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Adjunctive Methylene Blue in Septic Shock?

RebelEM

septic shock). Limited, small studies on its use in septic shock do not make a clear argument for use. Early Adjunctive Methylene Blue in Patients with Septic Shock: A Randomized Controlled Trial. Background: Sepsis can induce numerous physiologic derangements. Paper: Ibarra-Estrada, M et al. Crit Care 2023. 95% CI 15.4

Shock 145
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Episode 32 - Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls (Ethics CME)

EB Medicine

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Fun fact: planes also take off heavy - with tons of fuel that will be burned prior to landing. Say you were to take off from London, bound for the US.

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IV fluids in the ED: When do we really need them?

EMDocs

2001 12 found similar results among a cohort of critically ill patients. Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. 11 A study by Stephan et al.