6/2/2023 0 Comments Fluid overload iv complicationClinical CaseĪ 23-year-old male presents to the emergency department (ED) after striking a tree while riding an all-terrain vehicle. An improved understanding of the physiologic rationale of rapid infusion and the timing, volume, and methods of fluid delivery will help clinicians improve care for critically ill patients presenting with shock. SummaryĬurrent practice standards, guidelines, and available literature support the rapid reversal of shock as a key priority in the treatment of hypotension from traumatic and non-traumatic conditions. Evidence from high-quality studies demonstrates that rapid and early resuscitation improves patient outcomes. Recent controversy over the role of fluid resuscitation in sepsis and trauma management has obscured the importance of early and rapid infusion of sufficient volume to restore circulation and improve organ perfusion. Rapid infusion of fluids and blood products can be a life-saving intervention in the management of circulatory and hemorrhagic shock. Emergency department providers who manage critically ill patients with undifferentiated shock will benefit from the insights of early pioneers and an overview of newer techniques which can be used to optimize resuscitation in the first minutes of care. ![]() ![]() This review provides historical context and an update on recent advancements in volume resuscitation for circulatory shock.
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