Best Evan Claunch Podcasts (2025)

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Ep 102 - Ketamine for Agitation with Dr Crowe 40:10

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24d ago40:10

40:10

You use ketamine. I use ketamine. We all use ketamine. But… how safe it is, really? A new study out of Toronto suggests 30% of patients who receive ketamine have adverse events, a rate higher than seen in the ED. What are we to make of this? I bring Dr Remle Crowe on to discuss… Citations: 1. Kwong JL, Verbeek PR, Leong YC, Turner L, Huiskamp M, Dr…

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Ep 101 - PreOxygenation and Why Words Matter 34:55

1M ago34:55

34:55

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial on DL vs VL in E75, and the PREOXI trial of NIV vs Mask Pre-oxygenation in E86. Now we have another Preoxygenation paper, this one that reports no difference between preoxygenation wi…

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Minute Ventilation Mastery & The Obstructive Lung Mindset – with Scott Weingart 43:58

2M ago43:58

43:58

Episode Description In this powerful and highly practical episode, Eric Bauer is joined by Dr. Scott Weingart for a deep dive into mechanical ventilation strategy, critical thinking in metabolic acidosis, and the nuanced management of obstructive lung disease. You’ll hear honest, experience-driven insights that challenge outdated protocols and prov…

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MDCAST: Beyond the Blade - Redefining Airway Success in Transport 41:43

2M ago41:43

41:43

In this episode of the FlightBridgeED Podcast, Dr. Mike Lauria welcomes back Dr. Nick George to dissect a topic that’s long overdue for critical discussion: airway management in critical care transport—and whether your background matters. Does being a paramedic or a nurse predict first-pass success rate? Does prior training or clinical experience t…

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MDCAST: Aortic Emergencies - What You Need to Know, But Were Never Taught 47:13

2M ago47:13

47:13

In this episode of the FlightBridgeED Podcast, Dr. Mike Lauria is joined by Dr. Nick George, a retrieval and EMS physician currently practicing full-time in Darwin, Australia. Together, they break down the often-overwhelming topic of aortic emergencies in a way that’s brilliantly simple, practical, and immediately applicable for all providers—wheth…

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Ep 100 - Amio v Lido in OHCA w Tanner Smida 42:31

2M ago42:31

42:31

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no significant difference in survival to hospital discharge or functional survival between any of the arms. If that study has left you confused, you’re not alone. And you’re in luck. Tanne…

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Bleeding Out: The Trauma We Can Actually Fix 46:35

2M ago46:35

46:35

In this powerful and unfiltered episode, Eric Bauer sits down with Dr. Mark Piehl—pediatric ICU physician, trauma resuscitation expert, and inventor of the LifeFlow device—for a deep conversation that will reshape how you think about blood product administration in trauma care. From pediatric hemorrhagic shock to adult penetrating trauma, from urba…

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Summer, Bloody Summer 1:00:03

2M ago1:00:03

1:00:03

Get ready for a transformative episode of the FlightBridgeED Podcast, where host Eric Bauer teams up with EMS trailblazer Dr. Peter Antevy to dive into the life-saving world of pre-hospital hemorrhage control and blood product administration. Discover how whole blood is reshaping trauma care, doubling survival rates for patients bleeding out from t…

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Ep 99 - Adenosine or Diltiazem for SVT? 34:08

2M ago34:08

34:08

We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn’t it be great if it turned out that diltiazem was just as effective, if not more effective, as adenosine without the crappy feeling? Yeah, that’d be great, but what do we do with statistically insigni…

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Ep 98 - Does the Sequence of RSI Medications Matter 32:20

3M ago32:20

32:20

The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? And what the hell does Bayes have to do with any of this? Dr Jarvis reviews a paper that uses Bayesian statistics to calculate the association between drug sequence and first attempt failure. Then he re…

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MDCAST: Open Abdomen Transport 54:22

4M ago54:22

54:22

In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria sits down with Dr. Bryce Taylor—flight physician, trauma educator, and surgical critical care expert—for a deep dive into one of the most visually shocking and physiologically demanding scenarios in transport medicine: the patient with an open abdomen. From trauma-based damage contro…

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E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation 38:20

4M ago38:20

38:20

We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-contro…

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VENTILATOR JIU-JITSU: The Obstructive Lung Puzzle 24:12

5M ago24:12

24:12

What if the biggest mistake you’re making with your COPD vent patients isn’t in what you’re doing—but in how fast you’re doing it? In this episode, Eric Bauer takes us deep into the nuances of ventilating a COPD patient in acute respiratory failure. Through a complex case breakdown, Eric challenges conventional thinking around rate, tidal volume, a…

