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.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

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.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

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.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Pediatric EM Morsels

SEPTEMBER 20, 2024

Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! 2010 May;49(5):418-21. 2010 May;49(5):418-21. Epub 2010 Jan 13. References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D. Clin Pediatr (Phila). doi: 10.1177/0009922809342582. Clin Pediatr (Phila). Schnadower, D.,

Pediatrics 161

Pediatrics Ultrasounds Dehydration Emergency Department 161

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.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59