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 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

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 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

Mind The Bleep

DECEMBER 19, 2023

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. NaCl fluid bolus over 15 minutes. This is done with an initial bolus of 10ml/kg 0.9%

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

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. Is it reversible?

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

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. Disability- treat hypoglycaemia if present.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

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 75

Pediatrics Dehydration EMS Hospitals 75

Dr. Smith's ECG Blog

MAY 5, 2022

Fluid resuscitation was initiated. ST elevation in aVL with reciprocal ST depression in the inferior leads Shock, bradycardia, ST Elevation in V1 and V2. Physician also reads it as normal) Severe shock, obtunded, and a diagnostic prehospital ECG. Here is the initial ED ECG: What do you think? Another Shark Fin.

EKG/ECG 52

EKG/ECG Fluid Resuscitation EMS Shock 52