2019, Fluid Resuscitation and Outcomes

Trauma Resuscitation Updates

RebelEM

MAY 25, 2023

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2] NEJM 1994. [2]

Resuscitation

Resuscitation Fluid Resuscitation Head Injuries Shock

Anterior OMI. What does the angiogram show?

Dr. Smith's ECG Blog

AUGUST 2, 2024

the investigators reviewed outcomes in 118 patients presenting with NSTEMI. 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 ). 118.007305) from Heitner et al. ,

EKG/ECG

EKG/ECG Fluid Resuscitation Academics Resuscitation

ToxCard: Iron

EMDocs

DECEMBER 6, 2024

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. McGraw Hill; 2019. 1 Management: Supportive care first and foremost. 2 L/hr in adults.

Poisoning

Poisoning Fluid Resuscitation Seizures Resuscitation

The SQuID Protocol: SQ Insulin in DKA?

RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0

Operations

Operations Academics Outcomes Fluid Resuscitation

Chemical Burns

Mind The Bleep

OCTOBER 29, 2024

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. Proper stabilization and detailed communication with the burns centre are essential for optimal patient outcomes. Epub 2019 Nov 29.

Burns

Burns Fluid Resuscitation PPE Resuscitation

Haemolytic Uraemic Syndrome

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]. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2019 Sep 25;8:1690. 2019 [cited 2023 Nov 30]. 2019 [cited 2023 Dec 3]. Oct 30 2019. Rch.org.au. Andreoli SP.

Dehydration

Dehydration Infectious Diseases Seizures Pediatrics

Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. There are few data on the outcomes of UGIB when balloon tamponade is used as a temporizing measure. 2019:94(4):697-703. 2019:37(2):277-280. Outcomes in variceal hemorrhage following the use of a balloon tamponade device. 6 Balloon tamponade (i.e., Mayo Clin Proc.

Best Practices

Best Practices Resuscitation Fluid Resuscitation Outcomes

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

RebelEM

NOVEMBER 30, 2023

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). Outcomes: Primary Outcome: In-hospital mortality. Am J Emerg Med. 2023;73:34-39. 2.89, p = 0.01.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Administration

Electrical injuries

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Electrical Injuries. Chen P, Bukhman AK. Electrical and lightning injuries.

Burns

Burns Fluid Resuscitation Shock Resuscitation

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

2019 Jan 24;14:263-292. Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Factors associated with adverse outcome among children with sickle cell disease admitted to the pediatric intensive care unit: an observational cohort.

Pediatrics

Pediatrics Dehydration EMS Hospitals

The CLOVERS Trial

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. 2018, Kuttab, Lykins et al. 2021, Im, Kang et al.

Sepsis

Sepsis Shock Administration Resuscitation

EM@3AM: Takotsubo Cardiomyopathy

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

EMS Fluid Resuscitation Shock EKG/ECG

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Resuscitation , 134 , 49–54. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update. Temps greater than 41.5C Heatstroke. link] Simon.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

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

EMDocs

JANUARY 20, 2025

One of the hallmarks of sepsis care, based on the Rivers 2001 17 trial and still recommended by the latest SCCM guidelines is early detection of sepsis and initiation of early resuscitation. While a full pathophysiologic review of the benefits vs harms of bolusing IV fluids is beyond the scope of this review, Marik et al. Inwald et al.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Emergency Care Today

Trauma Resuscitation Updates

Anterior OMI. What does the angiogram show?

Trending Sources

ToxCard: Iron

The SQuID Protocol: SQ Insulin in DKA?

Chemical Burns

Haemolytic Uraemic Syndrome

Best Practices for Upper Gastrointestinal Hemorrhage

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

Electrical injuries

emDOCs Revamp – Acute Chest Syndrome

The CLOVERS Trial

EM@3AM: Takotsubo Cardiomyopathy

EM@3AM: Hyperthermia

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

Stay Connected