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.
Don't Forget the Bubbles
MARCH 31, 2025
Lack of fluid monitoring throughout the PICU stay led to underreporting of MODS resulting from late-onset FO. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. Prolonged fluid overload may still contribute to organ dysfunction over time. in 2009 to 40.3%
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EMDocs
JUNE 25, 2024
Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. Total amount over 24 hours.
Mind The Bleep
OCTOBER 29, 2024
Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. Cardiovasc Intervent Radiol 32 , 155–158 (2009). Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock.
EMDocs
JUNE 22, 2024
Romero (2009). “Amniotic fluid embolism: an evidence-based review.” Amniotic fluid embolism: antepartum, intrapartum and demographic factors. Additionally, PE in the context of labor is less likely than AFE, given the patient’s presentation and timing. ” Am J Obstet Gynecol 201(5): 445 e441-413.
Taming the SRU
APRIL 3, 2023
Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9% Do not prepare a sterile field (but be as clean as possible). Do not transport to an alternative location.
Don't Forget the Bubbles
MARCH 18, 2024
She receives fluid resuscitation, and you organise some tests to find out why she is so tired. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. What causes haematuria in children?
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