Remove 2012 Remove Emergency Department Remove Fluid Resuscitation
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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. Published 2012 Jul 1. 2012 Aug;39(8):719-24. Basic assessment: airway, breathing, circulation. Antiemetics as needed.

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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. Am J Emerg Med. 2012 Jan;30(1):51–6. Prehosp Emerg Care.

Sepsis 52
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EM@3AM: Stercoral Colitis

EMDocs

If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. 2012 May-Jun;13(3):283-289.

EMS 88
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Annals of B Pod - Opioid-Associated Hearing Loss

Taming the SRU

HOSPITAL COURSE The patient was initially found to be hypotensive in the Emergency Department with a blood pressure of 87/58 mmHg. He was given an intravenous fluid bolus with minimal improvement in his blood pressure, but remained alert. J-point elevation in leads I, II, III, aVF, V5, V6. Seminars in Hearing.

EKG/ECG 52
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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. 4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. IV fluid resuscitation as needed.

EMS 86
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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

Takotsubo syndrome is often exceedingly difficult to distinguish from acute myocardial infarction in the emergency department, as there is significant overlap in many clinical and diagnostic features. Additional fluids will not improve her condition and may worsen it. 2012 Aug;164(2):215-21. Vital signs show T of 99.0°F

EMS 85
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IV fluids in the ED: When do we really need them?

EMDocs

Much of our understanding of the clinical signs of hypovolemia comes from studies performed on phlebotomy volunteers 1,2 while our understanding of fluid overload comes from heart failure patients. 47 from 1983 looking at 60 participants who either received IV fluids over 6 hours or received no fluids. Acad Emerg Med.