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 83

Dehydration Fluid Resuscitation Administration Resuscitation 83

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.

Poisoning 85

Poisoning Fluid Resuscitation Seizures Resuscitation 85

EMDocs

MAY 15, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) Infectious: bacterial or viral pneumonia ( M.

Blood Transfusions 87

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 87

EMDocs

MAY 28, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Infectious: bacterial or viral pneumonia ( M. pneumoniae, C.

Blood Transfusions 85

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 85

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. She is apyrexial, tachycardic and normotensive.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical decision making in seizures and status epilepticus. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. 1 Fever is usually < 40C. Updated 2022 Oct 24].

Hyperthermia / Hypothermia 76

Hyperthermia / Hypothermia EMS Stroke Seizures 76