ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis. Acad Emerg Med. The post Best Practices for Upper Gastrointestinal Hemorrhage appeared first on ACEP Now. Crit Care Med. 2022;50(3):e313-e319.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

Don't Forget the Bubbles

MARCH 31, 2025

The value of white blood cell count in predicting serious bacterial infections in children presenting to the emergency department: a multicentre observational study Archives of Disease in Childhood 2025;110:191196. Lack of fluid monitoring throughout the PICU stay led to underreporting of MODS resulting from late-onset FO.

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

EMDocs

JANUARY 20, 2025

Much of our understanding of the clinical signs of hypovolemia comes from studies performed on phlebotomy volunteers 1,2 while our understanding of fluid overload comes from heart failure patients. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. Acad Emerg Med.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75