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Restriction of Intravenous Fluid in ICU Patients with Septic Shock

by Zach MacDonald, Hans Rosenberg, Christian Vaillancourt | Dec 26, 2022 | Critical Care, Journal Club

Methodology: 4/5 Usefulness: 3/5 Meyhoff TS, et al. N Engl J Med. 2022 Jun 30;386(26):2459-2470. Question and Methods: International, stratified, parallel group, open-label, randomized clinical trial where ICU patients were randomized to restrictive or standard fluid...
Life in the balance: Why fluid choice matters in the Emergency Department

Life in the balance: Why fluid choice matters in the Emergency Department

by Bo Zheng, Richard Hoang, Shankar Sethuraman | May 2, 2019 | Grand Round Summaries

IV fluid is a drug Intravenous fluid administration is the second most common medical intervention next to supplemental oxygen.1  Over 200 million liters of normal saline (NS) is used in the United States annually.2 Intravenous fluids, like any other drug, should be...
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

by Hans Rosenberg | Nov 12, 2018 | Critical Care, Endocrinology, Journal Club

Journal Club Summary Methodology: 4/5 Usefulness: 4/5 Kuppermann N, et al. N Engl J Med. 2018 Jun 14;378(24):2275-2287. Editorial: Fluid Composition, Infusion Rate, and Brain Injury in Diabetic Ketoacidosis. Question and Methods: 13 centre RCT with four arms to...
No Thanks, I’m Sweet Enough: Non-emergent Hyperglycemia in the ED

No Thanks, I’m Sweet Enough: Non-emergent Hyperglycemia in the ED

by Rajiv Thavanathan, Richard Hoang | Sep 27, 2018 | Endocrinology, Grand Round Summaries

In the Emergency Department (ED) we’re always thinking about the “ABC’s”. You’ve also probably heard of “DEFG: Don’t Ever Forget Glucose”. This usually refers to hypoglycemia in our critically ill patients—those with decreased level of consciousness, new onset...
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