Normal (Abnormal) Saline vs. Ringer’s Lactate

The choice of crystalloid fluid for volume resuscitation is debated often. With rising concern about the effect of hyperchloremic metabolic acidosis associated with normal saline, clinicians more commonly are opting for balanced crystalloids, such as lactated Ringer’s solution or Plasma-Lyte. 

Intraosseous Access 101

IO access provides rapid vascular access in a variety of emergency situations. There are several types of IO devices that can be used. The humeral site is generally the least painful and quickest to access All resuscitation and anaesthetic drugs can be given via the IO route. Fluids need to be administered under pressure. All […]

Burns Resuscitation

Signs of impending airway compromise include: stridor, wheezing, subjective dyspnea, and a hoarse voice. Carbon monoxide (CO) poisoning may manifest with persistent neurologic symptoms or even as cardiac arrest. Burns <15% TBSA generaly require only PO fluid resuscitation. Do not include first degree burns in the calculation of % TBSA. Generally crystalloid solutions should be […]

IV Fluids for alcohol intoxication

There is no good evidence to support the use of IV fluids in resuscitation of patients with uncomplicated acute alcohol intoxication.  

Size does matter

If you want to get big water into your patient, observe the following recommendations: Gauge is king. Choose the fattest tube you can stick into the patient. When it comes to catheter length, it’s not the size… it’s how you use it. Shorter catheter lengths mean less resistance. Consider plugging your drip set directly into […]

Emergency Medicine Kenya Foundation