The rapid response team arrives. The primary team also calls for anesthesia. The patient is briskly intubated. You call the attending and transfer the patient to the NCCU.
In the NCCU, you get the patient stabilized. She's on propofol for sedation (she had just gotten intubated and got a paralytic for it). She's on VC/AC with lung-protective ventilation settings. You notify the PLEX team that you have a patient for whom you'd like to initiate PLEX. With the NCCU fellow's help, you place a right IJ hemodialysis catheter. A chest X-ray is obtained for ETT placement and right IJ catheter confirmation; both are appropriately placed. She also has a more obvious left lower lobe opacity now. PLEX is started later in the day.