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SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?

The Skeptics' Guide to EM

She is not clinically dehydrated and has a temp of 38.2C Although the vast majority of infants with bronchiolitis can be managed with supportive care at home, due to its high incidence, it is the number one reason for infants to be hospitalized ( Njoo et al 2001, Langley et al 2003, Craig et al 2007 and Shay et al 1999).

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Subcutaneous Rehydration

Pediatric Emergency Playbook

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? in 2007 compared subcutaneous administration of lactated ringer’s solution by gravity with and without hyalurondase.

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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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Bilious Vomiting in the Neonate

Mind The Bleep

H, 2007) AXR will frequently be normal Management: Ladds procedure which involves untwisting the bowel, resecting any ischaemic / non viable bowel tissue. H, 2007) “Spiral sign” in malrotation: Duodenum and Proximal Jejunum have a Spiral configuration and are located in the right side of the abdomen. (H, Green for Danger!

Sepsis 52
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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Dhondt E, et al. Eur J Paediatr Neurol. N Engl J 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? Peruzzi, L.,

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EM@3AM: Hyperthermia

EMDocs

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] Gaudio, & Grissom, C. Cooling Methods in Heat Stroke. The Journal of Emergency Medicine. , 50 (4), 607–616. Becker, S. Yeargin, S. Siegler, J.,