Remove 2018 Remove Fluid Resuscitation Remove Pediatrics
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EM@3AM: Stercoral Colitis

EMDocs

If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705.

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. May be associated with fluid overload.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation.

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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. In France, another large randomised controlled trial of Eculizumab in typical HUS – ECULISHU ( Ecul izumab in S higa-toxin Related Hemolytic and U remic S yndrome Pediatric Patients) – has just finished. Pediatr Nephrol.

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

In total, they pulled references from 1966 until 2018. Nachi: Additionally, for those with severe electrical injuries, an IV should be placed and fluid resuscitation should begin. Nachi: Fluid resuscitation with isotonic fluids is the standard -- again -- with a goal urine output of 1-1.5

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2018 Aug;46(3):144-151. Epub 2018 Oct 17. Pediatr Allergy Immunol Pulmonol. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 C or 100.4

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Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

Understanding venous congestion in pediatric patients may identify new causal pathways of organ injury for critically ill patients, with potential treatment implications. For example, pediatric patients are less prone to the types of diastolic dysfunction commonly observed in adults, potentially changing the prevalence of venous congestion.