Pediatric EM Morsels

JULY 28, 2023

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. 2005 May;146(5):688-92.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Pediatric EM Morsels

JUNE 16, 2023

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. The subcutaneous space is a vast region of potential space where things can collect.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

Taming the SRU

AUGUST 27, 2024

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.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90

Downeast Emergency Medicine

MARCH 24, 2021

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.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

EMDocs

DECEMBER 16, 2023

2005 Oct 5;9(5):R498-501. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Determine and treat underlying cause , consider multiple etiologies. link] Broessner G, Beer R, Franz G, Lackner P, Engelhardt K, Brenneis C, Pfausler B, Schmutzhard E. doi: 10.1186/cc3771.

Hyperthermia / Hypothermia 69

Hyperthermia / Hypothermia EMS Stroke Seizures 69

EMDocs

NOVEMBER 4, 2024

2005 Jul-Aug 2005;12(4):311-9. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Jan 23 2008;(1):CD000396. doi:10.1002/14651858.CD000396.pub3 pub3 Gimbel J, Linn R, Hale M, Nicholson B. doi:10.1097/01.mjt.0000164828.57392.ba 0000164828.57392.ba Am J Hematol. 02 2018;93(2):159-168.

Emergency Department 99

Emergency Department Fractures Burns EMS 99