Fluid Resuscitation, Hyperthermia / Hypothermia and Resuscitation

Chemical Burns

Mind The Bleep

OCTOBER 29, 2024

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% Exposure Expose the patient in a systematic manner while keeping remaining body areas covered e.g. 1 limb at a time, to reduce the risk of hypothermia. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock.

Burns

Burns Fluid Resuscitation PPE Resuscitation

Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

DECEMBER 19, 2023

It is also vital to do a fluid balance assessment. Majority of DKA patients are in a fluid deficit and present acutely with shock. Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. This is done with an initial bolus of 10ml/kg 0.9%

Dehydration

Dehydration Fluid Resuscitation Shock Resuscitation

CICM Second Part Exam Practice SAQs 22082024

Intensive Blog

AUGUST 21, 2024

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Discuss the advantages and disadvantages of using pulse oximetry to target oxygen therapy (50%) What SpO2 targets do you use in ICU patients and why? (50%) 50%) Oxygen saturation targets in critical care Q2.

Burns

Burns Hyperthermia / Hypothermia Fluid Resuscitation Operations

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

First10EM Journal Club: October 2022

Broome Docs

OCTOBER 31, 2022

PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. PMID: 36103415 Bottom line: Less is more when it comes to intravenous fluids. 2018 Sep 11;362:k3843. doi: 10.1136/bmj.k3843. N Engl J Med.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department

Tasty Morsels of Critical Care 060 | The post cardiac surgery patient

Emergency Medicine Ireland

APRIL 4, 2022

Likely driven by rewarming induced vasodilation and hypothermia induced diuresis they can be hypovolaemic. It doesn’t take them long to transition to the more conventional ICU patient where fluid does nothing but increase the oedema but in the first 6-12 hours fluid resuscitation often has a role.

Fluid Resuscitation

Fluid Resuscitation Hyperthermia / Hypothermia Outcomes Resuscitation

FOAM Eye-Catchers 3

EMergucate

NOVEMBER 22, 2013

The End of Therapeutic Hypothermia? GAME CHANGER! HOT OF THE PRESS: this new article in NEJM, the Targeted Temperature Management … Continue reading →

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

Emergency Medicine Cases

MARCH 1, 2022

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on (..)

Sepsis

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia

EM@3AM: Hyperthermia

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. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation.

Domestic Violence

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault

emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

JUNE 25, 2024

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. Total amount over 24 hours.

Burns

Burns Fluid Resuscitation Resuscitation Poisoning

Brain Trauma Guidelines for Emergency Medicine

ACEP Now

OCTOBER 3, 2023

The GCS should be measured after airway, breathing, and circulation are assessed, after a clear airway is established, and after necessary ventilatory or circulatory resuscitation has been performed. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting.

Fluid Resuscitation

Fluid Resuscitation Documentation/Coding Resuscitation EMS

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

MAY 28, 2024

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. times maintenance.

Blood Transfusions

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds

Neuroleptic Malignant Syndrome

Northwestern EM Blog

MAY 9, 2022

The most acute cause of death from NMS is hyperthermia, which is induced both by D2 receptor antagonism leading to rigidity and impaired thermoregulation from the striatum and hypothalamus. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] Therefore, fluid resuscitation and maintenance are important.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department

Pediatric Submersion Injury Tips

ACEP Now

OCTOBER 11, 2024

3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate. Pediatric submersion injuries: emergency care and resuscitation.

Pediatrics

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation

Referring to the Intensive Care Unit

Mind The Bleep

FEBRUARY 9, 2024

Because she would not be for intubation, they discuss resuscitation status because, naturally, care during- and post-arrest would involve airway support. The ICU team are aware that this patient may require therapeutic hypothermia, continuous cardiac monitoring and may deteriorate to the point of arrest.

Hospitals

Hospitals Resuscitation Fluid Resuscitation Shock

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

MAY 5, 2022

Fluid resuscitation was initiated. These include ( among others ) — acute febrile illness — variations in autonomic tone — hypothermia — ischemia/infarction/cardiac arrest — and Hyperkalemia. He denied any chest pain or shortness of breath and stated he felt at his baseline yesterday prior to drug use.

EKG/ECG

EKG/ECG Fluid Resuscitation EMS Shock

Something she ate?

Intensive Blog

FEBRUARY 9, 2023

It refers to hypernatraemia, hyperventilation, haemodialysis, and induced hypothermia. It clears ammonia, allows fluid removal, and facilitates management of electrolyte. Hypothermia Aiming for a lower core temp (35 o C) reduces cerebral metabolic rate and cerebral blood flow.

Poisoning

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation

Neonatal Hypotension

Don't Forget the Bubbles

NOVEMBER 18, 2024

Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. Effective management of MAS will often result in the stabilization of blood pressure.

Sepsis

Sepsis Shock Hyperthermia / Hypothermia Administration

emDOCs Revamp – Acute Chest Syndrome

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

Pediatrics Dehydration EMS Hospitals