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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. 7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Typically presents in the first few hours following ingestion. Antiemetics as needed.

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EM@3AM: Leukopenia

EMDocs

0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. 2011 Feb 15;52(4):e56-93. An update on the diagnosis and treatment of chronic idiopathic neutropenia. Curr Opin Hematol. 2017;24(1):46-53. doi:10.1097/MOH.0000000000000305 J Blood Disord Transfus. 14:559 Tilahun, M.,

EMS 67
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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

2011 Mar;127(3):e573-80. Epub 2011 Feb 21. Clin Infect Dis 2011; 52:e18. 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. Pediatrics. doi: 10.1542/peds.2010-2053. PMID: 21339275; PMCID: PMC3387913.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. There have been reports of the Orbeez Challenge leading to serious outcomes. Zamora et al.,

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Paediatric IV Fluid Prescribing

Mind The Bleep

The FEAST study published in 2011 was undertaken across centers in Uganda, Kenya and Tanzania, and randomly allocated children presenting with severe infection and impaired perfusion to groups receiving albumin bolus, saline bolus or no bolus. Boluses were given in 20-40ml/kg aliquots. Answers (1) [B] is the correct answer.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though. From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled.

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EM@3AM: Hyperthermia

EMDocs

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Temps greater than 41.5C Determine and treat underlying cause , consider multiple etiologies.