Emergency Department, Fluid Resuscitation and Sepsis

Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

OCTOBER 29, 2024

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? In this study, clinical gestalt is not only fast, but accurate for the benefit of timely resuscitation and intervention. Ann Emerg Med.

Emergency Department

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis

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. Intravenous 0.9%

Dehydration

Dehydration Fluid Resuscitation Administration Resuscitation

Episode 7: Sepsis

PHEM Cast

APRIL 10, 2016

[link] We hope you enjoyed our sepsis podcast. It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. St Emlyns Induction podcast on Sepsis.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Emergency Department

SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.

The Skeptics' Guide to EM

FEBRUARY 17, 2018

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Case: EMS is dispatched to a retirement […] The post SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis. first appeared on The Skeptics Guide to Emergency Medicine. The Lancet Nov 2017. The Lancet Nov 2017.

Sepsis

Sepsis Hospitals Fluid Resuscitation Administration

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

Grand Rounds Recap 1.10.24

Taming the SRU

JANUARY 12, 2024

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting (..)

Fluid Resuscitation

Fluid Resuscitation Pediatrics Sepsis Shock

EM@3AM: Stercoral Colitis

EMDocs

JANUARY 11, 2025

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS

EMS Sepsis Shock Fluid Resuscitation

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

NOVEMBER 1, 2018

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Jeff: Let’s move on to evaluation in the emergency department. Jeff: You’re right.

Emergency Department

Emergency Department Burns EKG/ECG Shock

The CLOVERS Trial

Taming the SRU

MAY 5, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510.

Sepsis

Sepsis Shock Administration Resuscitation

Neonatal Hypotension

Don't Forget the Bubbles

NOVEMBER 18, 2024

Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension. The other important moment to always think of the heart (sorry, cardiologists, I don’t think about the heart 24/7) is when a collapsed neonate presents to your emergency department, especially if blood pressure is present.

Sepsis

Sepsis Shock Hyperthermia / Hypothermia Administration

Grand Rounds Recap 3.29.23

Taming the SRU

APRIL 3, 2023

Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9%

Blood Transfusions

Blood Transfusions Fluid Resuscitation Resuscitation Stroke

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

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Shock

EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

OCTOBER 5, 2024

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV).

EMS

EMS Infectious Diseases Sepsis Hospitals

SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

The Skeptics' Guide to EM

JUNE 15, 2018

Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario.

Emergency Department

Emergency Department Fluid Resuscitation Hospitals Sepsis

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

EMDocs

JANUARY 20, 2025

Much of our understanding of the clinical signs of hypovolemia comes from studies performed on phlebotomy volunteers 1,2 while our understanding of fluid overload comes from heart failure patients. Volume status Assessing volume status, especially in critically ill patients, can be challenging. 11 A study by Stephan et al. Andrews et al.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Emergency Care Today

Putting Clinical Gestalt to Work in the Emergency Department

But Can You Just PO?

Trending Sources

Episode 7: Sepsis

SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.

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

Grand Rounds Recap 1.10.24

EM@3AM: Stercoral Colitis

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

The CLOVERS Trial

Neonatal Hypotension

Grand Rounds Recap 3.29.23

emDOCs Revamp – Acute Chest Syndrome

Sepsis Updates Relevant to the Emergency Physician

EM@3AM: ESBL-Producing Organisms and Their Management

SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

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

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