Remove 2015 Remove Anaphylaxis Remove Resuscitation
article thumbnail

Vasopressor Nonresponse

Northwestern EM Blog

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock. California Medicine.

article thumbnail

Review of the ATHOS 3 trial

Northwestern EM Blog

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. Two classes of vasopressors have been used in the past for hypotension. They are catecholamines and vasopressin-like peptides.

Shock 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Grand Rounds Recap 3.15.23

Taming the SRU

massive bee envenomation - R4 Capstone - Hydrocephalus - cpc: brain tumor - hyperviscosity syndromes - the language of being well & embracing fear in emergency medicine tamingthesru: Massive bee envenomation WITH dr. Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction (..)

article thumbnail

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Note that antivenom will NOT reverse anaphylaxis on its own. Jeff: What a team!

article thumbnail

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Volume 21, Issue 6, June 2015, Pages 583-590 Perron T, Emara M, Ahmed S. Neutropenic Fever: Fever (one reading of 38.3C Give appropriate fluids, vasopressors, and antibiotics. Factors influencing mortality in neutropenic patients with haematologic malignancies or solid tumours with bloodstream infection. Clinical Microbiology and Infection.