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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.

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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 75
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First10EM Journal Club: October 2022

Broome Docs

PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. PMID: 36103415 Bottom line: Less is more when it comes to intravenous fluids. 2011 Dec 15;343:d7506. 2018 Sep 11;362:k3843. N Engl J Med.

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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed. Microb Drug Resist 2011; 17:267. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05

EMS 74
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Paediatric IV Fluid Prescribing

Mind The Bleep

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose.

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SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

The Skeptics' Guide to EM

It is like normal saline vs. Ringer’s lactate for fluid resuscitation, steroids vs. no steroids for sepsis, or Coke vs. Pepsi. Dr. Ian Stiell and colleagues published an article in 2011 in Annals of EM looking at variation in recent-onset atrial fibrillation management in Canada and found a lot of variability.

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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.