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She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluidresuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. 2015 Nov;46(5):586–9. 2015 Jul 4;30(12):2115–9.
9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. On Day 3 (i.e. 2021 Jan;70(1):9-29.
In addition, the patient received 750 mL of fluidresuscitation with transient improvement of blood pressure. As with other cases of shock, initial fluidresuscitation may be considered. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. 2015 Oct; 66(4):355-362. Annals of Emergency Medicine.
of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.
2015 Jan;17(1):1-24 Hostler D, Northington WE, Callaway CW. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C link] Kakoki, K.,
For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,
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