Dehydration, Emergency Department and Resuscitation

But Can You Just PO?

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. AtherlyJohn et al.

Dehydration

Dehydration Fluid Resuscitation Administration Resuscitation

Trick of Trade: Alternative to a Pressure Bag for IV Fluids

ALiEM

JULY 22, 2023

You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. Note that conventional pressure bags may not be readily available in emergency departments and could blow the line you worked hard to secure. However, the crystalloid fluids are not flowing freely.

Fluid Resuscitation

Fluid Resuscitation Dehydration Emergency Department Administration

Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department

Emergency Department Administration Dehydration EMS

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

OCTOBER 26, 2010

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). Large volume fluid resuscitation was undertaken.

EKG/ECG

EKG/ECG Dehydration Fluid Resuscitation Sepsis

ToxCard: Iron

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Antiemetics as needed. 2 L/hr in adults.

Poisoning

Poisoning Fluid Resuscitation Seizures Resuscitation

Orofacial Infections

Mind The Bleep

APRIL 26, 2024

For all patients who come into the emergency department with a swelling, it is helpful to know if they have seen their GP or dentist recently and if they have had any treatment or recent courses of antibiotics. 2015) ‘Emergency Department’, in On-call in Oral and Maxillofacial Surgery.

Emergency Department

Emergency Department Fluid Resuscitation Dehydration Resuscitation

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. At 6 to 8 mL/kg.

Emergency Department

Emergency Department Sepsis Operations Dehydration

EM@3AM: Leukopenia

EMDocs

JANUARY 25, 2025

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise.

EMS

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation

Grand Rounds Recap 4.5.23

Taming the SRU

APRIL 13, 2023

beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures

EM@3AM: Crush Injury

EMDocs

OCTOBER 7, 2023

neurologic damage and thrombosis) 20,21 Resuscitation Lactated ringers > Normal saline due to reduced need for urinary alkalinization 22 Place foley and target urine output >300 mL/hr Electrolyte abnormalities Hyperkalemia: Obtain an ECG Stabilization: Calcium gluconate 2 g over 5-10 min. He has no medical problems.

EMS

EMS Fluid Resuscitation Fractures Resuscitation

Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

JANUARY 27, 2025

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Ensure appropriate bay allocation in ED.

Ultrasounds

Ultrasounds Emergency Department Pediatrics Dehydration

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Resuscitation. , 148 , 173–190. Epstein, J.,

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0

Pediatrics

Pediatrics Dehydration EMS Hospitals

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

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 9 In terms of assessing volume status in general, Joseph et al. Andrews et al.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Diagnostics and Therapeutics: Tumor Lysis Syndrome

Taming the SRU

FEBRUARY 3, 2025

Work-up and Diagnosis in the Emergency Department Initial presentation of TLS typically includes generalized symptoms such as gastrointestinal distress, decreased appetite, muscle cramping, palpitations, hematuria / oliguria, and altered mental status. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.

Fluid Resuscitation

Fluid Resuscitation Seizures Dehydration Emergency Department

Cholera: ED presentation, evaluation, and management

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

Dehydration

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study.

Infectious Diseases

Infectious Diseases CDC PPE Rapid Diagnostic Testing

Emergency Care Today

But Can You Just PO?

Trick of Trade: Alternative to a Pressure Bag for IV Fluids

Trending Sources

Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

ToxCard: Iron

Orofacial Infections

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EM@3AM: Leukopenia

Grand Rounds Recap 4.5.23

EM@3AM: Crush Injury

Ovarian Torsion: Don’t get your knickers in a twist!

EM@3AM: Hyperthermia

emDOCs Revamp – Acute Chest Syndrome

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

Diagnostics and Therapeutics: Tumor Lysis Syndrome

Cholera: ED presentation, evaluation, and management

ED care of refugee populations from sub-Saharan Africa

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