Remove Blood Transfusions Remove EKG/ECG Remove Fluid Resuscitation
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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

ECG: Evaluate for ischemia, right heart strain. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Hypervolemia – leads to pulmonary edema: Consider diuresis If euvolemic – start maintenance fluids of D5 in 0.45%NS Overestimates arterial oxygen saturation.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

ECG: Evaluate for ischemia, right heart strain. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Blood transfusion Reduces the overall proportion of HbS. Overestimates arterial oxygen saturation.

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EM@3AM: Amniotic Fluid Embolism

EMDocs

Answer : Amniotic fluid embolism Epidemiology: Incidence of 1:15,200 to 1:53,400 1 7% occur during labor Causes approximately 14% of all maternal peripartum death in United States Current fatality rate 13-60% 1-4 Risk factors: Advanced maternal age, amniocentesis, cesarean delivery, eclampsia, medical induction of labor, placental pathology, diabetes, (..)

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