Fluid Controversies

A recent paper about fluid boluses in sick African children has raised a few eyebrows around the world of pediatric emergency medicine, and the world of medicine in general… We thought we’d get in on the discussion, before everyone goes throwing the baby out with the bathwater.  In this PEMcast we try to appraise the Maitland paper in a rational, unemotional way… and almost manage! ...

August 11th, 2011 by colinparker 

Neonatal Hypoglycaemia

To bolus, or Not to bolus… that is the question.  Actually, there are a few more questions too… How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research? Some neonatologists believe that a bolus of intravenous dextrose when treating hypoglycaemia is to be avoided at all costs.  Others say a bolus is OK, provided that an ongoing infusion at an adequate...

November 18th, 2010 by colinparker