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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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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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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. Renal and bladder ultrasound (RBUS) after the first UTI is recommended (although incompletely followed in practice). 2006 Jan;13(1):76-81. What is the age cut-off for a urine culture? Acad Emerg Med.

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Caring for children after a kidney transplant

Don't Forget the Bubbles

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Are they achieving their daily hydration goals? Helenius, I.,

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Pain Management of Common Chief Complaints in the ED

EMDocs

Evaluation by ultrasound of traumatic rib fractures missed by radiography. 2006 Jun;26(6):684-90. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Osteopathic Manipulative Treatment for Inhaled Rib Somatic Dysfunction. Journal of Osteopathic Medicine. 2020;120(10):696-697.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)].

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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. For links to FOAM-ED ultrasound content, see the section after take-home points.) (For links to FOAM-ED ultrasound content, see the section after take-home points.) 11 A study by Stephan et al.