2021, Fluid Resuscitation and Sepsis

2021

Fluid Resuscitation

Sepsis

Sepsis Screening Decreases Mortality. Well, not really.

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%).

Sepsis

Sepsis Wellness Documentation/Coding Fluid Resuscitation

EM@3AM: Stercoral Colitis

EMDocs

JANUARY 11, 2025

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS

EMS Sepsis Shock Fluid Resuscitation

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Don't Forget the Bubbles

MARCH 31, 2025

Reviewed by Dr Faye Leggott Article 2: Does fluid overload increase mortality in children with sepsis? Association between fluid overload and mortality in children with sepsis: a systematic review and meta-analysis. Reviewed by Dr Sadia Irshad Article 3: Updates on the management of sepsis and shock Long B, Gottlieb M.

Sepsis

Sepsis Fluid Resuscitation Shock Resuscitation

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EM@3AM: Leukopenia

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] Lu, W.,

EMS

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation

A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

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.

Shock

Shock Sepsis Fluid Resuscitation Resuscitation

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

Emergency Medicine Cases

MARCH 1, 2022

The post EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome appeared first on Emergency Medicine Cases.

Sepsis

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia

The CLOVERS Trial

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. 2021, Jarczak, Kluge et al. 2021, Im, Kang et al.

Sepsis

Sepsis Shock Administration Resuscitation

Paediatric IV Fluid Prescribing

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

Fluid Resuscitation Dehydration Hospitals Research

Managing a patient with decompensated liver cirrhosis

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

Fluid Resuscitation Dehydration Resuscitation Administration

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Shock

emDOCs Revamp – Acute Chest Syndrome

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

Pediatrics Dehydration EMS Hospitals

IV fluids in the ED: When do we really need them?

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al. Andrews et al.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

FEBRUARY 17, 2025

He has received 20ml/kg in 5 to 10ml/kg aliquots in the ED, as his blood pressure keeps dropping, and the ED team is concerned about possible sepsis. Aiming for zero fluid accumulation: First, do no harm. Anaesthesiol Intensive Ther, 2021. Pudjiadi, Inferior Vena Cava/Abdominal Aorta Ratio as a Guide for Fluid Resuscitation.

Pediatrics

Pediatrics Ultrasounds Shock Resuscitation

Neonatal Hypotension

Don't Forget the Bubbles

NOVEMBER 18, 2024

Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension. Blood Tests: Can help identify underlying causes such as infection (sepsis), anaemia, or electrolyte imbalances. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature.

Sepsis

Sepsis Shock Hyperthermia / Hypothermia Administration

Bubble Wrap PLUS – July 2024

Don't Forget the Bubbles

JULY 3, 2024

Trends in C-Reactive Protein Use in Early-Onset Sepsis Evaluations and Associated Antibiotic Use. 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. Pediatrics. 2024 Jun 18:e2023065373.

Pediatrics

Pediatrics Fluid Resuscitation Research Hospitals

Emergency Care Today

Sepsis Screening Decreases Mortality. Well, not really.

EM@3AM: Stercoral Colitis

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Trending Sources

The 90th Bubble wrap DFTB X The Bridge

Webinars

EM@3AM: Leukopenia

A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

The CLOVERS Trial

Paediatric IV Fluid Prescribing

Managing a patient with decompensated liver cirrhosis

Sepsis Updates Relevant to the Emergency Physician

emDOCs Revamp – Acute Chest Syndrome

IV fluids in the ED: When do we really need them?

Venous Congestion in Pediatric Critical Care

Neonatal Hypotension

Bubble Wrap PLUS – July 2024

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