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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Proc Natl Acad Sci U S A 2005; 102:4134. N Engl J Med 1995; 333:1600.

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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7] 1,7] From Vega RM, Avner JR: A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Look for red flags of severe dehydration (i.e.

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Pain Management of Common Chief Complaints in the ED

EMDocs

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. 2005 Jul-Aug 2005;12(4):311-9. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise.

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IV fluids in the ED: When do we really need them?

EMDocs

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

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ED care of refugee populations from sub-Saharan Africa

EMDocs

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. MUAC < 115 mm is indicative of severe acute malnutrition (SAM) and indicates the need for admission. link] UniversityofCalifornia,Berkeley.