Dr. Smith's ECG Blog

AUGUST 2, 2024

Yet recognition of acute RV MI is extremely important clinically — because emergency treatment will often require different priorities (ie, avoidance of nitroglycerine; fluid resuscitation for hypotension ).

EKG/ECG 119

EKG/ECG Fluid Resuscitation Academics Resuscitation 119

EMDocs

JUNE 22, 2024

“Amniotic fluid embolism: diagnosis and management.” The post EM@3AM: Amniotic Fluid Embolism appeared first on emDOCs.net - Emergency Medicine Education. Electronic address, p. ” Am J Obstet Gynecol 215(2): B16-24. link] j.ajog.2016.03.012 2016.03.012 Patel, P., ” Clin Appl Thromb Hemost 25: 1076029619843338.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0 tests/hr (0.9 Pre-COVID: 1.0

Operations 104

Operations Academics Fluid Resuscitation Outcomes 104

Don't Forget the Bubbles

OCTOBER 7, 2024

Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Deep tissue injuries may not be visible, and as muscle breaks down, it leads to myoglobinuria, rhabdomyolysis and renal failure. Electrical Injuries. Chen P, Bukhman AK. Electrical and lightning injuries.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

Northwestern EM Blog

MAY 9, 2022

Therefore, fluid resuscitation and maintenance are important. McGraw Hill; 2019. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] 2] Rigidity will lead to rhabdomyolysis with subsequent hyperkalemia and myoglobin-induced renal failure. Juurlink JN. Antipsychotics. Page 1037-1039.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 52

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. 2019 [cited 2023 Nov 30]. 2019 Sep 25;8:1690. 2019 [cited 2023 Nov 30]. 2019 [cited 2023 Dec 3]. Oct 30 2019. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. Rch.org.au. F1000Research.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. 2019:94(4):697-703. 2019:37(2):277-280. Patients should be assessed for evidence of hypovolemia or active exsanguination. Whatever the underlying cause, the patient should have two large-bore intravenous (IV) lines placed and be put on pulse oximetry and cardiac monitoring.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

Taming the SRU

MAY 5, 2023

2019, Bauer, Gerlach et al. 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. 2019, Evans, Rhodes et al. Aldana (2019). Ward (2019). Bauer, M.,

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Mind The Bleep

MAY 12, 2023

9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. 12 References The British Liver Trust (2019). On Day 3 (i.e. On Day 3 (i.e.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EMDocs

JANUARY 20, 2024

This patient’s recent diarrheal illness raises suspicion for hypovolemia, which would be treated with fluid resuscitation (D) , but her moist oral mucosa and dilated inferior vena cava suggest an eu- or hypervolemic state. Additional fluids will not improve her condition and may worsen it. ESC Heart Fail. 2020 Apr;7(2):400-406.

EMS 102

EMS Fluid Resuscitation Shock EKG/ECG 102

EMDocs

DECEMBER 16, 2023

Resuscitation , 134 , 49–54. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update. Temps greater than 41.5C Heatstroke. link] Simon. Halperin, H.,

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

EMDocs

JUNE 27, 2024

2019 Jan 24;14:263-292. -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 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. 2019 Jan 16;2019:4275918. doi: 10.1155/2019/4275918. Napp LC, Moelgen C, Wegner F, Heitland P, Koester HD, Klintschar M, Hiss M, Schaper A, Schieffer B, Bauersachs J, Schäfer A, Tongers J. Case Rep Crit Care.

Poisoning 94

Poisoning Fluid Resuscitation Administration Seizures 94

EMDocs

JANUARY 20, 2025

The latest SCCM pediatric sepsis guidelines 31 recommend against a fluid bolus in children who are not hypotensive and who do not have access to intensive care, with a weak recommendation to give a 10-20 ml/kg initial bolus and up to a 40-60 ml/kg bolus in children with hypotension who do have access to critical care resources. Keijzers, G.,

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

MARCH 11, 2024

3 Between 1990 and 2019, there were approximately 3 million deaths due to cholera globally, indicating a significant public health issue. Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able. 2020;148:e186.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111