Don't Forget the Bubbles

MARCH 31, 2025

Lack of fluid monitoring throughout the PICU stay led to underreporting of MODS resulting from late-onset FO. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. Prolonged fluid overload may still contribute to organ dysfunction over time. Why does it matter?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% Cardiovasc Intervent Radiol 32 , 155–158 (2009). Sagoschen, I. 2020.0056.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JUNE 25, 2024

Consider escharotomy if there is any issue with perfusion or neurologic deficit, as well as difficult ventilation in the intubated patient. Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EMDocs

JUNE 22, 2024

The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. Romero (2009). “Amniotic fluid embolism: an evidence-based review.” Amniotic fluid embolism: antepartum, intrapartum and demographic factors. She had a precipitous delivery while the ambulance was pulling in.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

Don't Forget the Bubbles

JUNE 10, 2024

Baby A, a preterm infant, appears to be faring well for the moment—requiring minimal respiratory support, on full feeds, without IV access, and generally in an okay condition. Welcome to your first day with the neonates! Upon arriving for your initial shift, you set down your bag, and shortly after, you’re asked to evaluate Baby A.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. As with other cases of shock, initial fluid resuscitation may be considered. NEJM 362(9):779; March 4, 2009. NEJM 362(9):779; March 4, 2009. I would immediately intubate a patient who is this ill.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Taming the SRU

MAY 5, 2023

RESULTS A total of 1,563 patients were enrolled with 782 assigned to the restrictive and 781 assigned to the liberal fluid groups. There were similar baseline characteristics and the groups were well-matched. Evaluation and Predictors of Fluid Resuscitation in Patients With Severe Sepsis and Septic Shock." Bauer, M.,

Sepsis 52

Sepsis Shock Administration Resuscitation 52