TY - JOUR T1 - BET 2: Which fluid (colloids or crystalloids) is better in initial resuscitation of severe sepsis? JF - Emergency Medicine Journal JO - Emerg Med J SP - 509 LP - 511 DO - 10.1136/emermed-2012-201374.3 VL - 29 IS - 6 A2 - , Y1 - 2012/06/01 UR - http://emj.bmj.com/content/29/6/509.abstract N2 - Report by: Chamika R Mapatuna, FTSTA ACCS2 Intensive Care MedicineSearch checked by: Jasmeet Soar, Consultant Intensive Care MedicineInstitution: Anaesthetics Department, Southmead Hospital, North Bristol NHS Trust, BristolA 67-year-old woman presents to the Emergency Department (ED) with a 3-day history of a dysuria, nausea, vomiting and fever with rigours. She is confused and looks pale. Her respiratory rate is 40/min, heart rate is 120/min, blood pressure is 80/40 mm Hg and temperature is 38.9°C. You diagnose severe sepsis secondary to a urinary tract infection. You wonder whether crystalloids or colloids are best in the initial fluid resuscitation to improve her survival.In (adult patients with severe sepsis), should (colloids or crystalloids be used for initial resuscitation) to (improve survival).Medline 1960—09/2008 using NLH 2.0 Advanced Search.({(exp sepsis) AND (early.ti.ab OR initial.ti.ab AND management.ti.ab OR resuscitation.ti.ab)} AND {(crystalloid$.af OR saline.af OR hartmann's.af OR ringer-lactate.af) AND (colloid$.af OR starch.af OR dextran.af OR gelatine.af OR albumin.af)}) AND Limit to humans, adults, … ER -