Fluid Resuscitation, Outcomes and Ultrasounds

Fluid Resuscitation

Outcomes

Ultrasounds

Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

OCTOBER 29, 2024

In such cases, would you wait for a lactate, white blood cell count, bandemia, or other diagnostics to confirm a source of infection before starting antibiotics, fluid resuscitation, and/or pressors? In this study, clinical gestalt is not only fast, but accurate for the benefit of timely resuscitation and intervention.

Emergency Department

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis

emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

MAY 15, 2024

Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Hypervolemia – leads to pulmonary edema: Consider diuresis If euvolemic – start maintenance fluids of D5 in 0.45%NS N Engl J Med.

Blood Transfusions

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Trending Sources

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

MAY 28, 2024

Ultrasound Sensitivity 88-100%, specificity 68-94% LR+ of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Causes and outcomes of the acute chest syndrome in sickle cell disease. times maintenance.

Blood Transfusions

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

EM@3AM: Endometritis

EMDocs

JULY 13, 2024

Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. Incidence, treatment and outcome of peripartum sepsis. Plasma cell endometritis is associated with Chlamydia trachomatis infection. Am J Clin Pathol. PMID: 10439801.

OB/GYN

OB/GYN EMS Sepsis Fluid Resuscitation

The Intersections of Physical and Mental Health Disorders

ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation.

EKG/ECG

EKG/ECG Fluid Resuscitation Ultrasounds Burns

Review of the ATHOS 3 trial

Northwestern EM Blog

FEBRUARY 14, 2022

The primary outcome of the study was the response in MAP three hours after the start of angiotensin II infusion. It showed improvement in blood pressure which is a clinically important parameter but not a patient-oriented outcome. However, one limitation of the study was that it was underpowered to demonstrate a mortality difference.

Shock

Shock Resuscitation Fluid Resuscitation Sepsis

The CLOVERS Trial

Taming the SRU

MAY 5, 2023

The CLASSIC trial is a randomized controlled trial conducted in the ICU setting which compared restrictive versus standard fluid strategies with a primary outcome of death by 90 days in patients with septic shock. Safety outcomes Serious adverse event occurrences were similar in both groups. versus 59.2%). versus 14.9%

Sepsis

Sepsis Shock Administration Resuscitation

Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

OCTOBER 1, 2018

And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF.

Sepsis

Sepsis Shock Fluid Resuscitation Hospitals

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

8 Based on multiple randomized controlled trials (RCTs), SSC 2021 guidelines suggest against using procalcitonin as a screening method to guide initiation of antibiotic therapy, as no difference in clinical outcomes was appreciated. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Shock

EM@3AM: Takotsubo Cardiomyopathy

EMDocs

JANUARY 20, 2024

Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. Ultrasound findings can show bulging of the interventricular septum into the LVOT , which can be interpreted as a sigmoid-shaped septum on bedside evaluation. The oral mucosa is moist.

EMS

EMS Fluid Resuscitation Shock EKG/ECG

Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

JULY 17, 2023

3 Point of care ultrasound (POCUS) can be highly sensitive for free fluid and pneumoperitoneum when used by a trained physician in the appropriate patient population. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. World J Gastroenterol. 2007 Jan 21;13(3):432-7. doi: 10.3748/wjg.v13.i3.432.

Operations

Operations EMS Fluid Resuscitation Resuscitation

Grand Rounds Recap 8.9.23

Taming the SRU

AUGUST 25, 2023

bicarb <18mEq/L) ketosis (preferably serum beta-hydroxybutyrate >3mmol/L) Risk factors SGLT2 inhibitor use fasting state ketogenic diet intra-abdominal pathology (AGE, pancreatitis, etc.) to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1 1 mcg/kg over 10 minutes followed by continuous infusion: 0.2

Seizures

Seizures Fractures EKG/ECG Resuscitation

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

EMDocs

JANUARY 20, 2025

One of the hallmarks of sepsis care, based on the Rivers 2001 17 trial and still recommended by the latest SCCM guidelines is early detection of sepsis and initiation of early resuscitation. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. Inwald et al.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

FEBRUARY 17, 2025

He has had some additional episodes of hypotension post-intubation, which is treated with further volume resuscitation. Before considering a further fluid bolus, you do a point-of-care ultrasound (POCUS). J Ultrasound Med, 2023. Aiming for zero fluid accumulation: First, do no harm. The short answer… No.

Pediatrics

Pediatrics Ultrasounds Shock Resuscitation

Emergency Care Today

Putting Clinical Gestalt to Work in the Emergency Department

emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

Webinars

Trending Sources

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

Webinars

EM@3AM: Endometritis

The Intersections of Physical and Mental Health Disorders

Review of the ATHOS 3 trial

The CLOVERS Trial

Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

Sepsis Updates Relevant to the Emergency Physician

EM@3AM: Takotsubo Cardiomyopathy

Large bowel obstruction: ED presentation, evaluation, and management

Grand Rounds Recap 8.9.23

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

Venous Congestion in Pediatric Critical Care

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