Don't Forget the Bubbles

OCTOBER 7, 2024

Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Deep tissue injuries may not be visible, and as muscle breaks down, it leads to myoglobinuria, rhabdomyolysis and renal failure. Narayanan, K., and Marijon, E., Electrical injury. and Trohman, R.G.,

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

PHEM Cast

APRIL 10, 2016

The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. 2006 Jun 3;332(7553):1295–8. 2006 Jun 3;332(7553):1299–303.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

JANUARY 20, 2025

47 from 1983 looking at 60 participants who either received IV fluids over 6 hours or received no fluids. 48 in 2006 enrolled 58 patients divided into two groups. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. 2006 Oct;20(10):713-6. Keijzers, G.,

Dehydration 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40

EMDocs

JUNE 27, 2024

2006 Jul;134(1):109-15. 2006 Dec 13;2(91):2852-7. -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 Br J Haematol.

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

Taming the SRU

MARCH 31, 2023

Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction occurs in minutes Clinical Definition: Acute onset of illness with involvement of the skin, mucosal tissue or both + one of the following Respiratory compromise Reduced BP Or, acute onset of illness with at least (..)

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EB Medicine

OCTOBER 1, 2018

And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. Let’s start with fluids. Patient’s need adequate fluid resuscitation. So quite a few changes!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JANUARY 20, 2024

This patient’s recent diarrheal illness raises suspicion for hypovolemia, which would be treated with fluid resuscitation (D) , but her moist oral mucosa and dilated inferior vena cava suggest an eu- or hypervolemic state. Additional fluids will not improve her condition and may worsen it. 2006 Jul;27(13):1523-9.

EMS 74

EMS Fluid Resuscitation Shock EKG/ECG 74