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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. 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. PMID: 20075028.

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EM@3AM: Leukopenia

EMDocs

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america. No rash is identified. Clin Infect Dis. PMID: 21258094.

EMS 95
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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. 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.

Seizures 131
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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Additionally, back in 2010, it was estimated that 6.6% I hope everybody enjoyed a fantastic conference. That’s almost half of the population.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.

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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Just like other patients in the emergency department, the child should be recognized as “sick” or “not sick.” Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7]

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EM@3AM: Hyperthermia

EMDocs

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Temps greater than 41.5C link] Larach, M. Gronert, G. Brandom, B.