TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Orthopnoea, oedema, crepitations, elevated JVP and pulmonary congestion.
๐ First actions
Assess oxygenation and perfusion; ECG, CXR, bloods and prompt senior review; diuretics if overloaded and appropriate.
๐งช Investigate / reassess
Monitor urine output, BP, renal function and electrolytes; evaluate ACS and arrhythmia.
โ ๏ธ Escalation / pitfalls
A patient in cardiogenic shock requires different treatment from stable congestion.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.