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SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?

The Skeptics' Guide to EM

He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric […] The post SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis? She is not clinically dehydrated and has a temp of 38.2C NEJM March 2018. NEJM March 2018.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). 10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1.

EKG/ECG 40
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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Pay specific attention to fluid status, looking for evidence of dehydration. Royal Hospital for Children- Nephrology. Rch.org.au. Oct 30 2019.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. A Gastroenterology or Hepatology specialist review should ideally be sought within 24 hours of admission to the hospital. 2014 Jan;16(1):362. 2014 Jan;16(1):362. On Day 3 (i.e. Hepatology.

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Are we on the right TRACT? 

Don't Forget the Bubbles

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. 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-.

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How to Diagnose Eating Disorders in the Emergency Department

ACEP Now

A survey that looked at 637 residency programs including pediatric, family, and internal medicine in 2014 found that only 42 programs offered formal training in eating disorders. A blind weight should be obtained post-void with the patient in a hospital gown only (to prevent hidden weights), and the patients back to the weight display.