article thumbnail

Trauma Resuscitation Updates

RebelEM

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. NEJM 1994. [2] NEJM 1994. [2]

article thumbnail

EM@3AM: Amniotic Fluid Embolism

EMDocs

Amniotic fluid embolism: antepartum, intrapartum and demographic factors. 2015 May;28(7):793-8. Amniotic fluid embolism: a reappraisal. ” Am J Obstet Gynecol 201(5): 445 e441-413. link] Fong A, Chau CT, Pan D, Ogunyemi DA. J Matern Fetal Neonatal Med. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30. PMID: 24974876.

EMS 96
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

Neuroleptic Malignant Syndrome

Northwestern EM Blog

Therefore, fluid resuscitation and maintenance are important. 12 March 2015. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] 2] Rigidity will lead to rhabdomyolysis with subsequent hyperkalemia and myoglobin-induced renal failure. References 1. Institute for Safe Medication Practices.

article thumbnail

Episode 7: Sepsis

PHEM Cast

The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. 2015 Aug 26;:1–31. 2015 Oct 17;:1–16. 2015 Apr 24;:1–10.

Sepsis 52
article thumbnail

IV fluids in the ED: When do we really need them?

EMDocs

2015, 49 performed a retrospective review of 5,000 patients across the Cleveland Clinic health system looking at the prevalence of IV fluid used for renal colic and found that about 80% of patients were given fluid boluses despite the absence of signs of dehydration. Fluid resuscitation in sepsis: the great 30 mL per kg hoax.

article thumbnail

Chemical Burns

Mind The Bleep

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. 2015 Jun;11(2):227-31. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. J Toxicol Clin Toxicol.

Burns 52
article thumbnail

Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. 2015 Nov;46(5):586–9. 2015 Jul 4;30(12):2115–9. 2015 [cited 2024 Jan 19]. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. She appears pale and dehydrated , and her level of alertness fluctuates.