We go over the essential and complex topic of vasopressors in the ED.
Hosts:
Brian Gilberti, MD
Catherine Jamin, MD



https://media.blubrry.com/coreem/content.blubrry.com/coreem/Vasopressors.mp3



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Tags: Critical Care





Show Notes
Introduction

Host: Brian Gilberti, MD
Guest: Catherine Jamin, MD

Associate professor of Emergency Medicine at NYU Langone Health
Vice Chair of Operations
Triple-boarded in Emergency Medicine, Internal Medicine, and Critical Care Medicine


Topic: Vasopressors: Essential agents for supporting critically ill patients in the ED

What Are Vasopressors and When to Use Them

Two primary mechanisms to increase blood pressure:

Increasing systemic vascular resistance via vasoconstriction
Increasing cardiac output via augmenting inotropy and chronotropy


Indicators for vasopressor use:




MAP <65, systolic BP <90, or significant drop from baseline BP
Signs of organ dysfunction like altered mental status, decreased urine output, elevated lactate
Fluid resuscitation either ineffective or contraindicated (e.g., in CHF patients)



Commonly Used Vasopressors in the ED

Norepinephrine
Epinephrine
Vasopressin
Phenylephrine

Norepinephrine

Mechanism: Stimulates alpha-1 (vasoconstriction) and beta-1 receptors (increases in...