Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2009 Apr;10(2):155-7. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Diabetes Ther.

Fluid Resuscitation 245

Fluid Resuscitation Pediatrics Resuscitation Research 245

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

EMDocs

OCTOBER 7, 2023

neurologic damage and thrombosis) 20,21 Resuscitation Lactated ringers > Normal saline due to reduced need for urinary alkalinization 22 Place foley and target urine output >300 mL/hr Electrolyte abnormalities Hyperkalemia: Obtain an ECG Stabilization: Calcium gluconate 2 g over 5-10 min. Published June 2009. Critical Care.

EMS 73

EMS Fluid Resuscitation Fractures Resuscitation 73

EMDocs

DECEMBER 16, 2023

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 Temps greater than 41.5C Determine and treat underlying cause , consider multiple etiologies. García-Molina, E.,

Hyperthermia / Hypothermia 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. As with other cases of shock, initial fluid resuscitation may be considered. NEJM 362(9):779; March 4, 2009. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. De Backer D et al.

EKG/ECG 52

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 52