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Forcible Entry 55:54

5M ago55:54

55:54

When does doing nothing become negligence? In this gripping episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams explore two real-world legal cases in which EMS providers were sued—not for what they did but for what they didn’t do. The central issue is the failure to forcibly enter a residence during a medical alert activa…

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E96 - MCD Wrap Up 32:42

6M ago32:42

32:42

Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnati and then gives his take on how to interpret the literature and put it into practice. Papers discussed: 1) Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P: Mechanical ch…

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If I Die Before I Wake 48:03

6M ago48:03

48:03

What happens when a determination of death GOES WRONG? In this episode of the Standard of Care Podcast, hosts Samantha Johnson and Nick Adams break down a real and heartbreaking case where EMS medics declared a 14-year-old patient deceased—only for him to be resuscitated at the hospital nearly an hour later. The fallout? A legal battle that made it…

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E95 - LUCAS Literature 32:58

7M ago32:58

32:58

Last episode we described the literature showing no survival benefit to patients with the AutoPulse device. Fear not, I wasn’t ignoring the LUCAS, I just felt it deserved it’s own episode. We’ll cover the LINC and PARAMEDIC randomized controlled trials and the secondary analysis of LINC in shockable rhythms. I switched to a new production process u…

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E94 - AutoPulse Literature 36:44

7M ago36:44

36:44

Our story so far.. episode 92 looked at a study showing lower survival from in-hospital cardiac arrest in patients treated with mechanical compression devices. Episode 93 discussed an implementation study of implementing LUCAS devices in a system with high quality pit crew CPR also showing lower survival, despite spending lots of time in training o…

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TRAPPED IN FLESH: Respiratory Failure in Obese Patients 47:52

8M ago47:52

47:52

Join Eric Bauer and Dr. Mike Lauria as they dissect two challenging critical care transport cases centered on managing respiratory failure in obese and morbidly obese patients. Get ready for a deep dive into advanced physiological concepts, practical tips for troubleshooting ventilator settings, and real-world lessons you can apply to patient care …

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E93 - LUCAS: The Austin Experience 22:30

8M ago22:30

22:30

Ever wonder what would happen to cardiac arrest survival after a system implements LUCAS devices and trains really hard to deploy them appropriately? Wonder no more. Dr Jarvis reviews a paper from the Austin/Travis County EMS System that will shed some light on the question. This is the second episode in a series on mechanical compression devices. …

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Inferno in Paradise 46:30

8M ago46:30

46:30

In this episode of The Standard of Care Podcast, Samantha Johnson and Nick Adams tackle a harrowing real-life EMS case involving a catastrophic ambulance fire in Honolulu, Hawaii. A routine oxygen tank switch turned deadly, sparking conversations around scene safety, equipment maintenance, and the legal standards EMS providers face. Explore the chi…

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Ep 92 - Mechanical CPR in InHospital Arrest 26:49

8M ago26:49

26:49

We know the literature on mechanical CPR devices on mortality in out of hospital cardiac arrest (we DO know this literature, right?), but what about in-hospital arrest? Dr. Jarvis reviews a recent paper that uses the AHA Get With The Guidelines - Resuscitation registry to assess the association between MCDs and mortality. Citations 1. Crowley C, Sa…

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MDCAST: Placenta Accreta Spectrum Disorder 45:46

9M ago45:46

45:46

In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria and guest Dr. Alex Pfeiffer, a maternal-fetal medicine (MFM) fellow, delve into the critical and complex topic of Placenta Accreta Spectrum Disorder (PAS). With its rapidly evolving complications, this condition demands acute recognition, careful transport coordination, and multidisc…

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Heart of the Matter 33:54

9M ago33:54

33:54

Explore the fascinating world of 12-lead ECG interpretation with a special guest, Reid Gilbert-Vass, PA-C, creator of "ECG Lectures with Reid" on YouTube. Reid discusses his journey from Marine Corps logistics to EMS and ultimately becoming a PA specializing in cardiology. Learn his structured, anatomy-driven approach to ECG interpretation, designe…

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Ep 91 - The Bloody Details 39:06

9M ago39:06

39:06

New Orleans implemented a blood program and assessed the impact of the program on mortality. Dr Jarvis dives into the details of the paper and then Dr Remle Crowe joins in for a discussion on why studying blood in the field is so difficult. Citation: Broome JM, Nordham KD, Piehl M, Tatum D, Caputo S, Belding C, De Maio VJ, Taghavi S, Jackson-Weaver…

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Every Breath They Take: NIPPV JIU-JITSU 46:26

