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. 2013 Sep;163(3):761-6.
Ken Grauer, MD
AUGUST 18, 2023
Optimal management entails trying to "find and fix" the cause of these frequent PACs ( ie, stimulants including sympathomimetic drugs, cocaine, alcohol, excess caffeine — electrolyte disturbance — excess stress or anxiety — dehydration — inadequate sleep — anemia or other illness ).
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Mind The Bleep
DECEMBER 19, 2023
Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1
Pediatric EM Morsels
JUNE 16, 2023
Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.
Taming the SRU
AUGUST 27, 2024
Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. J Invest Dermatol 2013; 133:1197. Roujeau JC, Kelly JP, Naldi L, et al.
Pediatric Emergency Playbook
MAY 1, 2017
They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.
Don't Forget the Bubbles
MARCH 18, 2024
She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. Oct 30 2019.
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