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

Emergency Medicine Cases

MARCH 1, 2022

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on (..)

Sepsis 52

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia 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

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. 2021 Jan;70(1):9-29. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

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

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

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

Don't Forget the Bubbles

NOVEMBER 18, 2024

Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. Effective management of MAS will often result in the stabilization of blood pressure. Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. L., & Carcillo, J. R., & Bhattacharya, S.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

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 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 Resuscitation Shock 65

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. .

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

Don't Forget the Bubbles

JULY 3, 2024

Infant Deaths After Texas’ 2021 Ban on Abortion in Early Pregnancy. Fluid resuscitation in children with severe infection and septic shock: a systematic review and meta-analysis. Pediatr Infect Dis J. 2024 Jun 26. Risk Factors for Persistent Staphylococcus aureus Bacteremia in Children. Thornley EM, et al. 2024 Jun 21.

Pediatrics 105

Pediatrics Fluid Resuscitation Research Hospitals 105

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

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

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