IV Fluid Resuscitation (IVF Lesson 3 / Shock Lesson 4)

An overview of the use of IV fluids during resuscitation of patients in shock, including comparison of crystalloid vs. colloid, and NS vs. LR (and other balanced solutions).

[halfpastfour]

I am a practicing general surgeon in South Korea, and I must say your videos are very educational and helpful.. I too am waiting for your video on maintenance fluids. Thank you!

[MrDevanPatel]

You are a gem! As a new intern, these videos are concise, informative and great for practice. Thank you!

[cristiancardona]

Great video, it would be great to make a new video about what have changed since then taking into account new evidence.

[sunving]

Thank you Dr Strong, this is a second time i listen to this lecture. I am so glad to find your channel. I was looking for video to teach how to read EKG. which lead me to watch many video of you. I would be so out of date if i never ever ran into this video :) . I thank you once more.

[StrongMed]

+trisha mirza Sorry, YouTube is not allowing me to reply directly to your comment...


Regarding dehydration, having a very elevated ratio of BUN to Cr is suggestive of it, as is having an elevated serum bicab (i.e. often listed on lab reports as "CO2"), high urine specific gravity, low urine fractional excretion of sodium, and having hylaline casts present on a urinalysis. But ultimately, a diagnosis of dehydration is best made from a combination of history and the physical exam.

[wahibaramtani]

I enjoy all your lectures ! more videos I review, more i hope to be resident in your team, so thank you again

[sldkjkm]

Your explanation hits the depth of the info we really need . Thanks alot

[sunving]

Thank you Dr Strong. It is a very great lecture as always. I am very fortunate to run into your lectures series.

[sara]

My preceptor who is a trauma surgeon ripped into me yesterday because I asked why LR Instead or NS. I almost cried he was so mean. This was helpful! I won’t cry about this topic again. Rip year 3

[skulqerX]

Im so grateful i make these videos dr strong. Thank u !

[themesaregreat]

Great series! Would love to see the maintenance fluids video if you ever get a chance to record it.

[saamiyakamaluddin]

I'm an emergency as well as critical care specialist, ( double whammy, right?😅) And I saw ur video first time today and tmrw I am going to tell my students to see ur video before coming to my lectures.

[DrAugrajUprety]

you always corelate the basic medicine with our clinical practice, thank you so much!!

[tmkhan]

great informative knowledge about fluids dynamics keep up cme fluids management tmk

[sssssulaman]

Stil waiting on maintenance fluids video :(

[themesaregreat]

Also as an FYI: since this video was made, there has been new evidence supporting LR over normal saline in some cases, check out SALT-ED trial and SMART trial.

[xcoolx]

Eric, Thank you for such an informative IVF lesson.

[iagoink]

Hello Dr. Strong!
When are you uploading Lesson Number 4? It would be of great help.
Thank you

[DocHemulin]

Hello Dr. Strong,
Normally during inspiration the decease in intra-thoracic pressure will cause an increase to blood flow to the right side of the heart and since more blood remains in the lungs during inspiration there is a small drop in systolic pressure (less than 10 mmHg unless we have a tamponade for example). So just to understand -everything mentioned in around minute 5:50 is because of the positive pressure of the ventilator in inspiration which is exactly the opposite to the negative pressure effect in physiological inspiration?
Thanks for being the #1 online source for medicine and much more :)

[khem]

Love your videos Dr. Eric!!! Keep making more!! Thank you!!