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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

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.

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EM@3AM: Leukopenia

EMDocs

Philadelphia, PA: Mosby; 2006:384-418. link] Ziessman HA, O’Malley JP, Thrall JH. Infection and Inflammation. In: Ziessman HA, O’Malley JP, Thrall JH, eds. Nuclear Medicine. doi:10.1016/B978-0-323-02946-9.50017-9 Abu Saleh OM, Temesgen Z. General approach to infectious diseases evaluation. In: Temesgen Z, ed.

EMS 96
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Neonatal Jaundice

Pediatric Emergency Playbook

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

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Urine Trouble

Pediatric Emergency Playbook

Think about poor feeding, irritability, dehydration – in that case, just go with your gut and call it pyelonephritis, and admit. 2006 Jan;13(1):76-81. The truth is, for serious bacterial illness like pneumonia, UTI, or severe soft tissue infections, be careful with any infant less than 4-6 months of age. Acad Emerg Med.

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Bilious Vomiting in the Neonate

Mind The Bleep

Walker GM, 2006) Surgical Differentials for Bilious Vomiting: Malrotation with Volvulus Incidence: 1 in 6000 live births present in the first week of life. Surgical management of this is time critical as delayed treatment can result in ischaemia and necrosed bowel. Colour scale of vomiting. S, 2023) An image of bilious gastric aspirates.

Sepsis 52
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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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EM@3AM: Hyperthermia

EMDocs

Clinical presentation, treatment, and complications of malignant hyperthermia in North America from 1987 to 2006. 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. Gronert, G. Brandom, B.