For decades now, aggressive fluid replacement in pediatric DKA patients has been thought to contribute to cerebral edema and neurologic injury. This has resulted in a general policy of cautious fluid replacement with isotonic crystalloid, and perhaps even contributed to under-resuscitation of these patients. In this first large, randomized, prospective study to examine the role of type of fluid (0.9% NaCl vs 0.45% NaCl) and rate of administration, the hope was to detemine if type of fluid, rate of adminstration, or both were associated with cerebral edema and neurologic injury in this patient population. Read on for the key results of this practice changing paper!
Read moreSubmitted by Richard Byrne, MD
A quick visual summary of forearm fracture-dislocations
Read moreSubmitted by Alexis Pelletier-Bui, MD
At ResusEM last year, Dr. Lars Peterson gave a great talk titled "You've Just Intubated Your Patient...Now What?"
Read moreSubmitted by Haney Mallemat, MD
One of the best risk management strategies is clear discharge instructions.
Read moreSubmitted by John Cafaro MD
A 70 yo F presents to the ED for 2 days of intermittent L UE weakness, paresthesias and tremors.
Read more
If you're reading this....stop and go to the beach or something! We'll be back next week with more fantastic content!
Read moreSubmitted by Richard Byrne, MD
Read on for a "can't-miss" diagnosis that should be on your differential for a child with prolonged (>/= 5 days) fever.
Read moreSubmitted by Louis Argentine MD
Dr. Sarab Sodhi discusses the literature beyond standard BLS and ACLS recommendations.
Read moreSubmitted by Sarab Sodhi, MD