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But Can You Just PO?
Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Patients present to the ED with hypovolemia secondary to a plethora of causes—some requiring IV fluid resuscitation and others requiring none. Considering the nationwide IV fluid shortage, judicious use of fluids is imperative. Thus, this begs the question, who really needs IV fluids, and can the patient simply hydrate orally? This article serves to briefly discuss IV fluids administration in the ED and the instances where they are not indicated.
Atypical Headaches
Headaches account for approximately 4 million, nearly 3% of all ED visits annually. [1] We classify headaches as either primary (benign) or secondary, with secondary headaches occurring due to underlying pathology. In the ED, the goal is to alleviate symptoms safely and effectively while excluding dangerous causes of headaches. While nearly 98% of headaches in the ED are primary or benign [2], ruling out secondary causes of headaches is imperative as failing to diagnose correctly may result in significant morbidity or mortality.
Grand Rounds Recap 03.03.21
Dr. Li shares some R4 case follow up(s). Review of migraine treatments with Drs. Diaz and Shaw. Dr. Gressick vs. Dr. Roche in a CPC case. Air Care Grand Rounds reviewing trauma, obstetrical trauma, aircraft safety, and a pediatric trauma simulation with Drs. Hinckley, Gottula, and Skrobut.