Remove 2018 Remove Fluid Resuscitation Remove Research
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First10EM Journal Club: October 2022

Broome Docs

PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. 2018 Sep 11;362:k3843. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al.

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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. Excessive transfusion can increase the risk of hyperkalaemia and fluid overload. It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? So quite a few changes!

Sepsis 40
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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Additional fluids will not improve her condition and may worsen it. doi:10.25122/jml-2018-0067 Takotsubo syndrome. ESC Heart Fail. 2020 Apr;7(2):400-406. J Med Life.

EMS 93
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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9% JAMA Intern Med.

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ToxCard: Organic Mercury Poisoning

EMDocs

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Case Follow-Up: This is a real case of a researcher who worked with dimethylmercury in her lab. 2018, February 1). Mercury concentrations were not measured in dialysate. Resources: S. Food and Drug Administration.

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

EMDocs

the FEAST trial 29 from 2011 conducted in Uganda, Kenya, and Tanzania, also showed significantly increased harms in the aggressive volume resuscitation group in children with sepsis and signs of shock. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. Inwald et al.