• Am J Emerg Med · May 2000

    Case Reports

    Risks of intravenous administration of hypotonic fluids for pediatric patients in ED and prehospital settings: let's remove the handle from the pump.

    • J Jackson and R G Bolte.
    • Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, USA.
    • Am J Emerg Med. 2000 May 1;18(3):269-70.

    AbstractFluid resuscitation of infants and children is a common management problem in prehospital and emergency department care. We present two cases of children who received 5% dextrose in water as the initial resuscitation fluid. Bolus administration of hypotonic fluid contributed to fatal outcomes in these cases. Recommendations are made for eliminating hypotonic fluids as stock items in both the prehospital and emergency department settings.

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