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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases. 2023 Jun Oral food challenge outcomes in children and adolescents in a tertiary centre: A 5-year experience. Effects of size at birth on health, growth and developmental outcomes in children up to age 18: an umbrella review. 2023 Jun 9.

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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

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Temps greater than 41.5C Determine and treat underlying cause , consider multiple etiologies.

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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

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

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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. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear.

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Serotonin Syndrome & NMS

Taming the SRU

The neuroleptic malignant syndrome-a systematic case series analysis focusing on therapy regimes and outcome. Crit Care 11, R4 (2007). mg/kg initially followed by 1mg/kg q6hrs Disposition NMS can be very severe and usually requires ICU level care. Kuhlwilm L, Schnfeldt-Lecuona C, Gahr M, Connemann BJ, Keller F, Sartorius A.