Remove 2018 Remove Fluid Resuscitation Remove Shock
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The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

Lack of fluid monitoring throughout the PICU stay led to underreporting of MODS resulting from late-onset FO. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. 41% of patients with septic shock had MODS. Why does it matter? Am J Emerg Med. 2025 Apr;90:179-191.

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EM@3AM: Stercoral Colitis

EMDocs

2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Cureus, 15(7), e41705.

EMS 98
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

13 That is to say nothing of the effect that the type and response to shock has on the individual patients involved in these studies. Simply put, a difference greater than or equal to 12% between the largest and smallest pulse pressure can predict fluid responsiveness. J Invest Surg Sept 2018; PMID: 28952826 Robb J.

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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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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. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. Total amount over 24 hours.

Burns 98
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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Majority of DKA patients are in a fluid deficit and present acutely with shock. Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. NaCl fluid bolus over 15 minutes. We do not subtract the bolus as the child was shocked.

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Electrical injuries

Don't Forget the Bubbles

Was the patient thrown from the source (suggestive of DC shock and may result in further blunt force trauma)? Children, especially toddlers, may insert objects into outlets, leading to shocks or burns. Electrical devices used near water sources can cause severe shocks. Was the voltage high or low (as below)?

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