10M ago46:26

46:26

In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria dives deep into the art and science of non-invasive positive pressure ventilation (NIPPV), exploring how to optimize CPAP and BiPAP for critically ill patients. Discover advanced techniques to fine-tune ventilator settings, evaluate effectiveness, and reduce mortality and morbidity i…

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Obstetrical Advanced Airway Management 45:31

10M ago45:31

45:31

In this episode of the FlightBridgeED Podcast: MDCAST, we continue our OB Critical Care Series, focusing on airway management in critically ill obstetric patients. Hosted by Dr. Michael Lauria and featuring special guest Dr. Emily McQuaid-Hanson, Director of OB Anesthesia at the University of New Mexico, this episode delivers essential insights int…

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Ep90 - IV vs IO in OHCA 32:17

10M ago32:17

32:17

We've reviewed several papers in the past that suggest there might be an advantage to using IV access compared to IO access for medications in cardiac arrest. Is that really a thing? Wouldn't it be great if we had some randomized controlled trials to help answer the questions? Funny you should mention RCTs. Dr Jarvis reviews three (THREE!) new RCTs…

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Gastropocalypse: Severe GI Bleed in Critical Care Transport 40:36

10M ago40:36

40:36

Join Dr. Mike Lauria and guest Dr. Bryce Taylor, an experienced flight physician, as they delve into the complexities of transporting patients with severe gastrointestinal (GI) bleeding. From the nuances of variceal versus non-variceal bleeds to cutting-edge resuscitation strategies and critical airway management, this episode equips providers with…

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MDCAST - Obstetric Critical Care Transport Series - Preterm Labor 37:53

10M ago37:53

37:53

In this episode of the FlightBridgeED MDCAST Podcast, Dr. Michael Lauria and Dr. Elizabeth Garchar delve into a vital topic for EMS and critical care: managing preterm labor in transport. They tackle the complexities of diagnosing preterm labor, the nuances of patient risk factors, and the pillars of effective preterm care. Discover how understandi…

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The Bleeding Edge: Finger Thoracostomy in the Field 38:15

11M ago38:15

38:15

Join us for another captivating episode of The FlightBridgeED MDCAST as Dr. Michael Lauria explores trauma medicine's most critical and evolving skill: the finger thoracostomy. Featuring special guest Dr. Bryce Taylor, a seasoned emergency physician, and flight medicine fellow currently doing a retrieval medicine fellowship at the University of Wis…

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Hypertensive Disorders in Pregnancy 48:07

11M ago48:07

48:07

Welcome to another essential episode of the FlightBridgeED Podcast: MDCAST, where we dive deep into the complexities of critical care and continue our high-risk OB transport conversation. This episode focuses on the often overlooked yet rapidly increasing crisis of hypertensive disorders in pregnancy. Host Dr. Mike Lauria and maternal-fetal medicin…

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Against Their Will 31:51

11M ago31:51

31:51

In this episode of The Standard of Care podcast, hosts Samantha Johnson and Nick Adams delve into the complex legal framework of patient consent in EMS. What happens when a patient refuses care, even in life-threatening situations? How should EMS professionals navigate the fine line between consent, implied consent, and refusal, all while staying w…

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Ventilator Jiu-Jitsu 49:19

11M ago49:19

49:19

In this episode of our series on respiratory critical care called Every Breath They Take, Dr. Lauria is joined by EM/Critical Care and Flight Physician Brittney Bernardoni as they discuss how to grapple with optimizing lung protective ventilation in ARDS. Lung protective ventilation at 6 cc/kg and maintaining plateau pressures of less than 30 cmH2O…

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Every Breath They Take: REALLY Delivering Lung Protective Ventilation 37:23

12M ago37:23

37:23

In this episode of the FlightBridgeED Podcast, part of our "Every Breath They Take" series on respiratory critical care, Dr. Michael Lauria explores whether we truly protect the lungs during mechanical ventilation. While the best evidence suggests keeping tidal volumes at 6 cc/kg and plateau pressures below 30 cm H2O, is that enough? ARDS is a comp…

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Maternal Sepsis 31:16

12M ago31:16

31:16

In this compelling episode of the FlightBridgeED Podcast, Dr. Michael Lauria delves into one of the most critical yet underappreciated aspects of emergency and critical care medicine: maternal sepsis and septic shock. As maternal mortality rates rise across the U.S., critical care transport providers are increasingly faced with the challenge of man…

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Maternal and Fetal Physiology in Flight 29:35

12M ago29:35

29:35

In this episode of the FlightBridgeED Podcast: MDCAST, Dr. Michael Lauria is joined by Dr. Elizabeth Garchar, MD, FACOG, an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care and is unique in that she flies regularly with our critical care transport teams as a retrieval OBGYN/MFM. They are a…

