Remove 2009 Remove Fluid Resuscitation Remove Wellness
article thumbnail

emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

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 73
article thumbnail

Chemical Burns

Mind The Bleep

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
Insiders

Sign Up for our Newsletter

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

article thumbnail

EM@3AM: Amniotic Fluid Embolism

EMDocs

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 96
article thumbnail

Necrotising Enterocolitis

Don't Forget the Bubbles

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.

article thumbnail

The CLOVERS Trial

Taming the SRU

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
article thumbnail

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

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 52
article thumbnail

Sepsis Updates Relevant to the Emergency Physician

EMDocs

13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation. Additionally, the recommendation to use a 30 cc/kg bolus was downgraded.

Sepsis 65