Evaluation of prehospital use of furosemide in patients with respiratory distress

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jason JaronikDavid T Overton

Abstract

To evaluate the appropriateness of prehospital use of furosemide. All patients over 18 years old receiving prehopsital furosemide were retrospectively identified, and cases were matched to subsequent hospital records. Data collected included ED and hospital primary and secondary diagnoses, brain-type natriuretic peptide (BNP) levels and final disposition. Furosemide was considered appropriate when the primary or secondary ED or hospital diagnoses included congestive heart failure (CHF) or pulmonary edema, or the BNP was > 400. Furosemide was considered inappropriate when none of the diagnoses included CHF, when the BNP was < 200, or when an order for IV fluid hydration was given. Furosemide was considered potentially harmful when the diagnoses included sepsis, dehydration or pneumonia, without a diagnosis of CHF or BNP > 400. Of the 144 included patients, a primary or secondary diagnosis of CHF was reported in 42% and 17% patients, respectively. The initial BNP was > 400 in 44% of the 120 patients in which this lab test was obtained. Sixty patients (42%) did not receive a diagnosis of CHF, 30 (25%) patients had a BNP < 200, and 33 (23%) had an order for IV fluid hydration. A diagnosis of sepsis, dehydration or pneumonia without...Continue Reading

References

Jun 1, 1992·Annals of Emergency Medicine·R C Wuerz, S A Meador
Aug 1, 1984·Kidney International·D C BraterS Anderson
Jul 12, 2001·The American Journal of Emergency Medicine·M Eckstein
Jan 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Vincent N MosessoJohn K Griswell

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Citations

May 16, 2009·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·Y Ozier, P-M Mertes
Nov 26, 2008·Heart Failure Clinics·Amal Mattu, Benjamin Lawner
Dec 7, 2006·JEMS : a Journal of Emergency Medical Services·James F Goss, Jonathan Zygowiec
Jun 18, 2010·Clinical Cardiology·Jun R Chiong, Rebecca J Cheung
May 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matthew E PrekkerChristopher W Seymour
Mar 15, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Teresa A WilliamsIan G Jacobs
Mar 29, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Linda L CoventryJudith Finn
Apr 8, 2014·Emergency Medicine Journal : EMJ·Andy PanJustin Maloney
Jul 12, 2016·Emergency Medicine Australasia : EMA·Andrew ChristieGraham Howie
Dec 30, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Òscar MiróUNKNOWN ICA-SEMES Research Group
Nov 9, 2019·ESC Heart Failure·Pia HarjolaUNKNOWN EMS-AHF Study Group
Jul 30, 2020·The Western Journal of Emergency Medicine·Sammy S HodrogeGregory H Gilbert
Nov 12, 2015·Critical Care : the Official Journal of the Critical Care Forum·William F PeacockBrian C Hiestand

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