RebelEM

MAY 25, 2023

In the initial management of trauma patients there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from the resuscitation itself Promote hemostasis References: Dutton RP et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.

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Mind The Bleep

OCTOBER 29, 2024

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. Updated 2023 Jul 17]. Updated 2023 Jul 17]. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock.

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Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

NOVEMBER 29, 2023

EBM Update: Fluids in Pancreatitis, Hypertriglyceridemic Pancreatitis #1: de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. Placebo 11.9%, NNT 18 Median Fluid Received: Aggressive: 7.8L (Range 6.5 2.18) Fluid Overload: 20.5%

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Fluid Resuscitation Resuscitation Outcomes Hospitals 94

Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation.

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Fluid Resuscitation Domestic Violence Head Injuries Sexual Assault 59

Don't Forget the Bubbles

MARCH 31, 2025

Association between fluid overload and mortality in children with sepsis: a systematic review and meta-analysis. 2023 Nov;7(1):e002094. doi: 10.1136/bmjpo-2023-002094. The article is a systematic review and meta-analysis examining the association between fluid overload (FO) and mortality in children with sepsis.

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RebelEM

FEBRUARY 24, 2025

Mar 2023; PMID: 36983218 Feissel M, et al. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Apr 2023; PMID: 37009935. lactate-targeted fluid resuscitation on regional, microcirculatory and hypoxia-related perfusion parameters in septic shock: a randomized controlled trial.

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Don't Forget the Bubbles

NOVEMBER 27, 2023

So, fluid has been tried but has not got close to fixing the problem. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. Treasure Island (FL): StatPearls Publishing; January 30, 2023. Hibberd O, Kanaris C.

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EMDocs

JUNE 22, 2024

Amniotic fluid embolism: a reappraisal. 2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. “Amniotic fluid embolism.” J Matern Fetal Neonatal Med. 2015 May;28(7):793-8. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30. PMID: 24974876. Young BK, Florine Magdelijns P, Chervenak JL, Chan M. J Perinat Med.

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EMDocs

SEPTEMBER 7, 2024

The time taken to measure serum hemoglobin and hematocrit (B) and await a result would delay definitive surgical control of likely ongoing hemorrhage given this patient’s incomplete response to fluid resuscitation. Additionally, hemoglobin results often lag in real-time when compared to the degree of acute hemorrhage.

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RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. Acad Emerg Med 2023. Acad Emerg Med 2023. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. Paper: Griffey RT et al.

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Operations Academics Fluid Resuscitation Outcomes 103

Don't Forget the Bubbles

OCTOBER 7, 2024

Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Philadelphia, PA: Elsevier; 2023:chap 130. Volume resuscitation in patients with high-voltage electrical injuries. Resuscitation. Chen P, Bukhman AK. Electrical and lightning injuries.

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Dr. Smith's ECG Blog

AUGUST 2, 2024

Yet recognition of acute RV MI is extremely important clinically — because emergency treatment will often require different priorities (ie, avoidance of nitroglycerine; fluid resuscitation for hypotension ).

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EMDocs

NOVEMBER 1, 2023

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. 4 Fluid resuscitation and vasopressor use as appropriate. Accessed September 30, 2023.

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ACEP Now

OCTOBER 3, 2023

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting. References Lulla A, et al.

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EMDocs

NOVEMBER 20, 2023

Hemodynamic resuscitation Key Concept: Patients with hemodynamic instability and/or suspected ongoing bleeding should receive intravenous fluid resuscitation with the goal of optimization of blood pressure and heart rate before endoscopic evaluation/intervention. 2023 Feb 1;118(2):208-231. Am J Gastroenterol.

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Resuscitation Fluid Resuscitation Hospitals Research 104

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]. 2019 [cited 2023 Nov 30]. 2023 Aug 23 [cited 2023 Nov 30];151. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. Rch.org.au.

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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. 2023 Jul 17. Treasure Island (FL): StatPearls Publishing; 2023 Jan– PMID: 28846317. Accessed October 21, 2023. In: StatPearls [Internet]. McGraw Hill; 2016.

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ACEP Now

FEBRUARY 11, 2024

Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion. Published December 18, 2023. Published January 2023.Updated Updated May 16, 2023. Published January 2023. Diabetes Care. 2018;41:258–66. CNN website. Accessed January 11, 2024.

