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ToxCard: Iron

EMDocs

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. 2005 Jun;159(6):557-60. Clinical Toxicology, 2005; 43(6), 553570. Basic assessment: airway, breathing, circulation.

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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. 2005 May;146(5):688-92. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. Lesson = treat early! PMID: 15870676.

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EM@3AM: Hyperthermia

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. 2005 Oct 5;9(5):R498-501. Point of care glucose in the field was 102 mg/dL. link] Chava, R.,

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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. 2005 Oct 19;294(15):1944-56. The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS): A Randomized Pilot Study. Fluid resuscitation in sepsis: the great 30 mL per kg hoax.

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Cholera: ED presentation, evaluation, and management

EMDocs

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able.