Organized Problem-Solving Approach to Vasoactive Selection 19:35 Conclusion Hashtags: #PressorsExplained, #CriticalCareMedicine, #EmergencyMedicine, #VasoactiveMedications, #EvidenceBasedMedicine, #ComplexPatients, #ShockManagement, #PressorsSelection, #HypotensionVsHypoperfusion, #ArrhythmogenicPressors, #PulmonaryVascularResistance, #InotropicAgents, #Vasoconstrictors, #Vasodilators, #OrganizedProblemSolving