Dr. Smith's ECG Blog

AUGUST 2, 2024

The LCx and OM branches are not as well seen. 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 ). This shot is typically best for viewing the LAD and its diagonal branches.

EKG/ECG 105

EKG/ECG Fluid Resuscitation Academics Resuscitation 105

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% Updated 2023 Jul 17]. Updated 2023 Jul 17]. Chemical Burns. PMID: 7077702.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

NOVEMBER 1, 2023

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.) Accessed September 30, 2023.

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

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. Epub 2023 Nov 27. 2023 Apr;98(4):620-627. Epub 2023 Feb 6. C or 100.4

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

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.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

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. Published December 18, 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

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. and Roberts, N. Batton, B.,

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Taming the SRU

MAY 5, 2023

RESULTS A total of 1,563 patients were enrolled with 782 assigned to the restrictive and 781 assigned to the liberal fluid groups. There were similar baseline characteristics and the groups were well-matched. Evaluation and Predictors of Fluid Resuscitation in Patients With Severe Sepsis and Septic Shock." Kuttab, H.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

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.

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

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. Updated 2023 Jan 9]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Accessed May 15, 2023.

EMS 74

EMS Fluid Resuscitation Shock EKG/ECG 74

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. 2023 Oct 16;29(3):171-173. 2024 Jun 26:fetalneonatal-2023-326691. Kidney function evaluation in children and adolescents with obesity: a not-negligible need. 2024 Jun 13.

Pediatrics 105

Pediatrics Fluid Resuscitation Research Hospitals 105

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.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90

EMDocs

OCTOBER 5, 2024

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. IV fluid resuscitation as needed.

EMS 74

EMS Infectious Diseases Sepsis Hospitals 74

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 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40