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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

Fluid resuscitation should be initiated. The post Best Practices for Upper Gastrointestinal Hemorrhage appeared first on ACEP Now. Patients should be assessed for evidence of hypovolemia or active exsanguination. Medicine (Baltimore). 2018;97(48):e13437.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

The following is a summary of the guidelines; An algorithm that synthesizes best practice recommendations based on the guidelines is available at [link] and from the Brain Trauma Foundation. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting.

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

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids.