Research and Reviews in the Fastlane 117

This study looked at adding the high frequency linear transducer after failure to identify IUP with the standard transducer. Of 81 initial scans, 27 patients did not have an IUP visualized with the curvilinear probe. Of those, 9 (33%) were found to have an IUP by using the linear probe. (It seems like it is helpful if you can see a probable gestational sac, but can’t identify a fetal pole or yolk sac). Recommended by: Justin Morgenstern Pediatrics Padua AP et al. Isotonic versus hypotonic saline solution for maintenance intravenous fluid therapy in children: a systematic review. Pediatr Nephrol. 2015; 30(7): 1163-72. PMID: 25576065 Selection of IV Maintenance fluids is often not considered in the ED, but when you need to, don’t be cavalier! Favor Isotonic Fluids for Maintenance initially! This is especially true for pre/post-operative patients or patient in whom there is risk for them having elevated ADH levels (so, like all of the ones who need an IV in the hospital). Using Isotonic Fluids for Maintenance has proven to be safe, while Hypotonic Fluids have greater risk for hyponatremia. As with the maintenance volume, the electrolyte composition should be tailored for the individual and monitored closely. Don’t let fluids be on “auto-pilot.” Recommended by: Sean Fox Read More: Maintenance Fluids (Pediatric EM Morsels) Pediatrics McCrory MC et al. Off-Hours Admission to Pediatric Intensive Care and Mortality. Pediatrics 2014; 134(5): e1345-53. PMID: 25...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Disaster Education Emergency Medicine Emergency Medicine Update Pediatrics Pre-hospital / Retrieval Radiology Trauma critical care examination Intensive Care R&R in the FASTLANE recommendations research and reviews Resuscitatio Source Type: blogs