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Fluid therapy in the emergency department: an expert practice review.

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journal contribution
posted on 14.10.2019, 09:09 by Tim Harris, Timothy J. Coats, Mohammed H. Elwan
Intravenous fluid therapy is one of the most common therapeutic interventions performed in the ED and is a long-established treatment. The potential benefits of fluid therapy were initially described by Dr W B O'Shaughnessy in 1831 and first administered to an elderly woman with cholera by Dr Thomas Latta in 1832, with a marked initial clinical response. However, it was not until the end of the 19th century that medicine had gained understanding of infection risk that practice became safer and that the practice gained acceptance. The majority of fluid research has been performed on patients with critical illness, most commonly sepsis as this accounts for around two-thirds of shocked patients treated in the ED. However, there are few data to guide clinicians on fluid therapy choices in the non-critically unwell, by far our largest patient group. In this paper, we will discuss the best evidence and controversies for fluid therapy in medically ill patients.

History

Citation

Emergency Medicine Journal, 2018, 35 (8), pp. 511-515

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Cardiovascular Sciences

Version

AM (Accepted Manuscript)

Published in

Emergency Medicine Journal

Publisher

BMJ Publishing Group, College of Emergency Medicine

eissn

1472-0213

Acceptance date

06/05/2018

Copyright date

2018

Available date

14/10/2019

Publisher version

https://emj.bmj.com/content/35/8/511

Notes

Correction notice: Two dates in the abstract have been corrected (1831 and 1832).

Language

en