Remove 2012 Remove Burns Remove Shock
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52 in 52 – #41: The CENSER Trial

EMDocs

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% I will continue to reach for pressors early in resuscitation of the septic shock patient.

Sepsis 86
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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

2012 PMID: 21893125. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins. Resuscitation. 9 Zhang W et al. Medicine (Baltimore).

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Raised inflammatory markers BMJ 2012; 344 :e454 doi:10.1136/bmj.e454 Gabay C, Kushner I. 2012 Jul 23;2(1):32. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Oncotarget. N Engl J Med.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

2012 Jan 13;61(RR-1):1-20. You should also consider the possibility of quote unquote spinal shock. than it is spinal shock. And hypotension, bradycardia, or temperature instability can result from hemorrhagic and or spinal shock. MMWR Recomm Rep. PMID: 22237112. Resuscitate with volume and blood.

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Pediatric Pain

Pediatric Emergency Playbook

For example, a very anxious caregiver can easily transmit his or her anxiety to the child, which may either inhibit or amplify presentation of symptoms ( Bearden 2012 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. 2012 Jul;37(6):680-6.

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IV fluids in the ED: When do we really need them?

EMDocs

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al.