Thank you for saying this. My current hospital pushes 30cc/kilo for patients to be ordered from triage if there is even a hint of sepsis criteria being met, before an adequate HPI/assessment/labs can even be performed.
Great stuff, however how do we actually decide on the amount of fluid? What I got from that talk was plump IVC means no more fluid, but nothing on when to start and how much to give.
Mary C. - August 12, 2020 11:56 AM
Thank you for saying this. My current hospital pushes 30cc/kilo for patients to be ordered from triage if there is even a hint of sepsis criteria being met, before an adequate HPI/assessment/labs can even be performed.
Bradley L. - August 22, 2020 1:37 PM
Great stuff, however how do we actually decide on the amount of fluid? What I got from that talk was plump IVC means no more fluid, but nothing on when to start and how much to give.
Chad J. R. - August 26, 2020 2:35 PM
When you say "Even transient decreases in the mean arterial pressure (MAP) can lead to organ damage" what are you referencing?
Anand S. - August 27, 2020 9:57 AM
Via Weingart:
https://emcrit.org/emcrit/vasopressor-basics/
Walsh & Sessler et al.
Also Check out: (Intens Care Med 2018;44:811)
Anand S. - August 27, 2020 9:59 AM
Just realized link may not have translated for Walsh ARticle: https://emcrit.org/wp-content/uploads/2017/06/00000542-201309000-00010.pdf