By Heidi Cohen, MD, Assistant Medical Director and Maricar Cabral, RN, IV, CCRN Joe DiMaggio Children’s Hospital, Pediatric Emergency Department|Nov 2, 2020|
MIS-C, Multisystem Inflammatory Syndrome in Children, is a delayed complication of COVID-19 in children with symptoms mimicking presentation of toxic shock syndrome or Kawasaki disease. Children may present with fever, abdominal pain, rash, bloodshot eyes,... Read More >
Improve Resuscitation Workflow with LifeFlow®
500ml in < 2 min
Stay with Your Patient
Deliver first bolus quickly to reverse hypotension in patients with shock.
Provide active resuscitation
Maintain control over delivery
Stay with your patient
Assess using vitals and bedside markers of perfusion; decide if additional fluid bolus is needed.
Early fluids more rapidly reverse shock and improve outcomes1-3
Each bolus delivered provides an opportunity to evaluate and determine next steps.
Faster resuscitation may lead to:
Lee, S. J., et al. (2014). “Increased fluid administration in the first three hours of sepsis resuscitation is associated with reduced mortality: a retrospective cohort study.” Chest 146(4): 908-915.
Leisman, D., B. Wie, M. Doerfler, A. Bianculli, M. F. Ward, M. Akerman, J. K. D’Angelo and J. A. Zemmel D’Amore (2016). “Association of Fluid Resuscitation Initiation Within 30 Minutes of Severe Sepsis and Septic Shock Recognition With Reduced Mortality and Length of Stay.” Ann Emerg Med 68(3): 298-311.
Williams, J. M., J. H. Greenslade, C. A. Dymond, K. Chu, A. F. T. Brown and J. Lipman (2018). “Characteristics, treatment and outcomes for all emergency department patients fulfilling criteria for septic shock: a prospective observational study.” Eur J Emerg Med 25(2): 97-104.
Leisman D, et al. (2017). Patterns and Outcomes Associated With Timeliness of Initial Crystalloid Resuscitations in a Prospective Sepsis and Septic Shick Cohort. Crit Care Med. Oct;45(10):1596-1606.