In this episode, we dive into one of the most high-stakes procedures in the CVICU: emergent resternotomy. Following the framework from my Emergent Resternotomy Resource, we’ll break down when and why this life-saving intervention is necessary, the step-by-step process, and the critical role each team member plays in ensuring a successful outcome.

From recognizing the early warning signs of cardiac tamponade to managing a crashing post-op patient, we’ll discuss the decision-making process, equipment readiness, and essential teamwork needed to act swiftly under pressure. Whether you’re a nurse, resident, or seasoned ICU provider, this episode will help reinforce the fundamentals and prepare you for those rare but critical moments where seconds truly matter.

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