Remove 2019 Remove EMS Remove Fluid Resuscitation
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EM@3AM: Amniotic Fluid Embolism

EMDocs

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. . “Amniotic fluid embolism: diagnosis and management.” She had a precipitous delivery while the ambulance was pulling in. link] j.ajog.2016.03.012

EMS 111
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ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. McGraw Hill; 2019. Basic assessment: airway, breathing, circulation. Antiemetics as needed. 2 L/hr in adults. Tenenbein M.

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Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

RebelEM

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). CRITICAL CARE: HARD TIMES – RESUSCITATING MY PATIENT: FLUID, BLOOD AND OTHER STRATEGIES.

Sepsis 121
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Trauma Resuscitation Updates

RebelEM

In the initial management of trauma patients there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from the resuscitation itself Promote hemostasis References: Dutton RP et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Jan 2019; PMID: 30138573. lactate-targeted fluid resuscitation on regional, microcirculatory and hypoxia-related perfusion parameters in septic shock: a randomized controlled trial. Sep 2010; PMID: 20502865 Teboul JL, et al. Arterial Pulse Pressure Variation with Mechanical Ventilation. Am J Respir Crit Care Med.

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The SQuID Protocol: SQ Insulin in DKA?

RebelEM

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. appeared first on REBEL EM - Emergency Medicine Blog. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. tests/hr (0.8 Traditional: 1.0

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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

Fluid resuscitation should be initiated. Matthew Turner , originally trained at the Medical University of South Carolina, is an EM intern at Hershey Medical Center in Hershey, Pa. 2019:94(4):697-703. 2019:37(2):277-280. Patients should be assessed for evidence of hypovolemia or active exsanguination.