Pediatric EM Morsels

JULY 28, 2023

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.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Don't Forget the Bubbles

MARCH 18, 2024

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.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Pediatric Emergency Playbook

MAY 1, 2017

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.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Pediatric Emergency Playbook

AUGUST 1, 2016

⇒ 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.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

EMDocs

FEBRUARY 7, 2024

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.

Allergic Reactions 75

Allergic Reactions Anaphylaxis Dehydration Wellness 75

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

NEJM 362(9):779; March 4, 2009. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. NEJM 362(9):779; March 4, 2009. Dobutamine may be preferred in patients without severe hypotension who have high vascular resistance. -- De Backer D et al. Comparison of Dopamine and Norepinephrine in the Treatment of Shock.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

EMDocs

OCTOBER 7, 2023

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.

EMS 74

EMS Fluid Resuscitation Fractures Resuscitation 74