PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Excessive transfusion can increase the risk of hyperkalaemia and fluid overload. It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

EMDocs

JANUARY 20, 2024

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Additional fluids will not improve her condition and may worsen it. 2012 Aug;164(2):215-21. Am Heart J. 2008 Mar;155(3):408-17. Brinjikji W, El-Sayed AM, Salka S. Am Heart J.

EMS 93

EMS Fluid Resuscitation Shock EKG/ECG 93

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Case Follow-Up: This is a real case of a researcher who worked with dimethylmercury in her lab. Mercury levels in commercial fish and shellfish (1990-2012). Mercury concentrations were not measured in dialysate.

Poisoning 84

Poisoning Fluid Resuscitation Administration Seizures 84

EMDocs

JANUARY 20, 2025

The rationale against IV fluids is that they may worsen pain by increasing the ureteral pressure, leading to worsening obstructive symptoms and perhaps exacerbating any kidney injury sustained from the obstruction. 47 from 1983 looking at 60 participants who either received IV fluids over 6 hours or received no fluids.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

FEBRUARY 17, 2025

These differences underscore the need for further research to clarify the role of venous congestion in pediatric critical care. Differences in thresholds, assessment techniques, and underlying causes underscore the need for further research to define the role of venous congestion in children and tailor interventions accordingly.

Pediatrics 78

Pediatrics Ultrasounds Shock Resuscitation 78