Don't Forget the Bubbles

NOVEMBER 27, 2023

Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. After 40ml/kg of IV 0.9% The CRT is unchanged.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Don't Forget the Bubbles

JANUARY 1, 2024

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). 2023 Dec 22. 2023 Dec 21. 2023 Dec 19. 2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

EMDocs

JUNE 22, 2024

2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. “Markers of Inflammation and Infection in Sepsis and Disseminated Intravascular Coagulation.” J Matern Fetal Neonatal Med. 2015 May;28(7):793-8. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30. PMID: 24974876. Amniotic fluid embolism: a reappraisal.

EMS 96

EMS Resuscitation Blood Transfusions Seizures 96

Don't Forget the Bubbles

NOVEMBER 18, 2024

For ease, the one that helps me remember: Blood pressure = CO x SVR Causes of neonatal hypotension Prematurity: The most prevalent factor due to the underdevelopment of heart muscle, neuroendocrine system, and autonomic nervous control. Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Mind The Bleep

JULY 23, 2023

S, 2023) An image of bilious gastric aspirates. Parikh NS, 2023) Meconium ileus mostly occurs in cystic fibrosis because of the mutation that affects the CFTR. Increased risk in growth restricted infants, premature babies, maternal drug abuse, formula fed babies, infants receiving blood transfusions.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

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. Pediatr Blood Cancer. Epub 2023 Nov 27. 2023 Apr;98(4):620-627.

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. Transfusion reactions are a spectrum of adverse events that can occur with the transfusion of whole blood or any of its components. One of the major risk factors is receiving a blood transfusion in the past.

Blood Transfusions 88

Blood Transfusions Anaphylaxis Emergency Department Sepsis 88