ABGs at 3am: What Actually Matters
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ABGs at 3am: What Actually Matters
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Show notes: ABGs at 3am: stop chasing formulas. Learn the senior order: pH, CO2, oxygenation, then urgency and escalation.Episode 8 — ABGs at 3am · What Actually Matters
ABGs don’t confuse clinicians — time pressure and fatigue do.
In this episode, we simplify ABGs into what matters at 3am: urgency, pattern recognition, and the one question you must answer first — is this patient about to crash? We walk through a breathless COPD scenario and give a senior sequence for triage: pH first, then CO₂, then oxygenation, then the clinical explanation.
You’ll learn:
Why ABGs are about triage, not formulas
The senior order: pH → CO₂ → oxygenation → explanation
How to recognise ventilatory failure and compensation failing
The common errors: interpreting in the wrong order, repeating gases without action
When escalation matters before the patient becomes exhausted
Educational content only — not a substitute for local guidelines or senior clinical advice. For ABG interpretation guides and real-case walkthroughs, visit the AcuteCast app.
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