Northwestern EM Blog

FEBRUARY 14, 2022

Interestingly, when vasopressin was studied in 2008, it similarly did not show a mortality benefit when added to norepinephrine infusion in septic shock2. This data shows us that angiotensin II can make the blood pressure better but I would never let it distract you from the things we know matter in sepsis resuscitation.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Excessive transfusion can increase the risk of hyperkalaemia and fluid overload. It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Don't Forget the Bubbles

JUNE 10, 2024

NEC remains a significant challenge in neonatology, prompting ongoing research and clinical trials to understand its pathogenesis better, improve prevention strategies, and develop more effective treatments. Pediatric Research, 63(2), 117-123. How do you treat necrotising enterocolitis? Advances in understanding and treating NEC.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

EMDocs

JANUARY 20, 2024

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Additional fluids will not improve her condition and may worsen it. 2008 Mar;155(3):408-17. Am Heart J. Brinjikji W, El-Sayed AM, Salka S. Am Heart J. 2012 Aug;164(2):215-21.

EMS 100

EMS Fluid Resuscitation Shock EKG/ECG 100

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. 2008 Sep;1(3):170-7. 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. Circ Heart Fail.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Case Follow-Up: This is a real case of a researcher who worked with dimethylmercury in her lab. doi: 10.1186/2008-2231-22-46. Mercury concentrations were not measured in dialysate. 2014 Jun 2;22(1):46.

Poisoning 91

Poisoning Fluid Resuscitation Administration Seizures 91