NDLI: Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.

Please wait, while we are loading the content...

Year: 2017 Volume: 29

Year: 2016 Volume: 28

Year: 2015 Volume: 27

Year: 2015 Volume: 27 Issue: 5

Year: 2015 Volume: 27 Issue: 4

Year: 2015 Volume: 27 Issue: 3

Last drinks: A study of rural emergency department data collection to identify and target community alcohol-related violence.

Comparison of the finger counting method, the Broselow tape and common weight estimation formulae in Filipino children after Typhoon Haiyan.

Increased risk of accidental childhood poisoning and childhood vicarious learning: Barbie and supersparkle movie invites copy behaviours.

Impact of clinical pharmacists in the emergency department of an Australian public hospital: A before and after study.

Inter-rater reliability and validity of the Ministry of Health of Turkey's mandatory emergency triage instrument.

Re: Diagnostic error: Missed fractures in emergency medicine.

Weight estimation in paediatric resuscitation: A hefty issue in New Zealand.

Underutilisation of synchronised cardioversion.

Rocket launcher: A novel reduction technique for posterior hip dislocations and review of current literature.

INITIAT-E.D.: Impact of timing of INITIation of Antibiotic Therapy on mortality of patients presenting to an Emergency Department with sepsis.

Do ambulance paramedics administer too much oxygen to patients with acute exacerbations of chronic obstructive airways disease?

Get the DRIFT for great discharge summaries.

Teaching medical students in the emergency department: A matter of survival.

Spectrophotometry, not visual inspection for the detection of xanthochromia in suspected subarachnoid haemorrhage: A debate.

Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.

Paediatric resuscitation: Always breathe carefully.

The role of universities in Australasian emergency medicine training.

Should universities play a greater role in the delivery of emergency medicine specialty education and training? No.

Growth in Western Australian emergency department demand during 2007-2013 is due to people with urgent and complex care needs.

Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study: Rationale, design and analysis.

Improved outcomes for emergency department patients whose ambulance off-stretcher time is not delayed.

Should universities play a greater role in the delivery of emergency medicine specialty education and training? Yes.

Emergency Medicine Australasia on Twitter.

Year: 2015 Volume: 27 Issue: 2

Year: 2015 Volume: 27 Issue: 1

Year: 2015 Volume: 27 Issue: Supplementary 1

Year: 2014 Volume: 26

Year: 2013 Volume: 25

Year: 2012 Volume: 24

Year: 2011 Volume: 23

Year: 2010 Volume: 22

Year: 2009 Volume: 21

Year: 2008 Volume: 20

Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Long, Elliot Babl, Franz Dalziel, Stuart Dalton, Sarah Etheridge, Carly Duke, Trevor
Organization	Paediatric Research in Emergency Departments International Collaborative (PREDICT)
Spatial Coverage	New Zealand Australia
Description	Country affiliation: Australia Author Affiliation: Long E ( Department of Emergency Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia.); Babl F ( Murdoch Children's Research Institute, Melbourne, Victoria, Australia.); Dalziel S ( Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.); Dalton S ( Department of Emergency Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia.); Etheridge C ( Murdoch Children's Research Institute, Melbourne, Victoria, Australia.); Duke T ( Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.)
Abstract	OBJECTIVE: It is unclear whether emerging evidence for harm from aggressive fluid resuscitation for paediatric sepsis has altered clinical practice. We surveyed senior emergency physicians to see if their fluid resuscitation practices conformed to published clinical guidelines. METHODS: This is a cross-sectional, Internet-based survey of senior emergency medical staff in any of 12 Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network centres in Australia and New Zealand. RESULTS: There were 110 of 120 (92%) senior medical staff who responded. Ninety-eight per cent of respondents used 0.9% saline as their primary resuscitation fluid. Sixty-two per cent of respondents used 20 mL/kg fluid bolus for every bolus, 30% used 20 mL/kg for the first bolus and 10 mL/kg subsequently. Response to fluid bolus administration was based on clinical parameters in 92% of respondents (heart rate, BP, skin perfusion/mottling and central capillary refill), conscious state in 80% and venous lactate in 75%. Harm from fluid bolus administration was routinely monitored for by 81% of respondents. In those assessing for harm, clinical parameters were reported to be most commonly used (respiratory rate and effort in 60%, SpO2 in 55%, presence of crackles on lung auscultation in 50% and hepatomegaly in 42%). Invasive or ultrasound-based monitoring was used infrequently. CONCLUSIONS: Paediatric sepsis is reported to be managed by senior emergency physicians largely according to published guidelines. At this time, evidence for potential harm from fluid bolus resuscitation has not altered practice.
File Format	HTM / HTML
ISSN	17426731
Issue Number	3
Volume Number	27
e-ISSN	17426723
Journal	Emergency Medicine Australasia
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Emergency Service, Hospital Statistics & Numerical Data Fluid Therapy Methods Pediatrics Resuscitation Sepsis Therapy Australia Child Cross-sectional Studies Female Guideline Adherence Health Care Surveys Humans Male Molecular Sequence Data New Zealand Physician's Practice Patterns Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Recognition and Management of Sepsis in Children: Practice Patterns in the Emergency Department.

Current practices for paediatric procedural sedation and analgesia in emergency departments: results of a nationwide survey in Korea.

Triggers for head computed tomography following paediatric head injury: Comparison of physicians' reported practice and clinical decision rules.

Fluid resuscitation practice patterns in intensive care units of the USA: a cross-sectional survey of critical care physicians

Choice of fluid for resuscitation of septic shock.

Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.

A Survey of Bronchoscopy Practice in Australia and New Zealand.

Appropriateness and determinants of antibiotic prescribing in an Australian emergency department.

How French paediatric emergency departments manage painful vaso-occlusive episodes in sickle cell disease patients.

Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.

Similar Documents

Recognition and Management of Sepsis in Children: Practice Patterns in the Emergency Department.

Current practices for paediatric procedural sedation and analgesia in emergency departments: results of a nationwide survey in Korea.

Triggers for head computed tomography following paediatric head injury: Comparison of physicians' reported practice and clinical decision rules.

Fluid resuscitation practice patterns in intensive care units of the USA: a cross-sectional survey of critical care physicians

Choice of fluid for resuscitation of septic shock.

Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.

A Survey of Bronchoscopy Practice in Australia and New Zealand.

Appropriateness and determinants of antibiotic prescribing in an Australian emergency department.

How French paediatric emergency departments manage painful vaso-occlusive episodes in sickle cell disease patients.

Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.