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Ep 89 - IM Epi in OHCA, Part II 19:30

1y ago19:30

19:30

Back in episode 80 we discussed a feasibility study out of Salt Lake City that showed IM epi resulted in 3-minute faster administration in cardiac arrest. It was underpowered to show survival, however. Fortunately, the great folks in Salt Lake City is back with a larger bite at the statistical apple. Dr Jarvis discusses the background around what w…

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CRASH & BURN: Airway Management in Hemodynamically Unstable Patients - Part 2 1:00:12

1y ago1:00:12

1:00:12

In Episode 264 of the FlightBridgeED Podcast: MDCAST, Dr. Mike Lauria, Dr. Jeff Jarvis, and trauma anesthesiologist Dr. Chris Stevens return for Part 2 of their deep dive into airway management in profoundly hemodynamically unstable patients. In this episode, the trio explores controversial topics such as the use of pressors in trauma patients, mec…

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CRASH & BURN: Airway Management in Hemodynamically Unstable Patients - Part 1 48:53

1y ago48:53

48:53

In this thought-provoking episode of the FlightBridgeED Podcast: MDCAST, Dr. Mike Lauria is joined by Dr. Jeff Jarvis and Dr. Chris Stevens to tackle the critical and potentially controversial topic of airway management in hemodynamically unstable patients. The discussion dives into complex scenarios, decision-making challenges, and balancing the b…

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The Standard of Care Podcast: An Origin Story 48:51

1y ago48:51

48:51

In this episode of The Standard of Care Podcast, Samantha Johnson and Nick Adams recount their journey from attending conferences to becoming conference speakers on critical medical-legal topics in EMS. They reflect on how these pivotal experiences shaped their current work. The episode dives into highlights from recent EMS conferences, such as Sou…

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Ep88 - Naloxone in Cardiac Arrest? 30:42

1y ago30:42

30:42

Do you give naloxone to patients who are in cardiac arrest? Should you? Can it possibly provide any benefit at all once you are already providing effective ventilations? Well, Dr. Jarvis certainly thought not. He might have even thought it out loud. Like, loudly out loud. Based on two recent papers looking directly at this question, perhaps he need…

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Back to School: Crimes vs. Torts 33:58

1y ago33:58

33:58

It’s back-to-school time for the kids and for paramedics and EMTs, too! Nick is planning to renew his certification. But we know there will be a set of medical-legal questions on the National Registry exam, and he will be sure he’s prepared. In this series, Nick and Samantha dive deeper into the medical-legal concepts commonly tested on the Nationa…

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PHACTORS: Impacting the "Platinum 10" Post-Intubation 1:27:00

1y ago1:27:00

1:27:00

In this engaging and insightful episode of the FlightBridgeED Podcast, Eric Bauer is joined by Dr. Michael Lauria as they delve into the intricacies of post-intubation care and the critical factors that impact patient outcomes during the first 10 minutes after intubation. Building on the well-established concepts of airway management and resuscitat…

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Ep87 - Those CPR Pauses, Though... 26:22

1y ago26:22

26:22

Remember when we learned interruptions in compressions take a long time to recover blood pressure from? And how, to avoid these, we should do continuous compressions to avoid them. And ventilations aren’t all that important. Right? Right? Well, about that. Maybe the stories of the importance of continuous compressions were greatly exaggerated. Join…

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Every Breath They Take: Part 2 23:53

1y ago23:53

23:53

PART 2 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…

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PREOXI Trial Crossover Episode w/ Dr. Jeff Jarvis 29:45

1y ago29:45

29:45

This is a must-listen! What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Trial, which directly compares preoxygenation with non-invasive ventilation compared to a face mask to see which provides the best protection against peri-intubatio…

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Every Breath They Take: ARDS Part 1 1:01:52

1y ago1:01:52

1:01:52

PART 1 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…

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Ep86 - The PREOXI Trial 29:17

1y ago29:17

29:17

What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Trial, which directly compares preoxygenation with non-invasive ventilation compared to a face mask to see which provides the best protection against peri-intubation hypoxia. This is an i…

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Refractory Vasodilatory Septic Shock with Dr. Brittney Bernardoni 44:10

1+ y ago44:10

44:10

In this episode of the FlightBridgeED MDCast, Dr. Mike Lauria and Dr. Brittney Bernardoni discuss the management of refractory hypotension in septic patients. They explore the use of norepinephrine as the initial pressor of choice and the benefits of vasopressin as a second-line agent. They also discuss the use of inotropes, such as epinephrine and…