Administration, Fluid Resuscitation and Research

Administration

Fluid Resuscitation

Research

Guideline Update: Acute Lower GI Bleeding

EMDocs

NOVEMBER 20, 2023

High certainty of evidence: further research is unlikely to change the confidence in the estimate of the effect. Moderate certainty of evidence: further research is likely to have an important impact and may change the estimate. Low certainty of evidence: further research is very likely to change the estimate.

Resuscitation

Resuscitation Fluid Resuscitation Hospitals Research

Episode 7: Sepsis

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Emergency Department

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Trending Sources

Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

RebelEM

NOVEMBER 30, 2023

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. What They Did: Researchers performed a systematic review and meta-analysis.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Administration

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. Lesson = treat early! 2002 Dec;141(6):793-7.

Fluid Resuscitation

Fluid Resuscitation Pediatrics Resuscitation Research

Adjunctive Methylene Blue in Septic Shock?

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. septic shock). 95% CI 15.4 95% CI 15.4

Shock

Shock Fluid Resuscitation Sepsis Resuscitation

Sepsis Updates Relevant to the Emergency Physician

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

Sepsis Fluid Resuscitation Resuscitation Shock

The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

MARCH 31, 2025

The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. Why does it matter?

Sepsis

Sepsis Fluid Resuscitation Shock Resuscitation

Grand Rounds 5.8.24

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Resuscitation

Resuscitation Administration Fluid Resuscitation Research

Brain Trauma Guidelines for Emergency Medicine

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. References Lulla A, et al.

Fluid Resuscitation

Fluid Resuscitation Documentation/Coding Resuscitation Pediatrics

Necrotising Enterocolitis

Don't Forget the Bubbles

JUNE 10, 2024

NEC remains a significant challenge in neonatology, prompting ongoing research and clinical trials to understand its pathogenesis better, improve prevention strategies, and develop more effective treatments. Pediatric Research, 63(2), 117-123. How do you treat necrotising enterocolitis? Hunter, C.J., Upperman, J.S., Meinzen-Derr, J.,

Pediatrics

Pediatrics Sepsis Fluid Resuscitation Outcomes

Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? So quite a few changes!

Sepsis

Sepsis Shock Fluid Resuscitation Hospitals

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

DECEMBER 23, 2024

VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9% JAMA Intern Med.

Fluid Resuscitation

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes

Neonatal Hypotension

Don't Forget the Bubbles

NOVEMBER 18, 2024

Various studies, such as those pooling data from the National Neonatal Research Database, indicate that the incidence of hypotension varies based on neonatal age, with the highest rates observed immediately post-birth and within the first days of life. Low doses can be given peripherally; however, central administration is preferred.

Sepsis

Sepsis Shock Hyperthermia / Hypothermia Administration

IV fluids in the ED: When do we really need them?

EMDocs

JANUARY 20, 2025

Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). It may be reasonable to consider IV fluid administration in patients with moderate dehydration or prolonged vomiting. Keijzers, G.,

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

ToxCard: Organic Mercury Poisoning

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Case Follow-Up: This is a real case of a researcher who worked with dimethylmercury in her lab. Food and Drug Administration. Food and Drug Administration. Mercury concentrations were not measured in dialysate.

Poisoning

Poisoning Fluid Resuscitation Administration Seizures

Emergency Care Today

Guideline Update: Acute Lower GI Bleeding

Episode 7: Sepsis

Webinars

Trending Sources

Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

Webinars

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Adjunctive Methylene Blue in Septic Shock?

Sepsis Updates Relevant to the Emergency Physician

The 90th Bubble wrap DFTB X The Bridge

Grand Rounds 5.8.24

Brain Trauma Guidelines for Emergency Medicine

Necrotising Enterocolitis

Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

Neonatal Hypotension

IV fluids in the ED: When do we really need them?

ToxCard: Organic Mercury Poisoning

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