Remove 2011 Remove Fluid Resuscitation Remove Hyperthermia / Hypothermia
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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: Hyperthermia

EMDocs

Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management? 1 Fever is usually < 40C.

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Referring to the Intensive Care Unit

Mind The Bleep

The ICU team are aware that this patient may require therapeutic hypothermia, continuous cardiac monitoring and may deteriorate to the point of arrest. They agree this patient should be for full resuscitation and any other organ support he may require. 2011 Dec;11(6):601-4. Available at: [link] (Accessed: 09 February 2024).