Remove 2002 Remove Resuscitation Remove Shock
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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

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. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. 2002 Mar;68(3):240-3; discussion 243-4.

Burns 73
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Trauma Resuscitation Updates

RebelEM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4% NEJM 1994. [2] NEJM 1994. [2]

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SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock

The Skeptics' Guide to EM

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. NEJM January 2018. NEJM January 2018.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

septic shock). Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Limited, small studies on its use in septic shock do not make a clear argument for use. Paper: Ibarra-Estrada, M et al. Crit Care 2023.

Shock 145
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Case Report: a High-Voltage Victim

ACEP Now

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 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.

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Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.

Dr. Smith's ECG Blog

The patient was in shock on arrival in the ED — and multiple blood transfusions were needed. Consider that the patient in this case was promptly resuscitated in the ED. The mechanism for these ECG changes of hyperkalemia is interesting ( Webster et al: Emerg Med J 19:74-77, 2002 ). WHAT is the rhythm in this tracing?

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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

Patients are going to be pretty sick often from multiple pathologies but COHb on its own is enough to produce severe neurological injury, shock and even cardiac injury is also quite prevalent. Resuscitate and investigate as you would any sick patient. The New England journal of medicine 347 , 1057–1067 (2002).