The Skeptics' Guide to EM

SEPTEMBER 7, 2018

She is not clinically dehydrated and has a temp of 38.2C She has taken just under half of her usual feeds so far today and has a respiratory rate of 58 breaths per minute and oxygen saturation of 90% on room air with moderate work of breathing. She was born at term, is immunised and has no significant medical history.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver. On Day 3 (i.e.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Pediatric Emergency Playbook

FEBRUARY 1, 2017

Think about poor feeding, irritability, dehydration – in that case, just go with your gut and call it pyelonephritis, and admit. 2014 Apr;99(4):342-7. The truth is, for serious bacterial illness like pneumonia, UTI, or severe soft tissue infections, be careful with any infant less than 4-6 months of age. Arch Dis Child. Dayan PS et al.

Wellness 52

Wellness Dehydration Ultrasounds Pediatrics 52

PEMBlog

JANUARY 17, 2024

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014; 59:e10. 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.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

JANUARY 10, 2024

3,950 children were recruited between September 2014 to May 2017. These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease.

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EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

PEMBlog

MARCH 27, 2024

GI symptoms are the second most common, and they include vomiting, food intolerance, food aversion, GERD, refractory to normal antireflux measures, diarrhea, and dehydration. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Rice GM, Steiner RD. Inborn Errors of Metabolism (Metabolic Disorders). Pediatr Rev.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

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

Pediatric Emergency Playbook

AUGUST 1, 2016

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Hypodermoclysis to treat dehydration: a review of the evidence. 2014 Dec;44(12):66. Am J Emerg Med.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Dhondt E, et al. Eur J Paediatr Neurol. N Engl J Med.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

JUNE 27, 2024

2014 Feb;69(2):144-51. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 88

Pediatrics Dehydration EMS Hospitals 88

EB Medicine

JULY 8, 2019

Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. overall, these surgeries are relatively safe with one 2014 review publishing a 10-17% overall complication rate and a perioperative 30 day mortality of less than 1%. 2014(8):CD003641. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

The Skeptics' Guide to EM

MAY 4, 2019

You confirm her bedside ketones to be 6 and have secured a cannula (intravenous) ready to reverse her dehydration – but what fluids should you use and at what rate? A study by Easter et al ( Ann Emerg Med 2014 ) concluded that PECARN seemed to be the best of the three tools. On her blood gas her pH is 7.1

Pediatrics 52

Pediatrics Dehydration Research Administration 52

Downeast Emergency Medicine

MARCH 24, 2021

Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7] 1,7] From Vega RM, Avner JR: A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Look for red flags of severe dehydration (i.e.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Are they achieving their daily hydration goals? Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

NOVEMBER 4, 2024

doi:10.1136/heartjnl-2014-306362 LeWinter MM. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Curr Opin Support Palliat Care. 12 2019;13(4):402-407. doi:10.1097/SPC.0000000000000437 0000000000000437 Imazio M, Gaita F. Diagnosis and treatment of pericarditis. Clinical practice.

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Emergency Department Fractures Burns EMS 105

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69

Taming the SRU

FEBRUARY 3, 2025

Academic Press; 2014:39-64. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e. TamingtheSRU. www.tamingthesru.com/blog/diagnostics/tumor-lysis-syndrome. References 1. Howard SC, Pui CH, Ribeiro RC. Chapter 4 - Tumor Lysis Syndrome. In: Finkel KW, Howard SC, eds. Renal Disease in Cancer Patients.

Fluid Resuscitation 55

Fluid Resuscitation Seizures Dehydration Emergency Department 55

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. MUAC < 115 mm is indicative of severe acute malnutrition (SAM) and indicates the need for admission. 91 SAM may also be identified based on end-organ manifestations. Qual Health Res. 2022;32(1):48-63. doi:10.1177/10497323211046238 U.S.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67