article thumbnail

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.

article thumbnail

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. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 PMID: 15870676.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

EM@3AM: Hyperthermia

EMDocs

2005 Oct 5;9(5):R498-501. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C link] Broessner G, Beer R, Franz G, Lackner P, Engelhardt K, Brenneis C, Pfausler B, Schmutzhard E. doi: 10.1186/cc3771. PMID: 16285034; PMCID: PMC1297610. Asplund, O’Connor, F. Halperin, H.,

article thumbnail

Something she ate?

Intensive Blog

2005, 2005/01/01/). Vasopressors such as noradrenaline are often required (systemic vasodilation is common in hepatic failure). Available from URL: [link] [Accessed 10 February 2023] Death Cap – Amanita phalloides. Royal Botanical Gardens Victoria. link] Berger, K. J., & Guss, D. Mycotoxins revisited: Part I. link] Ferenci, P.,

article thumbnail

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.

article thumbnail

Cholera: ED presentation, evaluation, and management

EMDocs

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. Non-O1/non-O139 Vibrio cholerae bacteraemia in mainland China from 2005 to 2019: clinical, epidemiological and genetic characteristics. 2023;10:1155751.