Mind The Bleep

APRIL 26, 2024

Investigations Bedside Observations Where there is an abscess with pus formation, the temperature will be swinging up and down Capillary blood glucose if diabetic Laboratory Venous blood gas if haemodynamically unstable Full blood count C-reactive protein Blood cultures if patient haemodynamically unstable Pus swab if discharging pus present for MC&S (..)

Emergency Department 52

Emergency Department Fluid Resuscitation Dehydration Resuscitation 52

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. Answers (1) [B] is the correct answer.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

EMergucate

JUNE 24, 2014

This is a 3 month old (weight 5kg) critically unwell child who requires resuscitation with concomitant assessment to determine the … Continue reading →

Resuscitation 40

Resuscitation Dehydration EMS 40

RebelEM

FEBRUARY 2, 2023

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). The delay in the onset of effect of digoxin could play a role in the poor rate control and overall success in the IV digoxin group. Lastly, there is a substantial amount of data missing, specifically the underlying cause of the Atrial Fibrillation with RVR (ie.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

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 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. As with other cases of shock, initial fluid resuscitation may be considered. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. In the cath lab, the patient’s blood pressure remained low.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

EB Medicine

JULY 8, 2019

Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss. Jeff: Moving on to my favorite - prehospital care - as always, ABCs first. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 The mortality rate for cerebral edema is 21%–24%.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

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.) times maintenance.

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

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. Episode 101: Acute Chest Syndrome Part 2 Background SCD is an autosomal recessive condition that results in the formation of hemoglobin S (HbS).

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

Don't Forget the Bubbles

JANUARY 27, 2025

Management ED management should focus on appropriate resuscitation of the patient and early referral to the surgical team. Ensure appropriate bay allocation in ED. How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

EMDocs

DECEMBER 16, 2023

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Mind The Bleep

OCTOBER 17, 2024

There were multiple patients where the only intervention from the team was stopping resuscitation. There was an emphasis on involving and managing the expectations of families, with conversations about them being present with their loved ones occurring early in the resuscitation attempt.

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

Mind The Bleep

MAY 12, 2023

9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. On Day 3 (i.e.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Dr. Smith's ECG Blog

JULY 24, 2018

As stated above, resuscitation included epinephrine, calcium, and bicarb. His neurologic exam was excellent given reported 20-30 minutes of intra-arrest resuscitation. The most common to consider include renal failure, dehydration, acidosis, use of potassium-retaining medication, and trauma ( which may result in rhabdomyolysis ).

EKG/ECG 52

EKG/ECG Dehydration Resuscitation Documentation/Coding 52

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

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.

EMS 97

EMS Fluid Resuscitation Fractures Resuscitation 97

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 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

JUNE 27, 2024

smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 C or 100.4

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

EMDocs

APRIL 1, 2025

Aseptic causes (less common): thrombophilia, maxillofacial/ocular surgery or trauma, dehydration, systemic disease including sepsis or autoimmune disease, intracranial tumors, and medications, though these are less common. thrombophilia, head/neck operation or trauma, dehydration, etc.) What is the ED evaluation?

Dehydration 98

Dehydration Sepsis Seizures Resuscitation 98

Taming the SRU

FEBRUARY 3, 2025

Additional Treatments for Severe Electrolyte Derangements Severe Hyperuricemia If uric acid 8 mg/dL or 25% increase from baseline develops, then rasburicase should be administered in addition to IV fluid resuscitation. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

Don't Forget the Bubbles

AUGUST 13, 2023

You are called to the resuscitation bay in your ED following arrival of the expected pediatric alert. Treatment : IV hydration – based on percentage of dehydration and the calculated water deficit Ceftriaxone – IV or IM IV aciclovir Lucy has another prolonged generalised tonic clonic seizure in the ED.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. After isolation, the patient is placed on supplemental oxygen therapy at 15 L/min via a non-rebreather mask.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75