Remove 2011 Remove Fluid Resuscitation Remove Wellness
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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. IV fluid resuscitation as needed.

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. They will want daily weights and closely monitored fluid balance.

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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. hypotension; c.]

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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.

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Referring to the Intensive Care Unit

Mind The Bleep

She is moderately frail with a few well-managed comorbidities, and states that she would not want to live if she was not able to do her gardening or hold her grandchildren. 2011 Dec;11(6):601-4. Some examples of this; A 68 year-old lady being admitted for monitoring and a limited amount of vasopressors (e.g. Fullerton JN, Perkins GD.

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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. Heart 2011; 97 : 838-843 [link] 14. In the cath lab, the patient’s blood pressure remained low. J Am Coll Cardiol.

EKG/ECG 52