Remove 2004 Remove EMS Remove Fluid Resuscitation
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2004 Jul;27(7):1541-6. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. Lesson = treat early! Diabetes Care.

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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. appeared first on REBEL EM - Emergency Medicine Blog. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9%

Shock 145
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” Mar 2004; PMID: 15090949. Does the Central Venous Pressure Predict Fluid Responsiveness? J Clin Med. Mar 2023; PMID: 36983218 Feissel M, et al.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

Sundd P, Gladwin MT, Novelli EM. 2004 Jul;15(4):248-250. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4

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

EMDocs

For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. Methods of assessment of volume status and intercompartmental fluid shifts in hemodialysis patients: implications in clinical practice. 2004 Jan-Feb;17(1):37-43. 2004 Apr 15;2:11 Fonseca BK, Holdgate A, Craig JC.