Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Patients present to the ED with hypovolemia secondary to a plethora of causessome requiring IV fluid resuscitation and others requiring none. A systematic review by Freedman et al.

Dehydration 84

Dehydration Fluid Resuscitation Resuscitation Administration 84

ALiEM

JULY 22, 2023

You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Emergency Department Resuscitation 96

Mind The Bleep

DECEMBER 19, 2023

Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Taming the SRU

NOVEMBER 21, 2023

Abdominal pain, nausea, vomiting, and dehydration are common. Management IVF resuscitation: will want to give at least 20 cc/kg bolus, however there has been some discussion about doing this in two 10 cc/kg boluses to avoid cerebral edema (as noted below, recent evidence has not supported this). given 60 (half KPhos and KCl) K < 2.5:

Pediatrics 91

Pediatrics EKG/ECG Resuscitation Dehydration 91

Don't Forget the Bubbles

NOVEMBER 15, 2023

Currently, the administration of water for the paediatric population is based on the Holliday-Segar formula (100ml/kg/day for the first 10kg of weight, 50ml/kg/day for the second 10kg of weight and 20ml/kg/day for weight over 20kg). What do we need to give? Most drugs are chosen to be dissolved in 0.9% sodium chloride.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

RebelEM

FEBRUARY 2, 2023

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). Unfortunately, the exact dose and time of administration of first line medications was not reported before a second line medication was given. Lastly, there is a substantial amount of data missing, specifically the underlying cause of the Atrial Fibrillation with RVR (ie.

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

EMDocs

DECEMBER 6, 2024

In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron. 6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Typically presents in the first few hours following ingestion. 2 L/hr in adults.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98