Remove 2020 Remove Fluid Resuscitation Remove Seizures
article thumbnail

emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

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.

article thumbnail

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support. Published 2020 Feb 12. Infectious: bacterial or viral pneumonia ( M.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Due to fluid losses and kidney damage, the patient may have little to no urine output. Cited June 2020]; 4 (11): 1261-1287.

article thumbnail

emDOCs Revamp: Esophageal Perforation

EMDocs

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). 4 Fluid resuscitation and vasopressor use as appropriate. McGraw-Hill Education; 2020. aid=1104586430 Bono MJ.

article thumbnail

Grand Rounds Recap 3.15.23

Taming the SRU

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.”

article thumbnail

ToxCard: Organic Mercury Poisoning

EMDocs

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. 2020 Aug 15;417:213343.

article thumbnail

EM@3AM: Hyperthermia

EMDocs

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical decision making in seizures and status epilepticus. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. 1 Fever is usually < 40C. M., & Lipman, G.