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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

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.

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The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

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 Podcast – Episode 103: Thermal Burn Injury

EMDocs

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.

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Chemical Burns

Mind The Bleep

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.

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EM@3AM: Amniotic Fluid Embolism

EMDocs

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.

EMS 111
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Grand Rounds Recap 3.29.23

Taming the SRU

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.

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

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?