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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2005 May;146(5):688-92. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 PMID: 15870676.

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ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. 2005 Jun;159(6):557-60. Clinical Toxicology, 2005; 43(6), 553570. Basic assessment: airway, breathing, circulation.

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EM@3AM: Hyperthermia

EMDocs

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.

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Cholera: ED presentation, evaluation, and management

EMDocs

Rehydration therapy for patients with cholera should include volume resuscitation and electrolyte repletion. Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able. 2023;10:1155751. doi:10.3389/fmed.2023.1155751

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Something she ate?

Intensive Blog

2005, 2005/01/01/). Available from URL: [link] [Accessed 10 February 2023] Death Cap – Amanita phalloides. Royal Botanical Gardens Victoria. link] Berger, K. J., & Guss, D. Mycotoxins revisited: Part I. The Journal of Emergency Medicine, 28 (1), 53-62. link] Ferenci, P., Lockwood, A., Weissenborn, K., & Blei, A.