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Travel-Related Illnesses in Children

Pediatric EM Morsels

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

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 C or 100.4

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). A fluid shift, if you will.

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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. PMID: 33067334; PMCID: PMC7788190 NICE Technology Appraisal guidance – TA337 (March 2015; reviewed June 2018): Rifaximin for preventing episodes of overt hepatic encephalopathy. On Day 3 (i.e.

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Are we on the right TRACT? 

Don't Forget the Bubbles

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. Sepsis indicators and malaria positivity did not modify the risk. Published 2015 Feb 2.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever. At 6 to 8 mL/kg.

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Neonatal Jaundice

Pediatric Emergency Playbook

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.