First 30 seconds
- 1ABCDE
- 2Sit up, O₂, arterial line
- 3GTN + diuretic + inotrope + IABP
Acute severe MR from ruptured papillary muscle typically 2–7 d post-inferior MI.
A
Airway
- • Patency, protect
- • Adjuncts / definitive airway
B
Breathing
- • RR, SpO₂
- • O₂ to target sats
C
Circulation
- • HR, BP, IV access
- • Fluids/vasopressors
D
Disability
- • AVPU/GCS, pupils, glucose
E
Exposure
- • Full exposure, bleeding, source
Related in WardRound
