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 105

Operations Academics Outcomes Fluid Resuscitation 105

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 112

EKG/ECG Fluid Resuscitation Academics Resuscitation 112

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.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

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. Cited June 2020]; 4 (11): 1261-1287. Cited June 2020]; Available from: [link] Hughes D. Cited June 2020]; Available from: [link] Balestracci A et al. Cited June 2020];27: 1407-1410. Cited June 2020]; 23: 1749-1760.

Dehydration 57

Dehydration Infectious Diseases Seizures Pediatrics 57

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. 2020 Aug 15;417:213343. Epub 2020 May 7. link] Ajsuvakova OP, Tinkov AA, Aschner M, Rocha JBT, Michalke B, Skalnaya MG, Skalny AV, Butnariu M, Dadar M, Sarac I, Aaseth J, Bjørklund G. Coord Chem Rev. 2020.213343.

Poisoning 66

Poisoning Fluid Resuscitation Administration Seizures 66

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. 2020 Mar;5(3):245-66. doi: 10.1136/gutjnl-2020-321790. Epub 2020 Oct 16.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

EMDocs

NOVEMBER 1, 2023

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. 4 Fluid resuscitation and vasopressor use as appropriate. McGraw-Hill Education; 2020.

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. 2020:395(10241):1927-1936. 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. Crit Care Med.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

Mind The Bleep

FEBRUARY 9, 2024

University of Aberdeen (2020) Making decisions about who to admit to Intensive Care, University of Aberdeen. References and further reading Smith G, Nielsen M. ABC of intensive care. Criteria for admission. 1999 Jun 5;318(7197):1544-7. doi: 10.1136/bmj.318.7197.1544. 318.7197.1544. PMID: 10356016; PMCID: PMC1115908. Fullerton JN, Perkins GD.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

EMDocs

JUNE 27, 2024

2020 Feb 12;10(1):2470. -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 76

Pediatrics Dehydration EMS Hospitals 76

Dr. Smith's ECG Blog

MAY 5, 2022

Fluid resuscitation was initiated. The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s.

EKG/ECG 52

EKG/ECG Fluid Resuscitation EMS Shock 52

Northwestern EM Blog

FEBRUARY 14, 2022

This data shows us that angiotensin II can make the blood pressure better but I would never let it distract you from the things we know matter in sepsis resuscitation. Published online October 21, 2020. 2021;159(2):596-605. doi:10.1016/j.chest.2020.08.2074 2020.08.2074 Papazisi O, Palmen M, Danser AHJ. Cardiovasc Drugs Ther.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Don't Forget the Bubbles

JUNE 10, 2024

Initial Management Supportive Care : Initial management involves stabilising the infant, which includes fluid resuscitation, cessation of enteral feeds, and provision of total parenteral nutrition (TPN) to rest the bowel and meet the nutritional needs of the infant. How do you treat necrotising enterocolitis? ANZNN Annual Report.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

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. As with soldiers in war, we know that as soon as we stop doing, we will start feeling.”

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Taming the SRU

MAY 5, 2023

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. Adam (2020). Evaluation and Predictors of Fluid Resuscitation in Patients With Severe Sepsis and Septic Shock."

Sepsis 52

Sepsis Shock Administration Resuscitation 52

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. 2020 Apr;7(2):400-406.

EMS 75

EMS Fluid Resuscitation Shock EKG/ECG 75

Intensive Blog

FEBRUARY 9, 2023

Vasopressors such as noradrenaline are often required (systemic vasodilation is common in hepatic failure). Alexander, G. Hayllar, K. M., & Williams, R. 1989, Aug). Early indicators of prognosis in fulminant hepatic failure. Gastroenterology, 97 (2), 439-445. link] Nickson, C. Mushroom toxicity. Royal Botanical Gardens Victoria. Bellomo, R.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EMDocs

DECEMBER 16, 2023

Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C M., & Lipman, G. A body bag can save your life: a novel method of cold water immersion for heat stroke treatment. Journal of the American College of Emergency Physicians open , 1 (1), 49–52. link] Douma, Aves, T.,

Hyperthermia / Hypothermia 69

Hyperthermia / Hypothermia EMS Stroke Seizures 69