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Sickle Cell Disease Module

Don't Forget the Bubbles

Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.

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ToxCard: Iron

EMDocs

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. 6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. The oral bioavailability of inorganic iron is < 10%; ferrous iron (Fe 2+ ) is better absorbed than ferric iron (Fe 3+ ).

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SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?

The Skeptics' Guide to EM

She is not clinically dehydrated and has a temp of 38.2C Although the vast majority of infants with bronchiolitis can be managed with supportive care at home, due to its high incidence, it is the number one reason for infants to be hospitalized ( Njoo et al 2001, Langley et al 2003, Craig et al 2007 and Shay et al 1999).

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What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

Ballatore et al — Medicina (Kaunas) 55(8): 497, 2019 — and — Page et al — Circulation 107:1141-1145, 2003 ). Not commonly appreciated is the surprising number of AFib patients who do not have symptoms with some ( or all ) of their episodes. An estimated 10-to-40% of all patients with AFib do not have symptoms associated with this arrhythmia.

EKG/ECG 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. N Engl J Med 2003; 348:1756-1763, 5/1/2013. Smith Final Comment: It is uncertain what initiated this patient's instability. Any alteration in physiology can change "compensated" AS to "decompensated" AS. Aortic valve surgery as an emergency procedure. Khot, MD; et al.

EKG/ECG 40
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Eur Heart J 2003 May; 24:811-19.