Downeast Emergency Medicine

MARCH 24, 2021

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]

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Pediatric EM Morsels

FEBRUARY 2, 2024

2014 Dec;31(6):678-87. Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EMDocs

JUNE 27, 2024

2014 Feb;69(2):144-51. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 Epub 2013 Aug 7.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Baaleman DF, et al. J Pediatr Gastroenterol Nutr. Lee T, et al. 2023 Jun;62(6):656-664.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

NOVEMBER 4, 2024

The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Acad Emerg Med.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

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

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

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 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

FEBRUARY 3, 2025

Work-up and Diagnosis in the Emergency Department Initial presentation of TLS typically includes generalized symptoms such as gastrointestinal distress, decreased appetite, muscle cramping, palpitations, hematuria / oliguria, and altered mental status. Academic Press; 2014:39-64. in females and 2.5-7.0 References 1.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! How does your differential diagnosis change? What about your diagnostic workup? and Hirsch, H.H.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75