Remove 2005 Remove Fluid Resuscitation Remove Outcomes
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ToxCard: Iron

EMDocs

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. 2005 Jun;159(6):557-60. Clinical Toxicology, 2005; 43(6), 553570. Tenenbein M.

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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. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. Lesson = treat early! PMID: 15870676.

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EM@3AM: Hyperthermia

EMDocs

2005 Oct 5;9(5):R498-501. Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Temps greater than 41.5C doi: 10.1186/cc3771. Raghavan, M.

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

EMDocs

One of the hallmarks of sepsis care, based on the Rivers 2001 17 trial and still recommended by the latest SCCM guidelines is early detection of sepsis and initiation of early resuscitation. link] During the 2017 IV fluid shortage, Patino et al. Inwald et al. Choudhari et al.