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ACEP Now

OCTOBER 11, 2024

Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate. 2023 Jun 14;49(1):74. Pediatric submersion injuries: emergency care and resuscitation. Oxygen administration, with or without ventilatory support, is the mainstay of treatment. South Med J. 2021;114(5):266-270. Ital J Pediatr.

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Taming the SRU

MAY 5, 2023

Evaluation and Predictors of Fluid Resuscitation in Patients With Severe Sepsis and Septic Shock." May 5, 2023) The CLOVERS Trial. Front Med (Lausanne) 8 : 628302. Kuttab, H. Lykins, M. Wroblewski, E. Kukoyi, J. Hall and M. Ward (2019). Crit Care Med 47 (11): 1582-1590. Evans and A. Rhodes (2018). TamingtheSRU.

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EMDocs

DECEMBER 18, 2023

13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation. Additionally, the recommendation to use a 30 cc/kg bolus was downgraded.

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EMDocs

OCTOBER 7, 2023

neurologic damage and thrombosis) 20,21 Resuscitation Lactated ringers > Normal saline due to reduced need for urinary alkalinization 22 Place foley and target urine output >300 mL/hr Electrolyte abnormalities Hyperkalemia: Obtain an ECG Stabilization: Calcium gluconate 2 g over 5-10 min. Accessed February 3, 2023.

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EMDocs

JANUARY 20, 2024

This patient’s recent diarrheal illness raises suspicion for hypovolemia, which would be treated with fluid resuscitation (D) , but her moist oral mucosa and dilated inferior vena cava suggest an eu- or hypervolemic state. Additional fluids will not improve her condition and may worsen it. Updated 2023 Jan 9]. J Med Life.

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EMDocs

OCTOBER 5, 2024

Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed. Updated 2023 Nov 12]. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05

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EMDocs

DECEMBER 16, 2023

Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 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 Medicine , 100 (13), e24053. link] Sánchez-Manso JC, Gujarathi R, Varacallo M. Autonomic Dysfunction. Updated 2022 Oct 24]. In: StatPearls [Internet].

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Intensive Blog

FEBRUARY 9, 2023

Available from URL: [link] [Accessed 10 February 2023] Death Cap – Amanita phalloides. link] [Accessed 10 February 2023] Yartsev, A. link] [Accessed 10February 2023] Austin Clinical Toxicology Service. Vasopressors such as noradrenaline are often required (systemic vasodilation is common in hepatic failure). link] Nickson, C.

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EMDocs

JUNE 27, 2024

Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Epub 2023 Nov 27. Fluid overload due to intravenous fluid therapy for vaso-occlusive crisis in sickle cell disease: incidence and risk factors. 2023 Apr;98(4):620-627.

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EMDocs

JANUARY 20, 2025

2023 10 found that clinicians were 56% accurate in their assessments of patients admitted for heart failure when compared to the gold standard of blood volume measurement – a nuclear study utilizing radiolabeled red blood cells and albumin. 2023 Feb 25;14(1):211 Wang CS, FitzGerald MJ, et al. 11 A study by Stephan et al.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

FEBRUARY 17, 2025

J Ultrasound Med, 2023. Aiming for zero fluid accumulation: First, do no harm. Clinical Kidney Journal, 2023. Pediatr Infect Dis J, 2023. Pudjiadi, Inferior Vena Cava/Abdominal Aorta Ratio as a Guide for Fluid Resuscitation. Crit Care Med, 2023. Perez Nieto, O.R., Anaesthesiol Intensive Ther, 2021.

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Don't Forget the Bubbles

JULY 3, 2024

2023 Oct 16;29(3):171-173. 2024 Jun 26:fetalneonatal-2023-326691. Fluid resuscitation in children with severe infection and septic shock: a systematic review and meta-analysis. Kidney function evaluation in children and adolescents with obesity: a not-negligible need. Barlabà A, et al. Eur J Pediatr. 2024 Jun 13.

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Pediatrics Fluid Resuscitation Research Hospitals 105

Don't Forget the Bubbles

NOVEMBER 18, 2024

Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. “Epidemiology of Hypotension in Neonates,” Journal of Perinatology , 2023. Effective management of MAS will often result in the stabilization of blood pressure. and Roberts, N. Batton, B.,

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EMDocs

MARCH 11, 2024

Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able. Published online August 7, 2023. Published online August 7, 2023. Published online July 25, 2023. 32 Table 3. Cholera vaccines. Int Health.

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