2018, Fluid Resuscitation and Ultrasounds

The CLOVERS Trial

Taming the SRU

MAY 5, 2023

Despite the complexity and heterogeneity of patients with sepsis, there have been few interventions which have been demonstrated to decrease mortality: early antimicrobial and fluid administration (Levy, Evans et al. 2018, Kuttab, Lykins et al. Sixty centers participated during the years 2018-2022. Rhodes (2018).

Sepsis

Sepsis Shock Administration Resuscitation

Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

JULY 17, 2023

3 Point of care ultrasound (POCUS) can be highly sensitive for free fluid and pneumoperitoneum when used by a trained physician in the appropriate patient population. Published 2018 Aug 13. 9 POCUS has utility for the critically ill patient who may not be appropriate for CT to assess for perforation. Published 2021 Apr 22.

Operations

Operations EMS Fluid Resuscitation Resuscitation

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

EB Medicine

NOVEMBER 1, 2018

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. Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Keep a low threshold to XR or CT any potentially injured body region.

Emergency Department

Emergency Department Burns EKG/ECG Shock

EM@3AM: Takotsubo Cardiomyopathy

EMDocs

JANUARY 20, 2024

Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. Ultrasound findings can show bulging of the interventricular septum into the LVOT , which can be interpreted as a sigmoid-shaped septum on bedside evaluation. The oral mucosa is moist.

EMS

EMS Fluid Resuscitation Shock EKG/ECG

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

EB Medicine

OCTOBER 1, 2018

And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF.