I love these discussions. Great input from all.
TJ, I could make a trip out east, but I'm not a fan of humidity. But if it's in a emergency, hollar and I'll be there as quick as I can.
Patriot007, thanks much. I've had some sick pt's lately that we have used any all sort of pressor combinations in order to help. I think the true key is to get as far in front of the eight ball as you can. (I had one that was post code resuscitation that was on liter number 8 and on three pressors. Not happy.) BTW we are using Levophed a lot out here in our shock protocol.
Sdiver. Keep em up. Love em.