Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. 2015 Oct; 66(4):355-362. Smith Final Comment: It is uncertain what initiated this patient's instability. Any alteration in physiology can change "compensated" AS to "decompensated" AS. Annals of Emergency Medicine. De Backer D et al. NEJM 362(9):779; March 4, 2009.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

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

Don't Forget the Bubbles

JANUARY 17, 2024

2015 But we all know that what happens in the lab does not always mirror what happens in real life. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. The liquids were chosen to “approximate a pediatric digestive environment.” ” ( Ed. After Darracq et al., Zamora et al.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

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? 2015 Jan-Mar;13(1):122-8. Hypodermoclysis to treat dehydration: a review of the evidence. Pediatrics.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

EMDocs

JUNE 27, 2024

2015 May;169(4):492-505. Epub 2015 Mar 30. 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 0.4 Br J Haematol.

Pediatrics 88

Pediatrics Dehydration EMS Hospitals 88

EB Medicine

JULY 8, 2019

Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss. Jeff: Moving on to my favorite - prehospital care - as always, ABCs first. At 6 to 8 mL/kg. First up, the kids.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

Don't Forget the Bubbles

JANUARY 27, 2025

2015) Surgical problems in the paediatric patient, Clinical Gynaecology, 2 nd edition, p578-579. 2015 Aug;33(8):487-93. Epub 2015 Jun 29. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Sanfilippo J.S, Mansuria S.M, Donnellan N.M Childress K.J, Dietrich J.E doi: 10.1016/j.suc.2016.08.008.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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? Aydin, A.M.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

DECEMBER 16, 2023

2015 Jan;17(1):1-24 Hostler D, Northington WE, Callaway CW. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Determine and treat underlying cause , consider multiple etiologies. link] Kakoki, K., Hakariya, T., Takehara, K., Izumida, S., Kinoshita, N.,

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia EMS Stroke Seizures 80

EB Medicine

AUGUST 1, 2018

Jeff: A systematic review and meta-analysis from 2015 found low-quality evidence to support cannabis therapy for appetite suppression in HIV and aids patients; moderate-quality evidence for treatment of chronic pain and spasticity; and also moderate quality evidence for some chronic debilitating diseases. 2015;313(24):2456-2473. Subst Abus.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

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