Northwestern EM Blog

MAY 9, 2022

There is no gold standard with respect to its definition, and it requires a medication history (which we typically don't do very well in the emergency department). Therefore, fluid resuscitation and maintenance are important. Accessed February 11, 2022. Accessed February 11, 2022. 2022, May 9). Juurlink JN.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Administration 52

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting. Accessed 2022, [link].

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% 2022 Mar 2;83(3):1-12. Epub 2022 Mar 4. Kirkpatrick JJ, Enion DS, Burd DA.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JANUARY 11, 2025

Well keep it short, while you keep that EM brain sharp. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. EMRA Antibiotic Guide.

EMS 88

EMS Sepsis Shock Fluid Resuscitation 88

ACEP Now

FEBRUARY 11, 2024

4 It is believed that substantial gastrointestinal loss causes chloride and potassium depletion, as well as hypovolemia, acute kidney injury, and renal potassium loss. Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion. Updated December 11, 2022.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. 13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia.

Sepsis 75

Sepsis Fluid Resuscitation Resuscitation Shock 75

Don't Forget the Bubbles

NOVEMBER 18, 2024

However, if the infant is well-perfused, cardiovascularly stable, and showing no signs of organ dysfunction, active treatment may not be necessary. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. This can manifest as hypotension. Batton, B., Kleinman, M.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2022 Jul 5;328(1):57-68. 2022 Aug;58:235244. Epub 2022 Jun 11.

Pediatrics 88

Pediatrics Dehydration EMS Hospitals 88

Don't Forget the Bubbles

JULY 3, 2024

In this month’s issue of Pediatrics, Brewster and colleagues investigated how well Google Translate and ChatGPT perform in translating discharge instructions. Respiratory Syncytial Virus-Associated Hospitalizations in Children <5 Years: 2016-2022. van der Zande JMJ, et al. J Pediatr Gastroenterol Nutr. 2024 Jun 25. Pediatrics.

Pediatrics 105

Pediatrics Fluid Resuscitation Research Hospitals 105

Taming the SRU

MAY 5, 2023

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. In 2022, the CLASSIC trial was published which provided one investigational angle to this important question.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

ACEP Now

MARCH 14, 2024

Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc. Lastly, vessels can be damaged by internal burns, which may lead to poor perfusion and delayed complications as thrombosis or third spacing. Am J Emerg Med. 2008;26(4):413-418.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

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. They will want daily weights and closely monitored fluid balance.

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

EMDocs

JANUARY 20, 2024

The most common findings on ECG are ST elevation , most often in the anterior precordial leads, as well as sinus tachycardia and QT interval prolongation. Additional fluids will not improve her condition and may worsen it. 2022 May 17;145(20):e1053]. Troponin and B – type natriuretic peptide are often elevated.

EMS 85

EMS Fluid Resuscitation Shock EKG/ECG 85

EMDocs

MARCH 11, 2024

2 As of 2022 cholera was estimated to be responsible for over 4 million cases and 143,000 deaths each year, with a case fatality rate of 50% without timely and appropriate treatment. Published online November 14, 2022. Published online June 1, 2022. Published online November 14, 2022. Rehydration Therapy. F1000Research.

Dehydration 102

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 102

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69