Remove 2019 Remove Fluid Resuscitation Remove Resuscitation
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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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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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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

The only problem was that the patient population would change over the course of the study – the unscreened population was studied mostly in 2019 and early 2020 while the screened population was mostly late 2020 early 2021. It looked like this: Ingenious, right? Thus, the results would have to be adjusted. to 0.3%).

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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). Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Am J Emerg Med. 2023;73:34-39. Am J Emerg Med.

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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. link] (2019).

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Chemical Burns

Mind The Bleep

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. 2019 Nov;34(4):276-281. Epub 2019 Nov 29. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock.

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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.