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For these kind of emergent cranis we set up the room in such a fashion so that post-intubation we can immediately turn the bed about 120 so the surgeon can start prepping- but we still have the patient’s arm facing us and accessible to work on 2nd IV and aline. Your patient does need an a-line, but what they need more is their skull flap off and a blood transfusion.
This. Like a NASCAR pit crew, we can work in parallel and do more than one thing at a time.