Taming the SRU

MAY 5, 2023

2021, Jarczak, Kluge et al. 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. 2021, Im, Kang et al. Levy (2021). Nierhaus (2021). N Engl J Med.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

EMDocs

JUNE 27, 2024

Fluid overload due to intravenous fluid therapy for vaso-occlusive crisis in sickle cell disease: incidence and risk factors. 2021 Sep;194(5):899-907. Epub 2021 Jul 15. -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

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. Sleep well, endoscopist: January 2021 Annals of Emergency Medicine journal club. Patients should be assessed for evidence of hypovolemia or active exsanguination. Initial laboratory studies should include CBC, complete metabolic profile, blood type and screening, and coagulation studies.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

EMDocs

JULY 17, 2023

Measures to optimize the patient for surgical intervention and treat shock, including antibiotics and fluid resuscitation, are associated with improved outcomes in these patients. Published 2021 Apr 22. 5 Non-perforated obstruction due to malignancy will usually be managed with urgent surgery. Cancers (Basel ). 2021;13(9):2025.

Operations 77

Operations EMS Fluid Resuscitation Resuscitation 77

RebelEM

MAY 25, 2023

Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. Immediate Versus Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries. Anesth Analg 2021. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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. 2021 [cited 2023 Nov 30]. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. She appears pale and dehydrated , and her level of alertness fluctuates. She is apyrexial, tachycardic and normotensive. Rch.org.au.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

RebelEM

SEPTEMBER 29, 2022

There are also potential harms to large volume fluid resuscitation including progression of pancreatitis and fluid overload with or without respiratory failure. Though the initial recommendation for aggressive fluid resuscitation was not based on substantial evidence, clinicians have been slow to pivot away from this approach.

Administration 52

Administration Fluid Resuscitation Resuscitation Outcomes 52

EMDocs

MARCH 11, 2024

Published online October 20, 2021. link] If ORS powder is not available but patients are able to tolerate oral fluid intake an ORS substitute can be made by adding 6 teaspoons of table sugar and 1/2 teaspoon of table salt (iodinated preferable) to each liter of water. Source: Centers for Disease Control and Prevention (U.S.).

Dehydration 89

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 89

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 86

Operations Academics Outcomes Fluid Resuscitation 86

EMDocs

DECEMBER 18, 2023

The most recent surviving sepsis campaign (SSC) guidelines were released in 2021, which provided 93 recommendations for evidence-based sepsis management. 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

Sepsis 65

Sepsis Fluid Resuscitation Shock Resuscitation 65

Intensive Blog

FEBRUARY 9, 2023

Vasopressors such as noradrenaline are often required (systemic vasodilation is common in hepatic failure). link] [Accessed 10February 2023] Austin Clinical Toxicology Service. Amanita phalloides (Death Cap) and other Cyclopeptide Mushrooms [link] Austin Health Clinical Toxicology Service. Silibinin [link] Warrillow, S. Bellomo, R. 2014, Jan).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

Dr. Smith's ECG Blog

MAY 5, 2022

Fluid resuscitation was initiated. The November 27, 2021 post ( LA-RA reversal ). He denied any chest pain or shortness of breath and stated he felt at his baseline yesterday prior to drug use. On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s. Here is the initial ED ECG: What do you think?

EKG/ECG 52

EKG/ECG Fluid Resuscitation EMS Shock 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 C., & Mathai, D. Predictors of multi-organ dysfunction in heatstroke. Emergency medicine journal : EMJ , 22 (3), 185–187. link] Jang, S. H., & Seo, Y. Medicine , 100 (13), e24053. Autonomic Dysfunction.

Hyperthermia / Hypothermia 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68