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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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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2006 Jul;134(1):109-15. 2006 Dec 13;2(91):2852-7. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4 Br J Haematol.

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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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Sickle Cell Disease Module

Don't Forget the Bubbles

It has been routine practice in the UK since 2006. 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).

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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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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.