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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. Dehydration at admission increased the need for dialysis in hemolytic uremic syndrome children.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss. million adults!! At 6 to 8 mL/kg.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

Rousseau V, Massicot R, Darwish AA, Sauvat F, Emond S, Thibaud E, Nihoul-Fekete C (2008) Emergency management and conservative surgery of ovarian torsion in children: a report of 40 cases, 21(4):201-6, PMID: 18656074. Sims MJ, Price AB, Hirsig LE, Collins HR, Hill JG, Titus MO (2022) Pediatric Ovarian Torsion: Should you go with the flow?

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Pain Management of Common Chief Complaints in the ED

EMDocs

Jan 23 2008;(1):CD000396. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Epub 2017 Feb 14. PMID: 28192789. Roelofs PD, Deyo RA, Koes BW, Scholten RJ, van Tulder MW. Non-steroidal anti-inflammatory drugs for low back pain. Cochrane Database Syst Rev. doi:10.1002/14651858.CD000396.pub3

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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. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

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Cholera: ED presentation, evaluation, and management

EMDocs

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.