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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Crit Care 2004. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 vs 0.5% (Range 0.4 vs 0.5% (Range 0.4 Crit Care Med 2023.

Shock 145
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The 73rd Bubble Wrap

Don't Forget the Bubbles

2004) Positive end expiratory pressure during resuscitation of premature lambs rapidly improves blood gases without adversely affecting arterial pressure. The author reviewed this article after having a burning desire to question where the guidance came from! Probyn, M.E., Hooper, S.B., Dargaville, P.A., McCallion, N.,

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Vasopressor Nonresponse

Northwestern EM Blog

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock. 2004; 139(11):1199-1203.

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The Technologically Dependent Child in the ED

Pediatric Emergency Playbook

The Huber needle is not a resuscitative line. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths. Pediatr Clin N Am 51 (2004) 305– 325 Kusminsky RE.

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Pediatric Pain

Pediatric Emergency Playbook

mg/kg IV, up to 10 mg ) ( Brousseau 2004 ), often given with diphenhydramine (1 mg/kg PO or IV, up to 50 mg) and IV fluids. Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Minor burns can be treated topically and with oral medications.