You have asked…What are the most common errors made in the emergency room, and how can I avoid them?

The expert says…Emergencies are common daily occurrences seen in general, specialty, and emergency practice. Following are simple tips on how to avoid common clinical errors with emergent patients.

Top 5 Emergency Errors

1. Using THE ENTIRE shock dose of fluids

Shock is defined as cellular hypoxia, regardless of shock type (ie, cardiogenic, hypovolemic, distributive, metabolic, hypoxemic). When practitioners are presented with a “shocky” patient (tachycardiac, hypotensive, poor perfusion), they need to rule out cardiogenic shock (eg, myocardial failure secondary to dilated cardiomyopathy), as the other types of shock generally require IV fluid therapy as part of the primary intervention to volume resuscitate the patient.


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