Remove 2000 Remove Dehydration Remove Sepsis
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But Can You Just PO?

Taming the SRU

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. There is substantial evidence that IV fluids can be beneficial in patients with sepsis complicated by hypotension and labor. AtherlyJohn et al.

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. 2000; 105:e 10. For milder forms of IEM, children can compensate until the body is under stress and may recover after stress (leading to delayed diagnosis). Viral infections also may cause metabolic stress. Pediatrics.

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Bilious Vomiting in the Neonate

Mind The Bleep

Abnormal location of superior mesenteric vessels (Kimura K, 2000), abnormal location of duodenal-jejunal (DJ) flexure seen on upper GI contrast (should normally be sited to the left of the spine at the same level or higher than the pylorus) “Corckscrew” sign on contrast due to incomplete obstruction with some contrast passing through.

Sepsis 52
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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). Pediatrics. PMID: 13431307 J.