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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. 2009 Apr;10(2):155-7.

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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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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? 2009 Nov;124(5):e858-67. 2009 Apr-May;26(2):135-6. Everything else is just finesse. Pediatrics.

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Severe diarrhea and vomiting may lead to volume loss, dehydration, and hypotension (not common). 2009 Jun;160(6):909-17. Thought to be due to reduced gastric emptying and activation of centers involved in appetite regulation and nausea. There is an association with pancreatitis. 2018 Apr 17;319(15):1580-1591. Eur J Endocrinol.

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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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EM@3AM: Hyperthermia

EMDocs

Appl Physiol Nutr Metab 2009; 34:582 Casa DJ, Armstrong LE, Kenny GP, O’Connor FG, Huggins RA. 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] Lacunza, San Román, I., García-Molina, E.,

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EM@3AM: Crush Injury

EMDocs

Published June 2009. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Veenstra J, Smit WM, Krediet RT, Arisz L. Relationship between elevated creatine phosphokinase and the clinical spectrum of rhabdomyolysis. Nephrol Dial Transplant. 1994;9(6):637-641. Accessed February 3, 2023. Critical Care.

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