RebelEM

MAY 25, 2023

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. NEJM 1994. [2] NEJM 1994. [2] PMID: 12045644 Bickell WH et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

RebelEM

FEBRUARY 24, 2025

Well, the established cutoff for the distensibility index is 18%. A cutoff of 18% has a positive predictive value (PPV) of 92% and NPV of 90% for fluid responsiveness. Jan 2015; PMID: 25559473 Airapetian N, et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% 2015 Jun;11(2):227-31. J Toxicol Clin Toxicol. 1993;31(2):307-13. PMID: 8492343.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JUNE 22, 2024

The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. Amniotic fluid embolism: antepartum, intrapartum and demographic factors. 2015 May;28(7):793-8. Amniotic fluid embolism: a reappraisal. A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

EMDocs

NOVEMBER 1, 2023

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.) McGraw-Hill Education; 2015.

Operations 93

Operations Radiology Radiology Fluid Resuscitation 93

Northwestern EM Blog

MAY 9, 2022

There is no gold standard with respect to its definition, and it requires a medication history (which we typically don't do very well in the emergency department). Therefore, fluid resuscitation and maintenance are important. 12 March 2015. NMS is hard to diagnose because it's rare. References 1. Juurlink JN.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 52

EMDocs

JULY 13, 2024

2015 Feb 2;2015(2):CD001067. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Merck Manuals Professional Edition , Merck Manuals, 29 Jan. 2024, [link] Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis.

OB/GYN 89

OB/GYN EMS Sepsis Fluid Resuscitation 89