article thumbnail

ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Basic assessment: airway, breathing, circulation. Antiemetics as needed. Consider GI decontamination with whole bowel irrigation (WBI).

article thumbnail

EM@3AM: Retroperitoneal Hematoma

EMDocs

The time taken to measure serum hemoglobin and hematocrit (B) and await a result would delay definitive surgical control of likely ongoing hemorrhage given this patient’s incomplete response to fluid resuscitation. Epub 2011 Sep 10. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome.

EMS 87
Insiders

Sign Up for our Newsletter

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

Trending Sources

article thumbnail

EM@3AM: Leukopenia

EMDocs

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. 2011 Feb 15;52(4):e56-93. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation. Clin Infect Dis. doi: 10.1093/cid/cir073. PMID: 21258094.

EMS 80
article thumbnail

The Intersections of Physical and Mental Health Disorders

ACEP Now

However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation. Given his history, it could have been easy to attribute his current presentation to his known mental health conditions. Eur J Cardiothorac Surg.

EKG/ECG 52
article thumbnail

Episode 7: Sepsis

PHEM Cast

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. 2011 Aug 30;18(9):934–40. Academic Emergency Medicine.

Sepsis 52
article thumbnail

Referring to the Intensive Care Unit

Mind The Bleep

2011 Dec;11(6):601-4. University of Aberdeen (2020) Making decisions about who to admit to Intensive Care, University of Aberdeen. Available at: [link] (Accessed: 09 February 2024). Fullerton JN, Perkins GD. Who to admit to intensive care? Clin Med (Lond). doi: 10.7861/clinmedicine.11-6-601. PMID: 22268319; PMCID: PMC4952346.

article thumbnail

Back to the BaSICS: does the infusion rate of a fluid bolus affect mortality?

PulmCCM

Yet in 2011 a landmark randomized, controlled trial measured the effect that an intravenous bolus had on mortality in children with severe febrile illness in 3 African countries. Septic sheep randomized to early, rapid volume resuscitation had greater vasopressor requirements 12 hours after initial fluid bolus.