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. 2010 Dec;1(2):103-20.
Don't Forget the Bubbles
SEPTEMBER 13, 2023
This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline. 2010-3318 Veerapandiyan A, Aravindhan A, Takahashi JH, Segal D, Pecor K, Ming X. Published 2022 Jan 13.
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Don't Forget the Bubbles
JULY 5, 2023
Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.
Don't Forget the Bubbles
JULY 17, 2023
Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Simple Interventions for Pediatric Residents’ Moral Distress: A Randomized, Controlled Experiment. Layman AAK, et al.
Mind The Bleep
MAY 12, 2023
These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. 2010 Feb;12(1):1-6. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Lancet Gastroenterol Hepatol. 2020 Mar;5(3):245-66.
PEMBlog
JANUARY 17, 2024
Now you could even admit a kid for IV antibiotics, maybe they’re dehydrated or they can’t take PO for some reason, without sending a blood culture. Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. 2011 Mar;127(3):e573-80. doi: 10.1542/peds.2010-2053.
Taming the SRU
MARCH 31, 2023
of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.
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