Remove 2014 Remove Fluid Resuscitation Remove Ultrasounds
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

19 These are all invaluable tools that providers can use at the bedside to assess the probability of a patient responding to IV fluids. Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. May 2014; PMID: 24495437.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 40
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The CLOVERS Trial

Taming the SRU

Respiratory failure and more severe acute kidney injury were demonstrated to be more common in patients who received higher volumes of intravenous fluid (Andrews, Muchemwa et al. 2014, Hjortrup, Haase et al. Bernard (2014). Evaluation and Predictors of Fluid Resuscitation in Patients With Severe Sepsis and Septic Shock."

Sepsis 52
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Review of the ATHOS 3 trial

Northwestern EM Blog

This data shows us that angiotensin II can make the blood pressure better but I would never let it distract you from the things we know matter in sepsis resuscitation. Crit Care 2014; 18(5): 534. In my personal practice, I make sure to optimize these and start vasopressin shortly after the initiation of norepinephrine.

Shock 52
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF. Let’s start with fluids. Jeff : Yes it has!

Sepsis 40
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Sepsis Updates Relevant to the Emergency Physician

EMDocs

13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation. Additionally, the recommendation to use a 30 cc/kg bolus was downgraded.

Sepsis 91
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Something she ate?

Intensive Blog

Other investigations to consider include imaging of the liver with ultrasound and computerised tomography (CT) to assess for any changes to the liver parenchyma or vasculature, such as portal vein thrombosis or Budd Chiari Syndrome (hepatic venous outflow obstruction). 2014, Jan). Silibinin [link] Warrillow, S. Bellomo, R.