2020 Blood Transfusions Fluid Resuscitation 
EMDocs
MAY 15, 2024
Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Hypervolemia – leads to pulmonary edema: Consider diuresis If euvolemic – start maintenance fluids of D5 in 0.45%NS American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support.
EMDocs
MAY 28, 2024
Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Blood transfusion Reduces the overall proportion of HbS. American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support.
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Don't Forget the Bubbles
NOVEMBER 27, 2023
So, fluid has been tried but has not got close to fixing the problem. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. The wide pulse pressure and transient response would suggest an afterload problem.
EMDocs
JUNE 27, 2024
His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2020 Feb 12;10(1):2470. F temporal, RR 25, SpO2 89% on room air. C or 100.4
RebelEM
MAY 25, 2023
Intensive Care Med 2020. [13] 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. Intensive Care Med 2020. NEJM 1994. [2] NEJM 1994. [2]
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