EMDocs

FEBRUARY 20, 2024

Fluids in Pancreatitis #1 : de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. cc/kg/hour of LR Control: LR Bolus of 20 cc/kg (regardless of fluid status) followed by 3.0 2.18) Fluid Overload: 20.5% 2.18) Fluid Overload: 20.5%

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Fluid Resuscitation Resuscitation Outcomes Hospitals 98

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. cc/kg/hour of LR Control: LR Bolus of 20 cc/kg (regardless of fluid status) followed by 3.0 2023 Mar 22;27(1):122.

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Fluid Resuscitation Resuscitation Outcomes Hospitals 93

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. Proper stabilization and detailed communication with the burns centre are essential for optimal patient outcomes. Chemical Burns.

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Burns Fluid Resuscitation PPE Resuscitation 52

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

RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. Acad Emerg Med 2023. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 Paper: Griffey RT et al. tests/hr (0.8

Operations 104

Operations Academics Fluid Resuscitation Outcomes 104

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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Shock Sepsis Fluid Resuscitation Resuscitation 143

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. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 2011.06.006.

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EMS Fluid Resuscitation Resuscitation Radiology 97

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. 2,3 TBI outcomes are profoundly linked to the timing and quality of care provided before patients reach the hospital.

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Fluid Resuscitation Documentation/Coding Resuscitation Pediatrics 98

Dr. Smith's ECG Blog

AUGUST 2, 2024

the investigators reviewed outcomes in 118 patients presenting with NSTEMI. 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 ). 118.007305) from Heitner et al. ,

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EKG/ECG Fluid Resuscitation Academics Resuscitation 119

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Philadelphia, PA: Elsevier; 2023:chap 130. Resuscitation. In: Walls RM, ed.

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Burns Fluid Resuscitation Shock Resuscitation 80

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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Dehydration Infectious Diseases Seizures Pediatrics 59

ACEP Now

OCTOBER 11, 2024

1,2 Clinical outcomes in submersion injuries are largely dependent on the degree of hypoxic injury experienced by the victim, making prehospital care of paramount importance. Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate. 2023 Jun 14;49(1):74. South Med J. Ital J Pediatr.

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Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Taming the SRU

MAY 5, 2023

The CLASSIC trial is a randomized controlled trial conducted in the ICU setting which compared restrictive versus standard fluid strategies with a primary outcome of death by 90 days in patients with septic shock. Safety outcomes Serious adverse event occurrences were similar in both groups. versus 59.2%). versus 14.9%

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Sepsis Shock Administration Resuscitation 52

EMDocs

DECEMBER 18, 2023

8 Based on multiple randomized controlled trials (RCTs), SSC 2021 guidelines suggest against using procalcitonin as a screening method to guide initiation of antibiotic therapy, as no difference in clinical outcomes was appreciated. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation.

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Sepsis Fluid Resuscitation Resuscitation Shock 91

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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EMS Fluid Resuscitation Shock EKG/ECG 101

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. 12 Complications Inadequate empiric therapy can lead to treatment delays and worse outcomes. Updated 2023 Nov 12].

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EMS Infectious Diseases Sepsis Hospitals 97

EMDocs

DECEMBER 16, 2023

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Temps greater than 41.5C

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Hyperthermia / Hypothermia EMS Stroke Seizures 94

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. 2023 Apr;98(4):620-627. Epub 2023 Feb 6. C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 Pediatr Blood Cancer.

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Pediatrics Dehydration EMS Hospitals 97

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. link] During the 2017 IV fluid shortage, Patino 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

Although at a population level, elevated CVP is associated with acute kidney injury (AKI) and other adverse outcomes, the sensitivity and specificity to predict these outcomes for an individual patient is poor. J Ultrasound Med, 2023. Aiming for zero fluid accumulation: First, do no harm. Clinical Kidney Journal, 2023.

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Pediatrics Ultrasounds Shock Resuscitation 78

Don't Forget the Bubbles

NOVEMBER 18, 2024

Research and guidelines from Australian centres, like those published by the Australian and New Zealand Neonatal Network (ANZNN), emphasize early detection and management to improve outcomes. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. and Roberts, N.

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Sepsis Shock Hyperthermia / Hypothermia Administration 59