Pediatric EM Morsels
JUNE 16, 2023
Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.
Mind The Bleep
FEBRUARY 2, 2025
If they are dehydrated: give fluids; if they are in pain: give analgesia ; if theres an infection of unknown source: do a thorough examination & take cultures and samples from everywhere you can. If you have gone in the wrong direction you can go back to your initial history and examination findings.
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Don't Forget the Bubbles
MARCH 18, 2024
She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2016 Jan;6(1):e009933.
EMDocs
JANUARY 23, 2024
An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g., Published February 15, 2016. The key is a patient who is on an AV nodal blocker and who has some sort of risk factor for renal insufficiency.
Pediatric Emergency Playbook
JANUARY 1, 2022
Early presentation from 3 to 5 weeks of age: projectile vomiting Later presentation up to 12 weeks: dehydration, failure to thrive, possibly the elusive olive Labs may show hypOchloremic, hypOkalemic metabOlic acidosis: “ all the Os ” Watch out for hyperbilirubinemia, the “icteropyloric syndrome”: unconjugated hyperbilirubinemia from dehydration.
Don't Forget the Bubbles
DECEMBER 13, 2023
Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. 2016 Apr;175(4):573-9. They have supportive parents who live nearby and a good friend network. First and foremost, do they look well or unwell?
EB Medicine
MARCH 4, 2020
No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations.
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