In a situation that makes you confused, do not know what to perform next, calm down a bit and concentrate on your patient again. Some occasion you cannot perform a useful investigation, because it is not possible to palpate your patient's arms or legs because of an obstructed C-arm fluoroscope, because the CVP is not the up-to-date monitoring in this world and it just tells you whether or not your patient has a right heart failure, because PPV cannot be interpreted since your patient's cardiac rhythm is not sinus.
So, what you could possibly do are listed in the attached foto....
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