Remove 2022 Remove Fluid Resuscitation Remove Hyperthermia / Hypothermia
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First10EM Journal Club: October 2022

Broome Docs

2022 Jan;48(1):78-91. 2022 Sep;21(9):781-791. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. 2022 Sep 15;387(11):989-1000. 2022 Sep 18. 2022 Aug;41(4):101096.

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Neuroleptic Malignant Syndrome

Northwestern EM Blog

The most acute cause of death from NMS is hyperthermia, which is induced both by D2 receptor antagonism leading to rigidity and impaired thermoregulation from the striatum and hypothalamus. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] Therefore, fluid resuscitation and maintenance are important.

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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

It is also vital to do a fluid balance assessment. Majority of DKA patients are in a fluid deficit and present acutely with shock. Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. This is done with an initial bolus of 10ml/kg 0.9%

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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 Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. 2022 Aug;58:235-244.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

Fluid Resuscitation Intravenous fluids should be administered in the prehospital setting to treat hypotension and/or limit hypotension to the shortest duration possible. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting. Accessed 2022, [link]. J Safety Res.

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Chemical Burns

Mind The Bleep

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% Exposure Expose the patient in a systematic manner while keeping remaining body areas covered e.g. 1 limb at a time, to reduce the risk of hypothermia. 2022 Mar 2;83(3):1-12. Epub 2022 Mar 4. Assess pupillary reaction to light.

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Pediatric Submersion Injury Tips

ACEP Now

Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate. 6,7 Hypothermia is classified as: Mild: Core body temperature less than 35 degrees Celsius (less than 95 degrees Fahrenheit) Moderate: Core body temperature 30 degrees Celsius–32 degrees Celsius (86 degrees Fahrenheit–89.6