Remove 2003 Remove Fluid Resuscitation Remove Hospitals
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ToxCard: Iron

EMDocs

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. 2 L/hr in adults.

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EM@3AM: Endometritis

EMDocs

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge. PMID: 4073137.

OB/GYN 81
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Annals of B Pod - Opioid-Associated Hearing Loss

Taming the SRU

HOSPITAL COURSE The patient was initially found to be hypotensive in the Emergency Department with a blood pressure of 87/58 mmHg. He was given an intravenous fluid bolus with minimal improvement in his blood pressure, but remained alert. Her oxygen requirement decreased throughout her hospitalization. Diagnostics WBC : 8.6

EKG/ECG 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). N Engl J Med 2003; 348:1756-1763, 5/1/2013.

EKG/ECG 40
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ToxCard: Organic Mercury Poisoning

EMDocs

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. 2003 Oct 30;349(18):1731-7. In short, there is not a whole lot of evidence to support this, but if patient has had a recent ingestion and is not altered, you can consider gastrointestinal decontamination with AC.