Pediatric EM Morsels

JULY 28, 2023

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. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Diabetes Care.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

RebelEM

MAY 29, 2023

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

Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

FEBRUARY 24, 2025

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.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

Emergency Medicine Ireland

JUNE 21, 2021

Believe it or not there is a World Society of abdominal compartment syndrome that has been on the go since 2004 and you can become a life time member for free if you want. If muscular tone is worsening things then get rid of it * optimise fluid resuscitation. optimise perfusion.

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Wellness 52

EMDocs

JUNE 27, 2024

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 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

EMDocs

JANUARY 20, 2025

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.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75