RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. 2002 Mar;68(3):240-3; discussion 243-4.

Burns 98

Burns Fluid Resuscitation Resuscitation Poisoning 98

Northwestern EM Blog

MARCH 1, 2025

Absolute contraindications of prone positioning are severely increased intracranial pressure as positioning of the head in prone position can partially obstruct cerebral venous drainage, as well as unstable spinal fractures because the manipulation while repositioning a patient may lead to further injury (Guerin et. 2020; Koulouras et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

ACEP Now

MARCH 14, 2024

Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc. 30(11):p S424-S430, November 2002. Lastly, vessels can be damaged by internal burns, which may lead to poor perfusion and delayed complications as thrombosis or third spacing.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

The two most common complications of VP shunts are malfunction (due to obstruction, fracture, or kinking) or infection. The Huber needle is not a resuscitative line. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths. He is in compensated shock.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Dr. Smith's ECG Blog

JULY 3, 2020

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. She sustained chest wall trauma, including rib fractures with serious bleeding. Consider that the patient in this case was promptly resuscitated in the ED. Her initial troponin I, part of a critical care order set, returned at 0.55

Blood Transfusions 52

Blood Transfusions EKG/ECG Shock Fractures 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal pain pathways are particularly plastic; prompt assessment of and increased alertness to neonatal pain may help to mitigate long-lived pain sensitivity and hyperalgesia ( Taddio 2002 ). For many medications, these children will have a greater weight-normalized clearance than adults ( Berde 2002 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40