Hi, so my good friend Jeff Scott, ED/ICU doc and serious POCUSologist, asked me to summarize our current approach to fluid management, which is an amalgam of literature, physiology and bedside medicine-based evidence.
A few points to emphasize:
- does my patient need fluid/ will he/she benefit from fluid.
- is my patient fluid tolerant
- is my patient fluid responsive – yes, it’s the last and least important
I figure we may follow this up with a discussion – that’s often the best way to get to the real clinical decision points, and it’s always interesting to hear the questions and ideas that come up, so looking forward to it!
I figured might as well make a mini podcast of it, so here it is: