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FACEM FFICM FANZCP DCH CCPU
resuscitation
Cliff Reid
Senior Staff Specialist in Emergency Medicine Mona Vale Hospital, Sydney
Director of Emergency Medicine Training Greater Sydney Area HEMS
Clinical Associate Professor in Emergency Medicine Sydney University Medical School
fluid
R
R
R
esuscitationR
R
R
esuscitationR
Replacement
R
esuscitationR
Replacement
Regular
maintenance
WHY?
WHEN NOT TO WORRY
W
WARMTH
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WEE
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WEE
WITHOUT LACTIC ACIDOSIS
WHEN NOT TO WORRY
W
Na+ 154 mmol/L
Cl- = 154 mmol/L 
pH = 5.0
Osmolarity = 308 mosm/L
Na+ 131 mmol/L
Cl- = 111 mmol/L 
Lactate = 29 mmol/L
K+ 5 mmol/L
Ca++ 2 mmol/L
pH = 6.5
Osmolarity = 279 mosm/L
Hartmann’s
Na+ 131 mmol/L
Cl- = 111 mmol/L 
Lactate = 29 mmol/L
K+ 5 mmol/L
Ca++ 2 mmol/L
pH = 6.5
Osmolarity = 279 mosm/L
Hartmann’s
HOW
MUCH?
R
R
R
esuscitationR
R
R
esuscitationR
Replacement
R
esuscitationR
Replacement
Regular
maintenance
WHEN NOT TO WORRY
W
WARMTH
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WEE
WHEN NOT TO WORRY
W
WARMTH
WAKEFULNESS
WEE
WACTATE
WHEN NOT TO WORRY
W
A. Hyperchloraemic acidosis
B. Contains no potassium
C. Causes Hypernatraemia
Caution regarding 0.9%
Saline?
A. Hyperchloraemic acidosis
B. Contains no potassium
C. Causes Hypernatraemia
Caution regarding 0.9%
Saline?
A. Contains lactate
B. Risk of hyponatraemia
C. Contains potassium
Caution regarding
Hartmann’s
A. Contains lactate
B. Risk of hyponatraemia
C. Contains potassium
Caution regarding
Hartmann’s
resus.me/ECI

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Fluid Resuscitation