Cite this post as:
Scott Weingart, MD FCCM. SMACC Back 2 – IVC for Decisions on Fluid Status. EMCrit Blog. Published on July 29, 2013. Accessed on December 9th 2025. Available at [https://emcrit.org/emcrit/ivc-for-decisions-on-fluid-status/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: July 29, 2013
Date of Most Recent Review: Aug 1, 2025
Termination Date: Aug 1, 2028
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Hi Scott, Fantastic podcast and SMACC back! I absolutely love your approach which is a great way to apply evidence in physiological and clinical fashion, and the bronze/silver/gold approach is fantastic. I can’t agree more on how sadly close minded some physicians can be, so meticulous in packing that poo box, while not offering anything substantial – or physiological – instead, opting for the passive “watchful waiting” mode until someone (likely a big name in ED/CC) comes up with “the perfect resuscitation recipe” which will fit all patients (NOT!). I follow a highly similar approach to undifferentiated shock, because I… Read more »
Hi Scott! 4-6 liters of fluids???!!! What about when Paul Marik says that Vasodilatory shock is not a fluid depleted state so if you administer more than 2-2.5 liters of fluids, you’re actually overdistending the heart causing your ANP’s to damage the glycocalyx and worsening the interstitial edema. And, that whatever you give is all going to end up in the interstitial space anyway within a few minutes-hours. I think he might be waaaay to conservative about fluids, but your 4-6 liters without any assesment makes me think that it’s waaaay to liberal. What do you think? Please lemme know!… Read more »