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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

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.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

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
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EM@3AM: Leukopenia

EMDocs

Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america. Available from: [link] Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, Raad II, Rolston KV, Young JA, Wingard JR; Infectious Diseases Society of America.

EMS 80
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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

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.

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

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.

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Grand Rounds Recap 3.15.23

Taming the SRU

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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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

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.,