Dr. Piehl is a pediatric intensivist at WakeMed in Raleigh, NC, and served as Medical Director of the WakeMed Children's Hospital since 2009-2015. His clinical interests include airway management, trauma, critical care transport, traumatic brain injury, shock & sepsis, ultrasound, and procedural sedation. Dr. Piehl has faculty appointments in the Departments of Pediatrics at the University of North Carolina and Duke University, and teaches pediatric emergency and critical care skills to learners at all levels, with a particular interest in the use of medical simulation. Dr. Piehl received his BA from Davidson, and his MD and Master's of Public Health from UNC Chapel Hill. He trained in pediatrics, internal medicine, and pediatric critical care at UNC. Dr. Piehl is co-founder of 410 Medical Innovation, a company focused on improving resuscitation in shock and sepsis.
The optimal approach for and the importance of fluid management in shock has been heavily discussed and debated in the last 10-20 years. A study published by Rivers et al in 2001 was one of the first to demonstrate the benefit of early and rapid fluids in septic shock patients and the concept of early, aggressive fluids has proven benefits in multiple studies since then and worked its way into sepsis protocols for hospitals and EMS groups. Over the same period there have been a number of other studies that have questioned the conclusions of Rivers and similar studies. The purpose of this webcast is to review the current literature and studies and provide a summary of the current understanding of the optimal approach and situations for rapid fluid resuscitation in shock patients.
In this webcast, participants will learn about the psychology behind taking care of pediatric patients in the prehospital setting. Why does it make us anxious? Do we make it more challenging than it has to be? Participants will also discover how simulation can be used to help EMTs and paramedics conquer this fear of treating children and young patients.
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