Remove 2012 Remove Fluid Resuscitation Remove Wellness
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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. Shock 2012. NEJM 1994. [2] NEJM 1994. [2] Ann Emerg Med.

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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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EM@3AM: Endometritis

EMDocs

2012 May;27(5):1368-74. Epub 2012 Mar 14. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David. “Endometritis” Encyclopedia Britannica, 6 Feb.

OB/GYN 64
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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. 2012 May-Jun;13(3):283-289. link] Wu CH, Huang CC, Wang LJ, Wong YC, Wang CJ, Lo WC, Lin BC, Wan YL, Hsueh C.

EMS 72
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Annals of B Pod - Opioid-Associated Hearing Loss

Taming the SRU

Patient remained hypotensive after fluid resuscitation and was admitted to the CVICU for management. During his admission, the patient’s blood pressure improved with correction of hypovolemia with crystalloid fluid resuscitation, and his CK and troponin trended downward. Seminars in Hearing. 2012;33(03):251-260.

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Grand Rounds Recap 3.15.23

Taming the SRU

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

The most common findings on ECG are ST elevation , most often in the anterior precordial leads, as well as sinus tachycardia and QT interval prolongation. Additional fluids will not improve her condition and may worsen it. 2012 Aug;164(2):215-21. Troponin and B – type natriuretic peptide are often elevated. Am Heart J.

EMS 74