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Cardiovascular prioritization starts by identifying the patient whose brain, heart, kidneys, lungs or limbs are losing perfusion now.
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Cardiovascular prioritization starts by identifying the patient whose brain, heart, kidneys, lungs or limbs are losing perfusion now. A dramatic diagnosis is not automatically the highest priority. New ischemia, shock, a hemodynamically significant dysrhythmia, acute pulmonary edema, major hemorrhage, tamponade, acute aortic disease or threatened limb perfusion takes precedence over stable chronic cardiovascular disease. The advanced-practice question is: what process is threatening perfusion, what must be investigated immediately, what treatment cannot wait, and where does this patient need to go next?
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