9 results
SALT-ED Trial - Balanced Crystalloids versus Saline in Noncritically Ill Adults

N Engl J Med 2018; 378:819-828
SALT-ED Trial - Balanced ... Crystalloids versus Saline ... with intravenous fluids ... treatment with saline ... #AKI #MAKE30 #VisualAbstract
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... assessment of Shock ... , i.e. septic shock ... FALLS #protocol #algorithm ... #Fluids #POCUS
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
blockade S - Shock ... hypovolemic, give IV fluids ... ("balanced fluids ... " > normal saline
SMART Trial - Balanced Crystalloids versus Saline in Critically Ill Adults 

N Engl J Med 2018;
SMART Trial - Balanced ... Crystalloids versus Saline ... for intravenous fluid ... than the use of saline ... #VisualAbstract
SHoC-ED - Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? 

Ann
SHoC-ED - Does Point-of-Care ... inotrope use, or fluid ... Wilkinsonjonny #SHoCED #POCUS ... Ultrasound #Emergency #Shock ... #CriticalCare #VisualAbstract
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
mmol/L despite fluids ... : Sepsis + Fluid ... Ringers > Normal Saline ... Norepinephrine is first-line ... overresuscitation: Use balanced
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
non-physiologic fluid ... this post will focus ... Extracellular Fluid ... positive charges are balanced ... Intracellular Fluid
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
needing a little fluid ... achieved negative fluid ... balance and are ... essentially Cardiogenic Shock ... #differential #algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Infuse Normal Saline ... Rapid - Level 1 fluid ... fluid warmer ... CPR • Max 3 shocks ... management #treatment #algorithm