There we go, yep, that's it. All right, alcohol withdrawal. So our patient has started on COR monitoring and chlorodioxyde or Librium taper. And over the next couple of days, his alcohol withdrawal symptoms improve. The ICU team continues to monitor him closely as he develops shock liver and acute kidney injury. He also remains persistently tachycardic. The ICU team carefully monitors the patient's fluid balance and hemodynamics. However, he begins to have worsening oxygen requirements and softer blood pressures. He's placed on non-invasive cardiac output monitoring with a flow track device. He makes very small amounts of urine and his creatinine continues to rise. His chest X-ray shows bilateral pulmonary infiltrates and a point-of-care ultrasound reveals hypokinesis, no pericardial effusion, a plethoric IVC, and bilateral B-lines in the lower and middle lung zones. So question number one. If we can flip back one slide. I don't see the... All right, so it may or may not show up, but try to do this one in your head, I guess. What type of shock is the patient most likely experiencing here? All right, we'll keep going. So the team is concerned about fluid overload and initiates continuous renal replacement therapy and optimizes lung protective ventilation early.

alcohol withdrawal

COR monitoring

Librium taper

ICU team

renal replacement therapy