2020 Fluid Resuscitation Sepsis 
Sensible Medicine
MARCH 14, 2025
This comment might be one of the reasons I’ve been skeptical of sepsis screening. Sepsis screening, for me, comes in many different flavors -- from EMR alerts based on lab and vital sign data to anyone being able to draw a lactate or call an RRT. .” So said my program director during my internship. to 0.3%).
RebelEM
NOVEMBER 30, 2023
For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. Studies without a clear timeframe for fluid administration.
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EMDocs
JANUARY 25, 2025
PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. link] Fan, L.,
Don't Forget the Bubbles
NOVEMBER 27, 2023
Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. So, fluid has been tried but has not got close to fixing the problem. The Surviving Sepsis Campaign International Guidelines recommend either adrenaline or noradrenaline as the first-line inotrope.
PulmCCM
FEBRUARY 28, 2022
What they did Adult patients admitted to one of 53 intensive care units in New Zealand or Australia between September 2017 and December 2020 were eligible. Patients were thus excluded if they had indications for a specific type of IV fluid resuscitation or if they had received more than 500 mL of IV fluid in the ICU.
EMDocs
NOVEMBER 1, 2023
1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. VBG with lactate 4 – may show low pH with elevated lactate Cardiac biomarkers – to evaluate for cardiac etiology in those presenting with chest pain or type II NSTEMI in those with sepsis.
Taming the SRU
MAY 5, 2023
Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510. 2021, Im, Kang et al.
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